title: Operative treatment of chronic distal biceps tendon ruptures.
abstract: Chronic biceps tendon ruptures typically involve tendon retraction, scarring, and even compromised tissue. Indirect repair, such as tenodesis to the brachialis, does not provide optimal functional recovery. Chronic biceps tendon ruptures can be reconstructed with autogenous grafts (semitendinosis, tensor fascia lata) or allografts (typically Achilles tendon). The complications associated with these grafts include harvest site morbidity and graft incorporation. Using a vascularized local soft tissue source could minimize complications of graft reconstructions. The authors provide a novel reconstructive technique, reconstruction using the lacertus fibrosis, as a local graft source for chronic distal biceps tendon ruptures.
authors.affiliation: Division of Upper Extremity Surgery, Department of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, USA.
authors.forename: Merlin Jake
authors.initials: MJ
authors.lastname: Hamer
authors.forename: Andrew E
authors.initials: AE
authors.lastname: Caputo
mesh_terms: D002908:Chronic Disease; D004551:Elbow Joint / Q000601:surgery; D005260:Female; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control; D008297:Male; D018482:Muscle, Skeletal / Q000293:injuries / Q000601:surgery; D016059:Range of Motion, Articular / Q000502:physiology*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012421:Rupture / Q000175:diagnosis / Q000601:surgery; D012680:Sensitivity and Specificity; D013536:Suture Techniques; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods*; D014184:Transplantation, Homologous; D000092464:Elbow Injuries