Technique and results after distal braquial biceps tendon reparation, through two anterior mini-incisions.
OBJECTIVE
Evaluation of postoperative results of repair of distal biceps brachii ruptures through a two anterior mini-incisions.


METHODS
Nine patients with clinical and imaging (MRI) diagnosis of total lesion of the biceps brachii at its insertion were operated with a surgical technique with two mini-incisions between 2008 and 2011. The patients were evaluated after three months of evolution and all of them recovered the fully flexion-extension arch.


RESULTS
Two patients (22.2%) presented a limitation of 20 degrees of supination. One patient (11.1%) had radial nerve palsy, but was totally recovered after five months. In one patient (11.1%) the muscle remained retracted, but the insertion was recovered. In three patients (33.3%) adhesion was observed on the proximal scar. There was no clinical or radiographic evidence of radioulnar synostosis after six months of evolution. All patients reported satisfaction with the treatment.


CONCLUSIONS
We conclude that the presented method shows good results as well as other techniques, with less risk of adhesion on the flexor fold of the elbow. Level of Evidence IV, Case Series.
Shoulder and Elbow Group of Hospital IFOR. São Bernardo do Campo, SP, Brazil.
Luciano
L
Pascarelli
Shoulder and Elbow Group of Hospital IFOR. São Bernardo do Campo, SP, Brazil.
Lúcio César Silva
LC
Righi
Shoulder and Elbow Group of Hospital IFOR. São Bernardo do Campo, SP, Brazil.
Roberto Rangel
RR
Bongiovanni
Shoulder and Elbow Group of Hospital IFOR. São Bernardo do Campo, SP, Brazil.
Rogério Sano
RS
Imoto
Shoulder and Elbow Group of Hospital IFOR. São Bernardo do Campo, SP, Brazil.
Renato Loureiro
RL
Teodoro
Shoulder and Elbow Group of Hospital IFOR. São Bernardo do Campo, SP, Brazil.
Hemanoel Fernando Dos Anjos
HF
Ferro
Evaluation studies; Surgical procedures, operative/methods; Tendon injuries; Tendons/surgery