title: Fixation of acute distal biceps tendon ruptures using mitek anchors: a retrospective study.
abstract: OBJECTIVE
  The aim of this study was to evaluate the outcomes of surgical intra-osseous fixation of the distal tendon of the ruptured biceps brachii muscle using Mitek anchors.
  
  
  METHODS
  Between 2005 and 2011, seven patients underwent unilateral distal biceps tendon repair using Mitek anchors. All patients were men aged between 36 and 47 years. Six patients were assessed by physical examination and use of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire.
  
  
  RESULTS
  Surgery was performed within 3 to 17 days of rupture with a mean follow-up of 35 months. Of the six fully completed DASH questionnaires, three patients had a score of 0, and three patients had scores of 5.8, 10 and 10.8, respectively (10.1 is the mean score for the general population). Transient paraesthesias in the lateral antebrachial cutaneous nerve region occurred in two patients and one patient experienced a transient stiffness of the elbow due to scarring of the wound. No major complicatons have occurred.
  
  
  CONCLUSIONS
  The use of Mitek anchors for the re-insertion of the ruptured distal biceps tendon proved to be a safe and effective technique with excellent functional results in our series.
authors.affiliation: Maastricht University Medical Center, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Al-Taher
authors.affiliation: Medical Centre Amstelveen, Burg. Haspelslaan 131, 1181NC Amstelveen, The Netherlands.
authors.forename: Diederick B
authors.initials: DB
authors.lastname: Wouters
keywords: Bone anchors; DASH score; Mitek anchors; distal biceps tendon ruptures; single incision technique; surgical treatment.
references.citation: Am J Forensic Med Pathol. 2002 Dec;23(4):355-9
references.pmid: 12464812
references.citation: Am J Orthop (Belle Mead NJ). 2010 Jun;39(6):288-96
references.pmid: 20631928
references.citation: Surg Technol Int. 1994;3:571-6
references.pmid: 21319126
references.citation: Am J Sports Med. 2009 Mar;37(3):506-11
references.pmid: 19168803
references.citation: J Hand Surg Am. 2003 May;28(3):496-502
references.pmid: 12772111
references.citation: BMC Musculoskelet Disord. 2003 Jun 16;4:11
references.pmid: 12809562
references.citation: J Bone Joint Surg Am. 1985 Mar;67(3):418-21
references.pmid: 3972866
references.citation: J Shoulder Elbow Surg. 2009 Mar-Apr;18(2):283-7
references.pmid: 19101177
references.citation: J Shoulder Elbow Surg. 2000 Mar-Apr;9(2):120-6
references.pmid: 10810691
references.citation: Sports Med Arthrosc Rev. 2008 Sep;16(3):148-53
references.pmid: 18703974
references.citation: J Bone Joint Surg Am. 1985 Mar;67(3):414-7
references.pmid: 3972865
references.citation: J Hand Surg Am. 2009 Mar;34(3):545-52
references.pmid: 19258156
references.citation: Laeknabladid. 2009 Jan;95(1):19-24
references.pmid: 19182311