title: Mini-open incision for distal biceps repair by suture anchors: follow-up of eighteen patients.
abstract: BACKGROUND
  This clinical trial was done to describe a mini approach for distal biceps repair using two or three suture anchors.
  
  
  METHODS
  Twenty patients have undergone surgical repair over the last 10 years. All patients were males with mean age 46.8 (range 35-72), and dominant arm was involved in 70 %. Eighteen patients were evaluated with subjective and objective criteria including patient's satisfaction, active range of motion (ROM), and maximum isometric strength (in supination and flexion) using Cybex dynamometer. Functional scoring included Mayo Elbow Performance Score, Disabilities of the Arm, Shoulder and Hand score and Oxford Elbow Score.
  
  
  RESULTS
  Eighty percent of patients were highly satisfied, with excellent results as defined by Mayo and Oxford Elbow score. Compared to contralateral, the active ROM was not affected in flexion and extension, but pronation and supination were decreased by 5°-10° in two cases. One of eighteen showed hypoesthesia of first and second fingers, and one of eighteen showed a symptomatic heterotopic ossification. There were no reruptures.
  
  
  CONCLUSIONS
  Surgical repair of distal biceps tendon with a mini-single-incision as we described provides patient's satisfaction and very good results with respect to ROM and functional scoring, with a low complication rate.
authors.affiliation: Department of Hand Surgery and Microsurgery, University Hospital of Verona, Verona, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Pangallo
authors.affiliation: Department of Hand Surgery and Microsurgery, University Hospital of Verona, Verona, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Valore
authors.affiliation: Department of Hand Surgery and Microsurgery, University Hospital of Verona, Verona, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Padovani
authors.affiliation: Department of Hand Surgery and Microsurgery, University Hospital of Verona, Verona, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Coratella
authors.affiliation: Department of Hand Surgery and Microsurgery, University Hospital of Verona, Verona, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Schena
authors.affiliation: Department of Hand Surgery and Microsurgery, University Hospital of Verona, Verona, Italy.
authors.forename: B
authors.initials: B
authors.lastname: Magnan
authors.affiliation: Department of Hand Surgery and Microsurgery, University Hospital of Verona, Verona, Italy. roberto.adani@ospedaleuniverona.it.|UOC Chirurgia della Mano, Ospedale G.B.Rossi, Azienda Ospedaliera Universitaria Integrata Verona, P.le L.Scuro, 10, Verona, Italy. roberto.adani@ospedaleuniverona.it.
authors.forename: R
authors.initials: R
authors.lastname: Adani
mesh_terms: D000328:Adult; D000368:Aged; D004551:Elbow Joint / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012421:Rupture; D053441:Suture Anchors; D013708:Tendon Injuries / Q000601:surgery*
keywords: Distal biceps repair; Single incision; Supination strength; Suture anchor