title: ISOKINETIC AND FUNCTIONAL EVALUATION OF DISTAL BICEPS RECONSTRUCTION USING THE MAYO MINI-DOUBLE ROUTE TECHNIQUE.
abstract: OBJECTIVE
  To evaluate the functional outcome among patients with distal biceps injuries who were operated using the Mayo mini-double route technique, with a minimum follow-up of six months after surgery, through digital isokinetic dynamometry, goniometry and subjective scores in order to establish objective and subjective improvement patterns and discuss the effectiveness of the procedure.
  
  
  METHODS
  Nine patients who underwent surgery to treat distal biceps injury were evaluated by means of Cybex digital dynamometry using an angular velocity of 30°/s with five repetitions and 120°/s with 15 repetitions, in comparison with the uninjured side. DASH (Disabilities of the arm, shoulder and hand), Mayo elbow score and conventional goniometry were also used.
  
  
  RESULTS
  Digital dynamometer showed that using the angular velocity of 30°/s with five repetitions, there was an average flexion deficit of 9.6% and an average supination deficit of -28.97%. Using an angular velocity of 120°/s with fifteen repetitions, the average flexion deficit was 4.43% and the average supination deficit was -24.1%.
  
  
  CONCLUSIONS
  The loss of flexion followed the pattern already shown in the literature. However, in our series, there were supination strength gains, possibly due to the strict rehabilitation protocol. The technique used in this study was safe and low-cost, with few complications and good functional results.
authors.affiliation: Shoulder and Elbow Surgeon in the Advanced Study Center for Orthopedics and Neurosurgery, São Paulo, SP, Brazil.
authors.forename: José Carlos Garcia
authors.initials: JC
authors.lastname: Júnior
authors.affiliation: Resident in the Orthopedics and Traumatology Clinic, Celso Pierro Hospital and Maternity Hospital, PUC/Campinas, Campinas, SP, Brazil.
authors.forename: Carlos Daniel Candido
authors.initials: CD
authors.lastname: de Castro Filho
authors.affiliation: Resident in the Orthopedics and Traumatology Clinic, Celso Pierro Hospital and Maternity Hospital, PUC/Campinas, Campinas, SP, Brazil.
authors.forename: Tadeu Fujita
authors.initials: TF
authors.lastname: de Castro Mello
authors.affiliation: Physiotherapist and Coordinator of CEAFE, Wilson Mello Institute, Campinas, SP, Brazil.
authors.forename: Rodrigo Antunes
authors.initials: RA
authors.lastname: de Vasconcelos
authors.affiliation: Physician in the Orthopedics and Traumatology Clinic, Celso Pierro Hospital and Maternity Hospital, PUC/Campinas, Campinas, SP, Brazil.
authors.forename: José Luís Amim
authors.initials: JL
authors.lastname: Zabeu
authors.affiliation: Physiotherapist in the Advanced Study Center for Orthopedics and Neurosurgery, São Paulo, SP, Brazil.
authors.forename: Jesely Pereira Myrrha
authors.initials: JP
authors.lastname: Garcia
keywords: Tendon Injuries; Tendons/surgery; Treatment Outcome