AIM: To evaluate the clinical and functional results after repair of distal biceps tendon tears, following the Morrey's modified double-incision approach.METHODS: We retrospectively reviewed 47 patients with dista...AIM: To evaluate the clinical and functional results after repair of distal biceps tendon tears, following the Morrey's modified double-incision approach.METHODS: We retrospectively reviewed 47 patients with distal rupture of biceps brachii treated between2003 and 2012 in our Orthopedic Department with muscle-splitting double-incision technique. Outcome measures included the Mayo elbow performance, the DASH questionnaire, patient's satisfaction, elbow and forearm motion, grip strength and complications occurrence.RESULTS: At an average 18 mo follow-up(range, 7 mo-10 years) the average Mayo elbow performance and DASH score were respectively 97.2 and 4.8. The elbow flexion range was 94%, extension was-2°, supination was 93% and pronation 96% compared with the uninjured limb. The mean grip strength, expressed as percentage of respective contralateral limb, was 83%. The average patient satisfaction rating on a Likert scale(from 0 to 10) was 9.4. The following complications were observed: 3 cases of heterotopic ossification(6.4%), one(2.1%) re-rupture of the tendon at the site of reattachment and 2 cases(4.3%) of posterior interosseous nerve palsy. No complication required further surgical treatment.CONCLUSION: This technique allows an anatomic reattachment of distal biceps tendon at the radial tuberosity providing full functional recovery with low complication rate.展开更多
文摘AIM: To evaluate the clinical and functional results after repair of distal biceps tendon tears, following the Morrey's modified double-incision approach.METHODS: We retrospectively reviewed 47 patients with distal rupture of biceps brachii treated between2003 and 2012 in our Orthopedic Department with muscle-splitting double-incision technique. Outcome measures included the Mayo elbow performance, the DASH questionnaire, patient's satisfaction, elbow and forearm motion, grip strength and complications occurrence.RESULTS: At an average 18 mo follow-up(range, 7 mo-10 years) the average Mayo elbow performance and DASH score were respectively 97.2 and 4.8. The elbow flexion range was 94%, extension was-2°, supination was 93% and pronation 96% compared with the uninjured limb. The mean grip strength, expressed as percentage of respective contralateral limb, was 83%. The average patient satisfaction rating on a Likert scale(from 0 to 10) was 9.4. The following complications were observed: 3 cases of heterotopic ossification(6.4%), one(2.1%) re-rupture of the tendon at the site of reattachment and 2 cases(4.3%) of posterior interosseous nerve palsy. No complication required further surgical treatment.CONCLUSION: This technique allows an anatomic reattachment of distal biceps tendon at the radial tuberosity providing full functional recovery with low complication rate.
