Læknablaðið - 15.01.2009, Síða 24

FRÆÐIGREINAR
RANNSÓKNIR
5. Boyd HB, Anderson LD. A method for reinsertion of the
biceps brachii tendon. J Bone Joint Surg Am 1961; 43:1041-3.
6 . Hudak PL, Amadio PC, Bombardier C. Development of an
upper extremity outcome measure: the DASH. Am J Ind Med
1996; 29: 602-8.
7. Kelly EW, Morrey BF, O'Driscoll SW. Complications of repair
of the distal biceps tendon with the modified two-incision
technique. J Bone Joint Surg Am 2000; 82:1575-81.
8. Lin KH, Leslie BM. Surgical repair of distal biceps tendon
rupture complicated by median nerve entrapment: A case
report. J Bone Joint Surg Am 2001; 83A: 741-3.
9. Bell RH, Wiley WB, Noble JS, et al. Repair of distal biceps
brachi tendon ruptures. J Shoulder Elbow Surg 2000; 9: 223-
6.
10. Moosmeyer S, Odinsson A, Holm I. Distal biceps tendon
rupture operated on with the Boyd-Anderson technique.
Acta Orthop Scand 2000; 71: 399-402.
11. Failla JM, Amadio PC, Morrey BF, et al. Proximal radioulnar
synostosis after repair of distal biceps brachii rupture by the
two-incision technique. Report of four cases. Clin Orthop
1990; 253:133-6.
12. Karunakar MA, Cha P, Stem PJ. Distal Biceps Ruptures. A
follow up of Boyd and Anderson repair. Clin Orthop Relat
Res 1999; 363:100-7.
13. Bohannon RW. Test-retest reliability of hand-held
dynamometry during a single session of strength assessment.
Phys Ther 1986; 66: 206-9.
14. Gallagher MA, Cuomo F, Polonsky L, et al. Effects of age,
testing speed, and arm dominance on isokinetic strength of
the elbow. J Shoulder Elbow Surg 1997; 6: 340-6.
15. Cheung EV, Lazarus M, Taranta M. Immediate range of
motion after distal biceps tendon repair. J Shoulder Elbow
Surg 2005; 14: 516-8.
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Repair of distal biceps brachii tendon ruptures:
long term retrospective follow-up for two-incision technique
Introduction: Rupture of the distal tendon of the biceps
muscle is a rare injury. If unrepaired the patient will be left
with weakness of supination of the arm and flexion in the
elbow. Long term results for the 2-incision approach for
tendon reinsertion are few but in this study we describe
the long term, clinical, functional, and subjective results of
surgical repair using the 2-incision method described by
Boyd and Anderson.
Material and methods: All patients who were operated
at FSA hospital during the years 1986-2000 because of
rupture of the distal tendon of the biceps muscle were
asked to participate in the study. Twelve of 16 patients
accepted and answered the DASH questionnaire. Strength
was tested with handheld dynamometer and ROM where
measured. Radiograph was taken of the affected arm.
Results: From 1986 through 2006 we operated on 16
patients because of rupture of the distal biceps tendon,
one female and 15 male. Mean age at the time of rupture
was 46 years (24-53).The average follow up were seven
years (1-17). Ten of 12 patients were operated within two
weeks from the injuries. No difference in strength was
found between operated and non-operated arms. Late
repair was associated with high DASH score and poor
subjective results. Six patients developed heterotopic
ossification but none of them developed radioulnar
synostosis. One reoperation because entrapment of the
median nerve was done.
Conclusions: Despite heterotopic ossification and a small
ROM deficit the Boyd and Anderson technique for repair
of distal biceps ruptures yields good long term results in
a iow volume rural hospital. Early diagnosis and tendon
reinsertion is of great importance to avoid persistent
anterior elbow pain and poor subjective results.
Keywords: Distal biœps rupture, 2-incisior approach, long term follow up, DASH, heterotopic ossification.
Sigmundsson FG, Olafsson AH, Ingvarsson T. Repair of distal biceps brachii tendon ruptures:
long term retrospective follow-up for two-incision technique. Icel Med J 2009; 95:19-24.
Correspondence: Freyr Gauti Sigmundsson, freyr.gauti.sigmundsson@ltblekinge.se
Barst: 6. maí 2008, - samþykkt til birtingar: 11. nóvember 2008.
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