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Læknablaðið - 15.01.2009, Side 24

Læknablaðið - 15.01.2009, Side 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. >- CC < 2 D W 1 w _l o 2 UJ 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. 24 LÆKNAblaðið 2009/95

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