Abstract

Treatment of the Distal Biceps Brachii Tendon Rupture Using the Three Mini-Incisions Technique: Evaluation through MEPS and DASH

Highlights

  • Distal biceps tendon ruptures are uncommon injuries, accounting for just 3% of cases of biceps ruptures

  • The three mini-incisions surgical technique associated with Bunnell suture and transosseus fixation has been proved adequate, safe and reproducible for the treatment of distal biceps brachii tendon rupture and has presented satisfactory results in Mayo Elbow Performance Score (MEPS) and DASH questionnaires

  • In 96% of patients, an impairment of the long head occurs, and in 1% of the short head [1,2,3,4,5,6,7,8,9], proximally on the shoulder. It typically affects the dominant limb of middle-aged men, between 30 and 60 years of age [4,5,10,11,12,13,14,15,16]

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Summary

Introduction

Distal biceps tendon ruptures are uncommon injuries, accounting for just 3% of cases of biceps ruptures. In 96% of patients, an impairment of the long head occurs, and in 1% of the short head [1,2,3,4,5,6,7,8,9], proximally on the shoulder It typically affects the dominant limb of middle-aged men, between 30 and 60 years of age [4,5,10,11,12,13,14,15,16]. Not yet fully understood, the pathogenesis is attributed to the degeneration, hypovascularization and friction of the tendon [1,3,14,15,16,21]. The distal biceps brachii tendon rupture is a rather uncommon injury. This study aims to describe the surgical technique of three mini-incisions, as well as evaluating the treatment results

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