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Distal biceps tendon injuries: A clinically relevant current concepts review
Distal biceps tendon (DBT) conditions comprise a spectrum of disorders including bicipitoradial bursitis, partial tears, acute and chronic complete tears. In low-demand patients with complete DBT tears, non-operative treatment may be entertained provided the patient understands the potential for res...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
British Editorial Society of Bone and Joint Surgery
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367534/ https://www.ncbi.nlm.nih.gov/pubmed/28461963 http://dx.doi.org/10.1302/2058-5241.1.000053 |
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author | Alentorn-Geli, Eduard Assenmacher, Andrew T. Sánchez-Sotelo, Joaquín |
author_facet | Alentorn-Geli, Eduard Assenmacher, Andrew T. Sánchez-Sotelo, Joaquín |
author_sort | Alentorn-Geli, Eduard |
collection | PubMed |
description | Distal biceps tendon (DBT) conditions comprise a spectrum of disorders including bicipitoradial bursitis, partial tears, acute and chronic complete tears. In low-demand patients with complete DBT tears, non-operative treatment may be entertained provided the patient understands the potential for residual weakness, particularly in forearm supination. Most acute tears are best treated by primary repair using either single-incision or double-incision techniques with good clinical outcomes. Single-incision techniques may carry a higher risk of nerve-related complications, whereas double-incision techniques have historically been considered to carry a higher risk of heterotopic ossification, particularly if the ulna is exposed. Various fixation techniques, including bone tunnels, cortical buttons, suture anchors, interference screws or a combination seem to provide different fixation strength but similar clinical outcomes. Some chronic tears may be repaired primarily, provided tendon tissue can be identified; alternatively, autograft or allograft reconstruction can be considered, and good outcomes have been reported with both techniques. Cite this article: Alentorn-Geli E, Assenmacher AT, Sanchez-Sotelo J. Distal biceps tendon injuries: a clinically relevant current concepts review. EFORT Open Rev 2016;1:316-324. DOI: 10.1302/2058-5241.1.000053. |
format | Online Article Text |
id | pubmed-5367534 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | British Editorial Society of Bone and Joint Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-53675342017-05-01 Distal biceps tendon injuries: A clinically relevant current concepts review Alentorn-Geli, Eduard Assenmacher, Andrew T. Sánchez-Sotelo, Joaquín EFORT Open Rev Shoulder & Elbow Distal biceps tendon (DBT) conditions comprise a spectrum of disorders including bicipitoradial bursitis, partial tears, acute and chronic complete tears. In low-demand patients with complete DBT tears, non-operative treatment may be entertained provided the patient understands the potential for residual weakness, particularly in forearm supination. Most acute tears are best treated by primary repair using either single-incision or double-incision techniques with good clinical outcomes. Single-incision techniques may carry a higher risk of nerve-related complications, whereas double-incision techniques have historically been considered to carry a higher risk of heterotopic ossification, particularly if the ulna is exposed. Various fixation techniques, including bone tunnels, cortical buttons, suture anchors, interference screws or a combination seem to provide different fixation strength but similar clinical outcomes. Some chronic tears may be repaired primarily, provided tendon tissue can be identified; alternatively, autograft or allograft reconstruction can be considered, and good outcomes have been reported with both techniques. Cite this article: Alentorn-Geli E, Assenmacher AT, Sanchez-Sotelo J. Distal biceps tendon injuries: a clinically relevant current concepts review. EFORT Open Rev 2016;1:316-324. DOI: 10.1302/2058-5241.1.000053. British Editorial Society of Bone and Joint Surgery 2016-09-19 /pmc/articles/PMC5367534/ /pubmed/28461963 http://dx.doi.org/10.1302/2058-5241.1.000053 Text en © 2016 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed. |
spellingShingle | Shoulder & Elbow Alentorn-Geli, Eduard Assenmacher, Andrew T. Sánchez-Sotelo, Joaquín Distal biceps tendon injuries: A clinically relevant current concepts review |
title | Distal biceps tendon injuries: A clinically relevant current concepts review |
title_full | Distal biceps tendon injuries: A clinically relevant current concepts review |
title_fullStr | Distal biceps tendon injuries: A clinically relevant current concepts review |
title_full_unstemmed | Distal biceps tendon injuries: A clinically relevant current concepts review |
title_short | Distal biceps tendon injuries: A clinically relevant current concepts review |
title_sort | distal biceps tendon injuries: a clinically relevant current concepts review |
topic | Shoulder & Elbow |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367534/ https://www.ncbi.nlm.nih.gov/pubmed/28461963 http://dx.doi.org/10.1302/2058-5241.1.000053 |
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