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Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers
Distal biceps tendon ruptures are treated operatively in active healthy individuals. Treatment consists of either single- or double-incision techniques, each with its own set of advantages and complications. The double incision was traditionally preferred for a more anatomic reattachment of the dist...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851527/ https://www.ncbi.nlm.nih.gov/pubmed/29552484 http://dx.doi.org/10.1016/j.eats.2017.08.066 |
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author | Tat, Jimmy Hart, Adam Cota, Adam Alsheikh, Khalid Behrends, Dominique Martineau, Paul A. |
author_facet | Tat, Jimmy Hart, Adam Cota, Adam Alsheikh, Khalid Behrends, Dominique Martineau, Paul A. |
author_sort | Tat, Jimmy |
collection | PubMed |
description | Distal biceps tendon ruptures are treated operatively in active healthy individuals. Treatment consists of either single- or double-incision techniques, each with its own set of advantages and complications. The double incision was traditionally preferred for a more anatomic reattachment of the distal biceps tendon, but there has been renewed interest in the single-incision anterior approach given its lower risk for heterotopic ossification. However, current single-incision techniques cannot achieve anatomic reconstruction of the distal biceps because of a restricted operational angle with standard rigid instruments. The purpose of this study was to introduce a single-incision technique using flexible instrumentation, flexible guide pins, and flexible reamers that allows for an insertion point that better approximates the anatomic footprint of the distal biceps on the tuberosity. This offers the theoretical advantage of restoring forearm supination mechanics, while still maintaining the benefits of a single limited anterior exposure. |
format | Online Article Text |
id | pubmed-5851527 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-58515272018-03-16 Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers Tat, Jimmy Hart, Adam Cota, Adam Alsheikh, Khalid Behrends, Dominique Martineau, Paul A. Arthrosc Tech Technical Note Distal biceps tendon ruptures are treated operatively in active healthy individuals. Treatment consists of either single- or double-incision techniques, each with its own set of advantages and complications. The double incision was traditionally preferred for a more anatomic reattachment of the distal biceps tendon, but there has been renewed interest in the single-incision anterior approach given its lower risk for heterotopic ossification. However, current single-incision techniques cannot achieve anatomic reconstruction of the distal biceps because of a restricted operational angle with standard rigid instruments. The purpose of this study was to introduce a single-incision technique using flexible instrumentation, flexible guide pins, and flexible reamers that allows for an insertion point that better approximates the anatomic footprint of the distal biceps on the tuberosity. This offers the theoretical advantage of restoring forearm supination mechanics, while still maintaining the benefits of a single limited anterior exposure. Elsevier 2018-02-01 /pmc/articles/PMC5851527/ /pubmed/29552484 http://dx.doi.org/10.1016/j.eats.2017.08.066 Text en © 2017 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Technical Note Tat, Jimmy Hart, Adam Cota, Adam Alsheikh, Khalid Behrends, Dominique Martineau, Paul A. Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers |
title | Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers |
title_full | Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers |
title_fullStr | Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers |
title_full_unstemmed | Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers |
title_short | Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers |
title_sort | anatomic single-incision repair of distal biceps tendon ruptures using flexible reamers |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851527/ https://www.ncbi.nlm.nih.gov/pubmed/29552484 http://dx.doi.org/10.1016/j.eats.2017.08.066 |
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