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Acute complete and partial distal biceps tendon ruptures: what have we learned? A review

Acute distal biceps tendon (DBT) pathology includes bicipitoradial bursitis, tendinosis, partial and complete tears. Diagnosis of complete DBT tears is mainly clinical, whereas in partial tears medical imaging is a valuable addition to the clinical diagnosis. New insights in clinical and medical ima...

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Autores principales: Caekebeke, Pieter, Duerinckx, Joris, van Riet, Roger
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559565/
https://www.ncbi.nlm.nih.gov/pubmed/34760294
http://dx.doi.org/10.1302/2058-5241.6.200145
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author Caekebeke, Pieter
Duerinckx, Joris
van Riet, Roger
author_facet Caekebeke, Pieter
Duerinckx, Joris
van Riet, Roger
author_sort Caekebeke, Pieter
collection PubMed
description Acute distal biceps tendon (DBT) pathology includes bicipitoradial bursitis, tendinosis, partial and complete tears. Diagnosis of complete DBT tears is mainly clinical, whereas in partial tears medical imaging is a valuable addition to the clinical diagnosis. New insights in clinical and medical imaging of partial tears may reduce time to diagnosis and may guide the treatment plan. Most complete tears are best treated with primary repair using either a single-incision or double-incision approach with good clinical outcome. The double-incision technique has a higher risk of heterotopic ossification, whereas a single-incision technique carries a higher risk of nerve-related complications. Intramedullary fixation may be a viable solution to negate the risk of posterior interosseus nerve lesions in single-incision repairs. DBT endoscopy can be used to treat low-grade partial tears and tendinosis. Cite this article: EFORT Open Rev 2021;6:956-965. DOI: 10.1302/2058-5241.6.200145
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spelling pubmed-85595652021-11-09 Acute complete and partial distal biceps tendon ruptures: what have we learned? A review Caekebeke, Pieter Duerinckx, Joris van Riet, Roger EFORT Open Rev Shoulder & Elbow Acute distal biceps tendon (DBT) pathology includes bicipitoradial bursitis, tendinosis, partial and complete tears. Diagnosis of complete DBT tears is mainly clinical, whereas in partial tears medical imaging is a valuable addition to the clinical diagnosis. New insights in clinical and medical imaging of partial tears may reduce time to diagnosis and may guide the treatment plan. Most complete tears are best treated with primary repair using either a single-incision or double-incision approach with good clinical outcome. The double-incision technique has a higher risk of heterotopic ossification, whereas a single-incision technique carries a higher risk of nerve-related complications. Intramedullary fixation may be a viable solution to negate the risk of posterior interosseus nerve lesions in single-incision repairs. DBT endoscopy can be used to treat low-grade partial tears and tendinosis. Cite this article: EFORT Open Rev 2021;6:956-965. DOI: 10.1302/2058-5241.6.200145 British Editorial Society of Bone and Joint Surgery 2021-10-19 /pmc/articles/PMC8559565/ /pubmed/34760294 http://dx.doi.org/10.1302/2058-5241.6.200145 Text en © 2021 The author(s) https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 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
Caekebeke, Pieter
Duerinckx, Joris
van Riet, Roger
Acute complete and partial distal biceps tendon ruptures: what have we learned? A review
title Acute complete and partial distal biceps tendon ruptures: what have we learned? A review
title_full Acute complete and partial distal biceps tendon ruptures: what have we learned? A review
title_fullStr Acute complete and partial distal biceps tendon ruptures: what have we learned? A review
title_full_unstemmed Acute complete and partial distal biceps tendon ruptures: what have we learned? A review
title_short Acute complete and partial distal biceps tendon ruptures: what have we learned? A review
title_sort acute complete and partial distal biceps tendon ruptures: what have we learned? a review
topic Shoulder & Elbow
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559565/
https://www.ncbi.nlm.nih.gov/pubmed/34760294
http://dx.doi.org/10.1302/2058-5241.6.200145
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