Treatment of acute distal biceps tendon ruptures – A survey of the British Elbow and Shoulder Society surgical membership

BACKGROUND: Acute distal biceps tendon ruptures result in weakness and deformity. While in other jurisdictions the rate of surgical repair has outpaced rises in incidence, UK practice for distal biceps tendon ruptures is unknown. The aim of this survey was to characterise current UK clinical practic...

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Autores principales: Baldwin, MJ, Watts, AC, Peach, CA, Phadnis, J, Singh, H, Gwilym, SE
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527480/
https://www.ncbi.nlm.nih.gov/pubmed/36199515
http://dx.doi.org/10.1177/17585732211032960
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author Baldwin, MJ
Watts, AC
Peach, CA
Phadnis, J
Singh, H
Gwilym, SE
author_facet Baldwin, MJ
Watts, AC
Peach, CA
Phadnis, J
Singh, H
Gwilym, SE
author_sort Baldwin, MJ
collection PubMed
description BACKGROUND: Acute distal biceps tendon ruptures result in weakness and deformity. While in other jurisdictions the rate of surgical repair has outpaced rises in incidence, UK practice for distal biceps tendon ruptures is unknown. The aim of this survey was to characterise current UK clinical practice. METHODS: An online survey was sent to the surgeon members of the British Elbow and Shoulder Society. Questions covered respondent demographics, clinical decision making, surgical experience and willingness to be involved in future research. RESULTS: A total of 242 surgeons responded; 99% undertook acute distal biceps tendon repairs with 83% repairing at least half of all distal biceps tendon ruptures, and 84% of surgeons would have their own, hypothetical, acute distal biceps tendon rupture repaired in their dominant arm and 67% for their non-dominant arm. Patient age, occupation and restoration of strength were the commonest factors underpinning a recommendation of surgical fixation. Most surgeons (87%) supported a national trial to study operative and non-operative treatments. CONCLUSIONS: UK upper limb surgeons currently advise surgical repair of acute distal biceps tendon ruptures for the majority of their patients. This is despite a paucity of evidence to support improved outcomes following surgical, rather than non-operative, management. There is a clear need for robust clinical evaluation in this area.
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spelling pubmed-95274802022-10-04 Treatment of acute distal biceps tendon ruptures – A survey of the British Elbow and Shoulder Society surgical membership Baldwin, MJ Watts, AC Peach, CA Phadnis, J Singh, H Gwilym, SE Shoulder Elbow Elbow BACKGROUND: Acute distal biceps tendon ruptures result in weakness and deformity. While in other jurisdictions the rate of surgical repair has outpaced rises in incidence, UK practice for distal biceps tendon ruptures is unknown. The aim of this survey was to characterise current UK clinical practice. METHODS: An online survey was sent to the surgeon members of the British Elbow and Shoulder Society. Questions covered respondent demographics, clinical decision making, surgical experience and willingness to be involved in future research. RESULTS: A total of 242 surgeons responded; 99% undertook acute distal biceps tendon repairs with 83% repairing at least half of all distal biceps tendon ruptures, and 84% of surgeons would have their own, hypothetical, acute distal biceps tendon rupture repaired in their dominant arm and 67% for their non-dominant arm. Patient age, occupation and restoration of strength were the commonest factors underpinning a recommendation of surgical fixation. Most surgeons (87%) supported a national trial to study operative and non-operative treatments. CONCLUSIONS: UK upper limb surgeons currently advise surgical repair of acute distal biceps tendon ruptures for the majority of their patients. This is despite a paucity of evidence to support improved outcomes following surgical, rather than non-operative, management. There is a clear need for robust clinical evaluation in this area. SAGE Publications 2021-07-29 2022-10 /pmc/articles/PMC9527480/ /pubmed/36199515 http://dx.doi.org/10.1177/17585732211032960 Text en © 2021 The British Elbow & Shoulder Society https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (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 as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Elbow
Baldwin, MJ
Watts, AC
Peach, CA
Phadnis, J
Singh, H
Gwilym, SE
Treatment of acute distal biceps tendon ruptures – A survey of the British Elbow and Shoulder Society surgical membership
title Treatment of acute distal biceps tendon ruptures – A survey of the British Elbow and Shoulder Society surgical membership
title_full Treatment of acute distal biceps tendon ruptures – A survey of the British Elbow and Shoulder Society surgical membership
title_fullStr Treatment of acute distal biceps tendon ruptures – A survey of the British Elbow and Shoulder Society surgical membership
title_full_unstemmed Treatment of acute distal biceps tendon ruptures – A survey of the British Elbow and Shoulder Society surgical membership
title_short Treatment of acute distal biceps tendon ruptures – A survey of the British Elbow and Shoulder Society surgical membership
title_sort treatment of acute distal biceps tendon ruptures – a survey of the british elbow and shoulder society surgical membership
topic Elbow
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527480/
https://www.ncbi.nlm.nih.gov/pubmed/36199515
http://dx.doi.org/10.1177/17585732211032960
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