*Corresponding author:
GM Yathisha Kumar, Department of Orthopedic Surgery, KIMS Al Shifa Hospital, IndiaReceived: October 24, 2017; Published: October 31, 2017
DOI: 10.26717/BJSTR.2017.01.0004481
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Complete distal biceps rupture is a rare injury as compared to proximal biceps tendon rupture. It is usually caused by an eccentric contraction of the muscle, often seen with a sudden unintentional pull or jerk. An epidemiological study showed an incidence of 1.2 ruptures per 100,000 patients per year with an average age of 47 years. It is important not to miss the diagnosis initially, since delay in surgery does affect the outcome. In low-demand patients with complete distal biceps tendon tears, non-operative treatment may be entertained provided the patient understands the potential for residual weakness, particularly of forearm supination. The surgical repair is the treatment of choice especially in high demand male patients. There are a variety of fixation methods including bone anchors, suspension techniques, bone tunnels with interference screws, and transosseus sutures. No one technique has emerged as the gold standard and the choice remains that of surgeon. In this case series we present couple of patients with distal biceps tendon rupture one with acute rupture and another with chronic rupture treated surgically. We conclude patients do benefit from surgical repair.
Keywords: Distal biceps tendon; Acute; Chronic; Tendon tear; Elbow; Repair
Abbreviations: USG: Ultra Sono Gram; MRI: Magnetic Resonance imaging ; ASES: American Shoulder and Elbow Surgeons; LABC: Lateral Ante Brachial Cutaneous; PREE: Patient-Rated Elbow Evaluation
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