Distal biceps section and reinsertion for chronic distal biceps tendinopathy

Background Surgical reinsertion of the distal biceps tendon for acute and chronic tears is a widely accepted procedure, but little is known about surgical treatment of distal biceps tendinopathy. Methods Twenty patients underwent a surgical procedure for distal biceps tendinopathy after failure of c...

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Bibliographic Details
Published in:European journal of orthopaedic surgery & traumatology 2019-10, Vol.29 (7), p.1405-1409
Main Authors: Faict, Sebastian, Van de Meulebroucke, Bart, Van Royen, Kjell, Bleys, Dries, Rezaie, Wahid, Middernacht, Bart
Format: Article
Language:English
Subjects:
Adult
Debridement
Elbow
Elbow - physiopathology
Elbow Joint - physiopathology
Female
Humans
Investigations
Male
Medicine
Medicine & Public Health
Middle Aged
Muscle Strength
Original Article • ELBOW - TRAUMA
Pain
Patient Satisfaction
Range of Motion, Articular
Replantation
Retrospective Studies
Statistical analysis
Supination
Surgery
Surgical Orthopedics
Tendinopathy - physiopathology
Tendinopathy - surgery
Torque
Traumatic Surgery
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Summary:Background Surgical reinsertion of the distal biceps tendon for acute and chronic tears is a widely accepted procedure, but little is known about surgical treatment of distal biceps tendinopathy. Methods Twenty patients underwent a surgical procedure for distal biceps tendinopathy after failure of conservative treatment. The surgery was performed through a single incision. The biceps tendon was detached, debrided and reinserted using a ToggleLoc (Zimmer Biomet) device. Clinical and radiologic evaluation was performed after a minimum follow-up of 1 year. Quick-Dash score, Liverpool Elbow Score, Mayo Elbow Performance Index, Broberg and Morrey Score and Short HSS Scoring System were used, and isokinetic testing was performed. Results The outcome of these five clinical elbow scores showed no clinically relevant differences between the affected and non-affected side. Isokinetic testing of peak torque in flexion and supination showed equal strength between both sides. These results indicate good functional outcome and recovery of flexion and supination, compared to the non-operated side and the normal population. Conclusion This study demonstrates that distal biceps tendon debridement and reinsertion is a safe and valid option for patients with distal biceps tendinopathy after failure of conservative treatment. Level of evidence Level 3 retrospective cohort study.
ISSN:1633-8065
1432-1068
DOI:10.1007/s00590-019-02470-y