Proximal and distal rupture of the m. biceps brachii

Ruptures of the biceps tendon account for a high percentage of tendon ruptures. The aetiology of proximal ruptures of the long head of the biceps tendon is often degenerative and they are frequently associated with lesions of the rotator cuff. The clinical findings are often not specific and long la...

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Bibliographic Details
Published in:Der Orthopäde 2010-12, Vol.39 (12), p.1117
Main Authors: Lorbach, O, Kieb, M, Grim, C, Engelhardt, M
Format: Article
Language:ger
Subjects:
Arm Injuries - diagnosis
Arm Injuries - physiopathology
Arm Injuries - surgery
Athletic Injuries - diagnosis
Athletic Injuries - physiopathology
Athletic Injuries - surgery
Biomechanical Phenomena
Bone Screws
Chronic Disease
Humans
Isometric Contraction - physiology
Magnetic Resonance Imaging
Postoperative Complications - etiology
Risk Factors
Rupture
Suture Anchors
Suture Techniques
Tendinopathy - diagnosis
Tendinopathy - physiopathology
Tendinopathy - surgery
Tendon Injuries - diagnosis
Tendon Injuries - physiopathology
Tendon Injuries - surgery
Tenodesis - methods
Ultrasonography
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Summary:Ruptures of the biceps tendon account for a high percentage of tendon ruptures. The aetiology of proximal ruptures of the long head of the biceps tendon is often degenerative and they are frequently associated with lesions of the rotator cuff. The clinical findings are often not specific and long lasting. Distal ruptures of the biceps tendon mostly occur during eccentric contraction of the biceps muscle.Clinical tests, the associated haematoma and a distalisation or proximalisation of the muscle belly in combination with ultrasound or MRI to rule out combined diseases lead to the diagnosis. The possible options include conservative and operative treatment. Tenotomy and tenodesis lead to comparable results in the literature. Therefore, conservative treatment is mostly recommended in proximal ruptures. Operative treatment is preferred in distal ruptures of the biceps tendon in order to achieve an anatomical reconstruction of the muscle function. Chronic ruptures of the distal biceps tendon can be successfully treated with free autografts or allografts.
ISSN:1433-0431
DOI:10.1007/s00132-010-1687-0