Acute rupture of distal biceps: Repair using a single anterior approach and cortical anchoring device
Background: Rupture of the distal tendon of the biceps is a pathology with an increasing incidence, which can cause important functional alterations. When the rupture is complete and the patient is active, surgical treatment is of choice. Material and method: 47-year-old man with sudden and intense...
| Autores principales: | , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/28122 |
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I10-R327-article-28122 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
tendon rupture distal biceps surgical repair reinsertion rotura tendinosa bíceps distal reparación quirúrgica reinserción ruptura de tendão bíceps distal reparo cirúrgico reintegração |
| spellingShingle |
tendon rupture distal biceps surgical repair reinsertion rotura tendinosa bíceps distal reparación quirúrgica reinserción ruptura de tendão bíceps distal reparo cirúrgico reintegração Pinilla-Gracia, Cristian Hernández-Fernández, Alberto Rodríguez-Nogué, Luis Masa Lasheras, Elena Garrido Santamaría, Isaias Acute rupture of distal biceps: Repair using a single anterior approach and cortical anchoring device |
| topic_facet |
tendon rupture distal biceps surgical repair reinsertion rotura tendinosa bíceps distal reparación quirúrgica reinserción ruptura de tendão bíceps distal reparo cirúrgico reintegração |
| author |
Pinilla-Gracia, Cristian Hernández-Fernández, Alberto Rodríguez-Nogué, Luis Masa Lasheras, Elena Garrido Santamaría, Isaias |
| author_facet |
Pinilla-Gracia, Cristian Hernández-Fernández, Alberto Rodríguez-Nogué, Luis Masa Lasheras, Elena Garrido Santamaría, Isaias |
| author_sort |
Pinilla-Gracia, Cristian |
| title |
Acute rupture of distal biceps: Repair using a single anterior approach and cortical anchoring device |
| title_short |
Acute rupture of distal biceps: Repair using a single anterior approach and cortical anchoring device |
| title_full |
Acute rupture of distal biceps: Repair using a single anterior approach and cortical anchoring device |
| title_fullStr |
Acute rupture of distal biceps: Repair using a single anterior approach and cortical anchoring device |
| title_full_unstemmed |
Acute rupture of distal biceps: Repair using a single anterior approach and cortical anchoring device |
| title_sort |
acute rupture of distal biceps: repair using a single anterior approach and cortical anchoring device |
| description |
Background: Rupture of the distal tendon of the biceps is a pathology with an increasing incidence, which can cause important functional alterations. When the rupture is complete and the patient is active, surgical treatment is of choice.
Material and method: 47-year-old man with sudden and intense pain in the left antecubital fossa while lifting weight. On examination, impotence for flexion and active supination of the left arm with loss of the biceps silhouette. Ultrasonography confirms the diagnosis of complete rupture of the distal biceps tendon. Surgical treatment was decided, performing a single anterior approach and reinserting the tendon in its radial footprint with the help of a cortical anchorage device.
Results: At 12 months, the patient presented flexo-extension and complete prone supination, without encountering difficulties in carrying out the activities of his daily and work life, with a score of 100 points in the Mayo Elbow Performance Score (MEPS).
Conclusion: Rupture of the distal biceps is a typical injury in active patients with an increasing incidence. Although there have been no significant differences between the different repair options, in our experience the use of cortical anchorage devices with a single anterior approach provides very satisfactory results. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/28122 |
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I10-R327-article-281222024-08-27T18:28:00Z Acute rupture of distal biceps: Repair using a single anterior approach and cortical anchoring device Rotura aguda de bíceps distal: reparación mediante abordaje único anterior y dispositivo de anclaje cortical Ruptura aguda do bíceps distal: Repare usando uma única abordagem anterior e um dispositivo de ancoragem cortical Pinilla-Gracia, Cristian Hernández-Fernández, Alberto Rodríguez-Nogué, Luis Masa Lasheras, Elena Garrido Santamaría, Isaias tendon rupture distal biceps surgical repair reinsertion rotura tendinosa bíceps distal reparación quirúrgica reinserción ruptura de tendão bíceps distal reparo cirúrgico reintegração Background: Rupture of the distal tendon of the biceps is a pathology with an increasing incidence, which can cause important functional alterations. When the rupture is complete and the patient is active, surgical treatment is of choice. Material and method: 47-year-old man with sudden and intense pain in the left antecubital fossa while lifting weight. On examination, impotence for flexion and active supination of the left arm with loss of the biceps silhouette. Ultrasonography confirms the diagnosis of complete rupture of the distal biceps tendon. Surgical treatment was decided, performing a single anterior approach and reinserting the tendon in its radial footprint with the help of a cortical anchorage device. Results: At 12 months, the patient presented flexo-extension and complete prone supination, without encountering difficulties in carrying out the activities of his daily and work life, with a score of 100 points in the Mayo Elbow Performance Score (MEPS). Conclusion: Rupture of the distal biceps is a typical injury in active patients with an increasing incidence. Although there have been no significant differences between the different repair options, in our experience the use of cortical anchorage devices with a single anterior approach provides very satisfactory results. Antecedentes: La rotura del tendón distal del bíceps braquial es una patología con una incidencia creciente, que puede ocasionar importantes alteraciones funcionales. Cuando la rotura es completa y el paciente activo, el tratamiento quirúrgico es de elección. Material y método: Varón de 47 años con dolor intenso y súbito en la fosa antecubital izquierda mientras levantaba peso. A la exploración, impotencia para la flexión y supinación activa del brazo izquierdo con pérdida de la silueta del bíceps braquial. La ecografía confirma el diagnóstico de rotura completa del tendón distal del bíceps braquial. Se decide tratamiento quirúrgico, realizando un abordaje único anterior y reinsertando el tendón en su “footprint” radial con ayuda de un dispositivo de anclaje cortical. Resultados: A los 12 meses, el paciente presenta flexo-extensión y prono-supinación completa, sin encontrar dificultades para realizar las actividades de su vida diaria y laboral, con puntación de 100 puntos en el Mayo Elbow Performance Score (MEPS). Conclusión: La rotura del bíceps distal es una lesión típica de pacientes activos con una incidencia creciente. Aunque no se han evidenciado diferencias significativas entre las distintas opciones de reparación, en nuestra experiencia la utilización de dispositivos de anclaje cortical con un abordaje único anterior aporta unos resultados muy satisfactorios. A ruptura do tendão distal do bíceps braquial é uma patologia com incidência crescente, que pode causar importantes alterações funcionais. Quando a ruptura está completa e o paciente está ativo, o tratamento cirúrgico é uma opção. Material e método: Homem de 47 anos com dor súbita e intensa na fossa antecubital esquerda enquanto levantava peso. Ao exame, impotência à flexão e supinação ativa do braço esquerdo com perda do bíceps braquial. A ultrassonografia confirma o diagnóstico de ruptura completa do tendão distal do bíceps braquial. O tratamento cirúrgico foi decidido, realizando uma única abordagem anterior e reinserindo o tendão em sua pegada radial com a ajuda de um dispositivo de ancoragem cortical. Resultados: Aos 12 meses, o paciente apresentou flexo-extensão e supinação prona completa, sem encontrar dificuldades na realização das atividades de sua vida cotidiana e profissional, com pontuação de 100 pontos no Mayo Elbow Performance Score (MEPS). Conclusão: A ruptura do bíceps distal é uma lesão típica em pacientes ativos com uma incidência crescente. Embora não tenha havido diferenças significativas entre as diferentes opções de reparo, em nossa experiência, o uso de dispositivos de ancoragem cortical com uma única abordagem anterior fornece resultados muito satisfatórios. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-03-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/28122 10.31053/1853.0605.v78.n1.28122 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 1 (2021); 68-73 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 1 (2021); 68-73 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 1 (2021); 68-73 1853-0605 0014-6722 10.31053/1853.0605.v78.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/28122/33310 https://revistas.unc.edu.ar/index.php/med/article/view/28122/33021 Derechos de autor 2021 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |