Araştırma Makalesi
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Preliminary outcome of the repair of distal biceps tendon acute rupture with modified double incision technique

Yıl 2019, Cilt: 3 Sayı: 3, 272 - 277, 26.10.2019
https://doi.org/10.30565/medalanya.548465

Öz

Aim: The aim of this study was to evaluate the clinical and radiological results and complication rates of repair technique with modified double incision in patients with total rupture of distal biceps tendon.

Patients and Methods: Eight patients with acute distal biceps brachi tendon rupture between 2014 and 2017 underwent repair with the modified double incision technique. Unlike classical technique, sutures were sent from tuberositas radii to dorsal with the help of meniscus stitching apparatus. Tendon was attached by transosseous su-tures in the area prepared in tuberositas radii. After a mean follow-up of 36.3 (13-60) months, the patients were evaluated with Mayo Elbow Performance Score (MEPS), neurological examination and x-ray examination.

Results: When compared with the intact side, the range of active joint motion was the same: Flexion 132.8º (120-150º), extension 0.2º (0-5º), supination 83.2º (75-90º), pronation 85º (75-90º). Mean MEPS score was 93.3 (86-100). Neurological complication, re-rupture, radioulnar synostosis (RUS) or heterotropic ossification (HO) were not observed.

Conclusion: The repair of the acute distal biceps brachi tendon total ruptures with a modified double incision technique has been successful in regaining the range of motion and has provided good clinical results.

Kaynakça

  • 1. Safran MR,Graham SM. Distal biceps tendon ruptures:incidence, demographics, and the effect of smoking. Clin Orthop Relat Res.2002 Nov;(404):275-83. PMID: 12439270
  • 2. D’Alessandro DF,Shields CL Jr, Tibone JE, Chandler RW. Repair of distal biceps tendon rüptüres in athletes. Am J Sports Med. 1993 Jan;21(1):114-9. PMID: 8427351
  • 3. Davis WM, Yasiine Z. An etiological actor in tear of the distal tendon of the biceps brachii; report of two cases J Bone Joint Surg Am. 1956;38-A(6):1365-8. PMID:13376661
  • 4. Visuri T, Lindholm H. Bilateral distal biceps tendon avulsions with usage anabolic steroids. Med sci Sports Exerc. 1994 Aug;26(8):941-4. PMID: 7968426
  • 5. Baker BE, Bierwagen D. Rupture of the distal tendon of the biseps brachii. Operative versus non-operative treatment. J Bone Joint Surg Am. 1985;67(3):414-7. PMID: 3972865
  • 6. Chillemi C, Marinelli M, de Cupis V. Rupture of the distal biseps brachii tendon: conservative treatment versus anatomic reinsertion- clinical and radiological evaluation after 2 years. Arch orthop Trauma surg. 2007 oct;127(8):705-8. Epub 2007 Apr 28. PMID:17468875
  • 7. Watson J.N, Vincent M. Moretti, Leslie Schwindel, Mark R. Hutchinson. Repair Techniques for Acute Distal Biceps Tendon Ruptures: A Systematic Review. J Bone Joint Surg Am. 2014;96:2086-90 PMID: 25520343
  • 8. Ward JP,Shrece MC,Youm T,Strauss EJ.Ruptures of the distal biceps tendon. Bulletin of the Hospital for Joint Diseases,2014;72(1):110-9 PMID:25150334
  • 9. Dobbie RP. Avulsion of the lower biseps brachii tendon:analysis of fiftyone previously unreported cases. Am J Surg. 1941 Mar;51(3):662-83. doi: 10.1016/S0002-9610(41)90203-9
  • 10. Boyd HB, Anderson LD. A method for reinsertion of the distal biceps brachii tendon. J Bone Joint Surg am. 1961;43(7):1041-3. doi: 10.2106/00004623-196143070-00012
  • 11. Morrey BF. Distal biceps tendon rupture. In:Morrey BF, editör. Master techniques in orthopaedic surgery: the elbow. 2nd edition Lippincott Williams&Wilkins:2002. P,173-91. ISBN 0-7817-1991-7.
  • 12. El-Hawary R, Macdermid JC, Faber KJ, Patterson SD, King GJ. Distal biceps tendon repair; comparison of surgical techniques. J Hand Surg Am. 2003;28(3):496-502. PMID:12772111
  • 13. Barlow JD, McNeilan RJ, Speeckaert A, Beals CT, Awan HM. Use of a bicortical button to safely repair the distal biceps in a two insizion approach; a cadaveric analysis. J Hand Surg Am. 2017;42(7):570-76. PMID: 28434835
  • 14. Peeters T, Ching-Soon NG, Jansen N, Sneyers C, Declercq G, Verstreken F. Functional outcome after repair of distal biceps tendon ruptures using the endobutton technique. J Shoulder Elbow surg 2009;18:283-7. PMID:19101177
  • 15. Balabaud L, Ruiz C, Nonnenmacher J, Seynaeve P, Kehr P, Rapp E. Repair of distal biceps tendon ruptures using a suture anchor and an anterior approach. J Hand Surg Br 2004;29:178-82. PMID:15010168
  • 16. Lo EY, Li CS, Van den Bogaerde JM. The effect of drill trajectory on proximity to the posterior interosseoz nerve during cortical button distal biceps repair. Arthroscopy 2011;27:1048-54. PMID:21705171
  • 17. Kodde IF, Baerveldt RC, Mulder PG, Eygendaal D, Van den Bekerom MP. Refixation techniques and approaches for distal biceps tendon ruptures: a systematic review of clinical studies. J Shoulder Elbow Surg 2016;25:29-37. PMID: 26709117
  • 18. Berlet GC, Johnson JA, Milne AD, Patterson SD, King GJ. Distal biceps brachi tendon repair . In vitro biomechanical study of tendon reattechment. Am J Sports Med 1998;26:428-32. PMID: 9617408
  • 19. Idler CS, Montgomery WH3rd, Lindesey DP, Badua PA, Wayne GF, Yerbi SA. Distal biceps tendon repair; a biomechanical comparision of intact tendon and 2 repair techniques. Am J Sports Med 2006;34:968-74. PMID:16476918
  • 20. Kettler M, Tingard MJ, Lunger J, Kuhm V. Reattechment of the distal tendon of biceps factors affecting the failure strenght of the repair. J Bone Joint Sur Br 2008;90:103-6. PMID:18160510
  • 21. Mckey MD, Hirji R, Schmith EH, Wild LM, Waddel JP. Patient oritent functional outcome after repair of distal biceps tendon ruptures using a single- incision technique. J Shoulder Elbow surg 2005;14(3):302-6. PMID:15889030
  • 22. Meherin JM,Kilgore ES. The treatment of ruptures of the biceps brachii tendon. Am J Surg.1960;99:636-40. doi: 10.1016/0002-9610(60)90006-4
  • 23. Hartman MW, Merten SM, Steinmann SP. Mini open 2 incision technique for repair of a distal biceps tendon ruptures. J Shoulder Elbow Surg 2007;16:616-20. PMID:17493838
  • 24. Barret H, Winter M, Olivier G, Saliken D, Gauci MO, Bronsard N. Double incision repair technique with immediate mobilization for acute distal biceps tendon ruptures provides good results after 2 years in active patients. Orthop Traumatol Surg Res 2019;105(2):323-28. PMID:30528138
  • 25. Saldua N, Carney J, Dewing C, Thompson M. The effect of drilling angle on posterior interosseoz nerve safety during open and endoscopic anterior single-incision repair of the distal biceps tendon. Arthroscopy. 2008;24(3):305-10. PMID:18308182

Akut distal biseps tendon rüptüründe modifiye çift insizyonla tamir tekniğinin erken sonuçları.

Yıl 2019, Cilt: 3 Sayı: 3, 272 - 277, 26.10.2019
https://doi.org/10.30565/medalanya.548465

Öz

Amaç: Bu çalışmanın amacı distal biseps tendonu total rüptürü olgularında modifiye çift insizyonla tamir tekniğinin klinik ve radyolojik sonuçlarını ve komplikasyon oranlarını paylaşmaktır. 

Hastalar ve Yöntemler: 2014- 2017 tarihleri arasında akut distal biseps braki tendon rüptürü olan 8 olguda modifiye çift insizyon tekniği ile tamir yapıldı. Klasik teknikten farklı olarak sütürler tuberositas radii'den dorsale menisküs dikiş aparatı yardımı ile gönderildi. Tendon, tuberositas radii'de hazırlanan alana transosseoz sütürler ile tespit edildi. Ortalama 36.3 (13-60) ay takip sonrasında hastalar son kontrolde Mayo Elbow Performance Score (MEPS) , nörolojik muayene ve röntgen incelemesi ile değerlendirildi. 

Bulgular: Sağlam tarafla karşılaştırıldığında aktif eklem hareket açıklığının aynı olduğu görüldü: Fleksiyon 132.8º (120-150º), ekstansiyon 0.2º (0-5º), supinasyon 83.2º (75-90º), pronasyon 85º (75-90º). Ortalama MEPS skoru 93.3 (86-100) saptandı. Hiç bir olguda nörolojik komplikasyon, tendon re-rüptürü, radioulnar sinostoz (RUS) veya heterotropik ossifikasyon (HO) görülmedi. 

Sonuç: Akut distal biseps braki tendon total rüptürlerinde modifiye çift insizyon tekniği ile tamir dirsek eklem hareket açıklığının tekrar kazanılmasında başarılıdır ve iyi klinik sonuçlara sahiptir. 


















Kaynakça

  • 1. Safran MR,Graham SM. Distal biceps tendon ruptures:incidence, demographics, and the effect of smoking. Clin Orthop Relat Res.2002 Nov;(404):275-83. PMID: 12439270
  • 2. D’Alessandro DF,Shields CL Jr, Tibone JE, Chandler RW. Repair of distal biceps tendon rüptüres in athletes. Am J Sports Med. 1993 Jan;21(1):114-9. PMID: 8427351
  • 3. Davis WM, Yasiine Z. An etiological actor in tear of the distal tendon of the biceps brachii; report of two cases J Bone Joint Surg Am. 1956;38-A(6):1365-8. PMID:13376661
  • 4. Visuri T, Lindholm H. Bilateral distal biceps tendon avulsions with usage anabolic steroids. Med sci Sports Exerc. 1994 Aug;26(8):941-4. PMID: 7968426
  • 5. Baker BE, Bierwagen D. Rupture of the distal tendon of the biseps brachii. Operative versus non-operative treatment. J Bone Joint Surg Am. 1985;67(3):414-7. PMID: 3972865
  • 6. Chillemi C, Marinelli M, de Cupis V. Rupture of the distal biseps brachii tendon: conservative treatment versus anatomic reinsertion- clinical and radiological evaluation after 2 years. Arch orthop Trauma surg. 2007 oct;127(8):705-8. Epub 2007 Apr 28. PMID:17468875
  • 7. Watson J.N, Vincent M. Moretti, Leslie Schwindel, Mark R. Hutchinson. Repair Techniques for Acute Distal Biceps Tendon Ruptures: A Systematic Review. J Bone Joint Surg Am. 2014;96:2086-90 PMID: 25520343
  • 8. Ward JP,Shrece MC,Youm T,Strauss EJ.Ruptures of the distal biceps tendon. Bulletin of the Hospital for Joint Diseases,2014;72(1):110-9 PMID:25150334
  • 9. Dobbie RP. Avulsion of the lower biseps brachii tendon:analysis of fiftyone previously unreported cases. Am J Surg. 1941 Mar;51(3):662-83. doi: 10.1016/S0002-9610(41)90203-9
  • 10. Boyd HB, Anderson LD. A method for reinsertion of the distal biceps brachii tendon. J Bone Joint Surg am. 1961;43(7):1041-3. doi: 10.2106/00004623-196143070-00012
  • 11. Morrey BF. Distal biceps tendon rupture. In:Morrey BF, editör. Master techniques in orthopaedic surgery: the elbow. 2nd edition Lippincott Williams&Wilkins:2002. P,173-91. ISBN 0-7817-1991-7.
  • 12. El-Hawary R, Macdermid JC, Faber KJ, Patterson SD, King GJ. Distal biceps tendon repair; comparison of surgical techniques. J Hand Surg Am. 2003;28(3):496-502. PMID:12772111
  • 13. Barlow JD, McNeilan RJ, Speeckaert A, Beals CT, Awan HM. Use of a bicortical button to safely repair the distal biceps in a two insizion approach; a cadaveric analysis. J Hand Surg Am. 2017;42(7):570-76. PMID: 28434835
  • 14. Peeters T, Ching-Soon NG, Jansen N, Sneyers C, Declercq G, Verstreken F. Functional outcome after repair of distal biceps tendon ruptures using the endobutton technique. J Shoulder Elbow surg 2009;18:283-7. PMID:19101177
  • 15. Balabaud L, Ruiz C, Nonnenmacher J, Seynaeve P, Kehr P, Rapp E. Repair of distal biceps tendon ruptures using a suture anchor and an anterior approach. J Hand Surg Br 2004;29:178-82. PMID:15010168
  • 16. Lo EY, Li CS, Van den Bogaerde JM. The effect of drill trajectory on proximity to the posterior interosseoz nerve during cortical button distal biceps repair. Arthroscopy 2011;27:1048-54. PMID:21705171
  • 17. Kodde IF, Baerveldt RC, Mulder PG, Eygendaal D, Van den Bekerom MP. Refixation techniques and approaches for distal biceps tendon ruptures: a systematic review of clinical studies. J Shoulder Elbow Surg 2016;25:29-37. PMID: 26709117
  • 18. Berlet GC, Johnson JA, Milne AD, Patterson SD, King GJ. Distal biceps brachi tendon repair . In vitro biomechanical study of tendon reattechment. Am J Sports Med 1998;26:428-32. PMID: 9617408
  • 19. Idler CS, Montgomery WH3rd, Lindesey DP, Badua PA, Wayne GF, Yerbi SA. Distal biceps tendon repair; a biomechanical comparision of intact tendon and 2 repair techniques. Am J Sports Med 2006;34:968-74. PMID:16476918
  • 20. Kettler M, Tingard MJ, Lunger J, Kuhm V. Reattechment of the distal tendon of biceps factors affecting the failure strenght of the repair. J Bone Joint Sur Br 2008;90:103-6. PMID:18160510
  • 21. Mckey MD, Hirji R, Schmith EH, Wild LM, Waddel JP. Patient oritent functional outcome after repair of distal biceps tendon ruptures using a single- incision technique. J Shoulder Elbow surg 2005;14(3):302-6. PMID:15889030
  • 22. Meherin JM,Kilgore ES. The treatment of ruptures of the biceps brachii tendon. Am J Surg.1960;99:636-40. doi: 10.1016/0002-9610(60)90006-4
  • 23. Hartman MW, Merten SM, Steinmann SP. Mini open 2 incision technique for repair of a distal biceps tendon ruptures. J Shoulder Elbow Surg 2007;16:616-20. PMID:17493838
  • 24. Barret H, Winter M, Olivier G, Saliken D, Gauci MO, Bronsard N. Double incision repair technique with immediate mobilization for acute distal biceps tendon ruptures provides good results after 2 years in active patients. Orthop Traumatol Surg Res 2019;105(2):323-28. PMID:30528138
  • 25. Saldua N, Carney J, Dewing C, Thompson M. The effect of drilling angle on posterior interosseoz nerve safety during open and endoscopic anterior single-incision repair of the distal biceps tendon. Arthroscopy. 2008;24(3):305-10. PMID:18308182
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Cerrahi
Bölüm Araştırma Makalesi
Yazarlar

Gökhan Bülent Sever 0000-0002-3096-5968

Yayımlanma Tarihi 26 Ekim 2019
Gönderilme Tarihi 2 Nisan 2019
Kabul Tarihi 24 Haziran 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 3 Sayı: 3

Kaynak Göster

Vancouver Sever GB. Akut distal biseps tendon rüptüründe modifiye çift insizyonla tamir tekniğinin erken sonuçları. Acta Med. Alanya. 2019;3(3):272-7.

9705 

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