Diagnostics and treatment of the distal biceps tendon rupture – current state of knowledge
Journal Title: Medycyna Sportowa - Year 2017, Vol 33, Issue 4
Abstract
Damage to distal biceps tendon attachment is an exceptionally rare type of injury and therefore it can delay diagnostics and the choice of appropriate treatment. In the case of complete tendon rupture, diagnostics is mainly based on clinical examination and ultrasonography (USG). Magnetic resonance imaging (MRI), in turn, is applied in patients with suspected partial tendon damage. Standard treatment involves surgical anatomic reinsertion of the ruptured tendon to the radial tuberosity. Non-surgical treatment is usually applied in older patients with low levels of physical activity and in patients with contraindications to surgical treatment. Nevertheless, the choice of surgical technique as well as the choice of a proper approach of fixation are still controversial. Surgical techniques include single or double port access surgery. Most often the tendon is fixed using suture anchors or a cortical button. The access surgeries and each of the applied tendon fixation technique entail the risk of postoperative complications which increases when surgical treatment is delayed. Since damage to distal biceps tendon are extremely rare and improper diagnostics of damage and delayed surgical treatment can significantly impair the function of the involved upper limb, increasing the risk of postoperative complications, it seems reasonable to treat this type of damage in reference centers.
Authors and Affiliations
Jarosław Witkowski, Witold Wnukiewicz, Aleksandra Królikowska, Andrzej Czamara, Paweł Reichert
Keywords
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