Reconstruction of distal biceps tendon ruptures with a cortical button

Verfasser / Beitragende:
[Izaäk Kodde, Michel van den Bekerom, Denise Eygendaal]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/3(2015-03-01), 919-925
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-013-2571-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2571-3 
245 0 0 |a Reconstruction of distal biceps tendon ruptures with a cortical button  |h [Elektronische Daten]  |c [Izaäk Kodde, Michel van den Bekerom, Denise Eygendaal] 
520 3 |a Purpose: Reconstruction of the ruptured distal biceps tendon is best done with a cortical button technique according to recent biomechanical studies. However, clinical outcome studies that evaluate the cortical button reconstruction technique are scarce. The purpose of this study was to evaluate the results of a cortical button reconstruction technique in patients with a traumatic distal biceps tendon rupture. Methods: Twenty-two patients with 24 traumatic distal biceps tendon ruptures underwent surgical treatment. Reconstructions were done using the Endobutton or Toggle Loc. Postoperative evaluation consisted of ROM, strength, stability, neurological status and standard radiographs in AP view and lateral direction. The Mayo Elbow Performance Index (MEPI) and quick Disabilities of Arm, Shoulder and Hand (qDASH) questionnaires were also obtained. Results: At a median follow-up of 22months, the mean strength for flexion was 100% (SD 21.3) and for supination 97% (SD 7.8), compared to the contralateral side. There were complications in 8 patients (36%), and heterotopic ossifications were seen on radiographs in 23% of patients. Heterotopic ossifications were symptomatic in one patient. Conclusions: The results after distal biceps tendon refixation with a cortical button were good according to ROM, MEPI and qDASH scores and strength. However, this procedure was accompanied with complications; in particular, the formation of heterotopic ossifications was frequently seen, though clinically relevant in only one patient. Level of evidence: Case series, Level IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Complications  |2 nationallicence 
690 7 |a Cortical button  |2 nationallicence 
690 7 |a Distal biceps tendon  |2 nationallicence 
690 7 |a Elbow  |2 nationallicence 
690 7 |a Heterotopic ossifications  |2 nationallicence 
690 7 |a Rupture  |2 nationallicence 
700 1 |a Kodde  |D Izaäk  |u Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands  |4 aut 
700 1 |a van den Bekerom  |D Michel  |u Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands  |4 aut 
700 1 |a Eygendaal  |D Denise  |u Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/3(2015-03-01), 919-925  |x 0942-2056  |q 23:3<919  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2571-3  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-013-2571-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kodde  |D Izaäk  |u Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van den Bekerom  |D Michel  |u Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Eygendaal  |D Denise  |u Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/3(2015-03-01), 919-925  |x 0942-2056  |q 23:3<919  |1 2015  |2 23  |o 167