medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2012, Number 2

<< Back Next >>

Acta Ortop Mex 2012; 26 (2)

Biceps tendon rupture in athletes. diagnosis and management modalities. Report of three cases

Zenteno-Chávez B, Arredondo-García H, Morales-Chaparro I

Language: Spanish
References: 19
Page: 116-120
PDF size: 114.01 Kb.


ABSTRACT

Objective: To help the orthopedic surgeon become familiar with this type of injuries in athletes; to mention the difficulty to perform the clinical and imaging diagnosis; to emphasize the diagnostic need of arthroscopy in the injury of the proximal or long tendon; to present the current treatment modalities and, in the distal injury, suggest the use of a single incision, as well as biodegradable material for fixation purposes. Conclusions: The diagnosis of biceps tendon injuries in athletes is mainly a clinical one, assisted by imaging; however, the arthroscopic confirmation of proximal injuries is essential. Current techniques for proximal tendon fixation are variable, but, same as in the distal aspect, early fixation with biodegradable screws is a biomechanically stable option and promotes the athlete’s full rehabilitation.


REFERENCES

  1. Armstrong A, Teefey SA, Wu T, et al: The efficacy of ultrasound in the diagnosis of long head of the biceps tendon pathology. J Shoulder Elbow Surg 2006; 15(1): 7-11.

  2. Busconi BB, De Angelis N, Guerrero PE: The proximal biceps tendon: tricks and pearls. Sports Med Arthrosc 2008; 16(3): 187-94.

  3. Gaskin CM, Anderson MW, Choudri A, et al: Focal partial tears of the biceps brachii tendon at the entrance of the bicipital groove: MR findings, surgical correlation and clinical significance. Skeletal Radiol 2009: 38(10): 959-65.

  4. Gill H, El Rassi G, Bank M, et al: Physical examination for partial tears of the biceps tendon. Am J Sports Med 2007; 35(8): 1334-40.

  5. Kibler W, Sciascia A, Hester P, et al: Clinical utility of traditional and new tests in the diagnosis of biceps tendon injuries and superior labrum anterior and posteriors lesion in the shoulder. Am J Sports Med 2009; 37(9): 1840-7.

  6. Moosmayer S, Smith HJ: Diagnostic ultrasound of the shoulder– a method of experts only? Results from an orthopedic surgeon with relative inexpensive compared to operative findings. Acta Orthop 2005; 76(4): 503-8.

  7. Theodoropoulos JS, Andreisek G, Harvey EJ, et al: Magnetic resonance imaging and magnetic resonance arthrography of the shoulder: dependence of the level of training of the performing radiologist for diagnostic accuracy. Skeletal Radiol 2009. (Epub ahead of print).

  8. Zenteno B, Lozano J, Villalobos E, et al: Ruptura distal del tendón del bíceps braquial, tratamiento quirúrgico con una incisión y fijación con material biodegradable. Presentación de un caso y revisión de la literatura. Acta Médica Grupo Ángeles 2004; (4): 247-50.

  9. Nho S, Strauss E, Lenart B, et al: Long head of the biceps tendinopathy: diagnosis and mangement. J Am Acad Orthop Surg 2010; 18: 645-56.

  10. Chillemi C, Marinelli M, De Cupis V: Rupture of the distal biceps brachii tendon: conservative treatment versus anatomic reinsertion– clinical an radiological evaluation after 2 years. Arch Orthop Trauma Surg 2007; 127(8): 705-8.

  11. Fenton P, Quereshi F, Ali A, et al: Distal biceps tendon rupture. A new repair technique in 14 patients using the biotenodesis screw. Am J Sports Med 2009; 37: 2009-15.

  12. Quach T, Jazayeri R, Sherman OH, et al: Distal biceps tendon injuries– current treatment options. Bull NYU Hosp Jt Dis 2010; 68(2): 103-11.

  13. Gregory T, Roure P, Fontes D: Repair of distal biceps tendon rupture using a suture anchor. Am J Sports Med 2009; 37(3): 506-11.

  14. Kokkalis ZT, Sotereanos DG: Biceps tendon injuries in athletes. Hand Clin 2009: 25(3): 347-57.

  15. Eakin C, Faber K, Hawkins R, et al: Biceps tendon disorders in athletes. J Am Acad Orthop Surg 1999; 7(5): 300-10.

  16. Fierdman DJ, Dunn JC, Higgins LD, et al: Proximal biceps tendon: injuries and management. Sports Med Arthrosc 2008; 16(3): 162-9.

  17. Tangari M, Carbone S, Gallo M, et al: Long head of the biceps tendon rupture in professional wrestlers: treatment with a mini-open tenodesis. J Shoulder Elbow Surg 2010. (Epub ahead of print).

  18. Lyons RP, Green A: Subescapularis tendon tears. J Am Acad Orthop Surg 2005; 13: 350-63.

  19. George MS: Simultaneous acute rotator cuff tear and distal biceps rupture in a Strongman competitor. Orthopedics 2010; 16: 268-70.




2020     |     www.medigraphic.com