gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Single Incision Repair of Distal Biceps Tendon Ruptures – Results & Complications

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  • presenting/speaker Joseph Imbriglia - Hand and UpperEx Center, University of Pittsburgh, Wexford, United States
  • Glenn Glenn Buterbaugh - Hand and UpperEx Center, University of Pittsburgh, Wexford, United States
  • William Hagberg - Hand and UpperEx Center, University of Pittsburgh, Wexford, United States

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1925

doi: 10.3205/19ifssh0096, urn:nbn:de:0183-19ifssh00963

Published: February 6, 2020

© 2020 Imbriglia et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective/Hypothesis: To review the objective results of single incision distal biceps repair. We hypothesized that function could be returned with few complications despite the literature suggesting a higher rate of PIN palsy and less return of strength when compared to the two incision technique.

Methods: The charts of 115 patients with distal biceps ruptures that were surgically repaired by two surgeons at the same institution over a 10 year period, were retrospectively reviewed. The post-operative ROM and strength were measured. Complication's including PIN palsy, lateral antebrachial cutaneous nerve paresthesias, heterotopic ossification and re-rupture were evaluated. The average follow up was 12 months.

Results: The patient's average return of flexion strength was 105% of the contralateral side and supination strength was 90% of the contralateral side.

Complications:

PIN palsy-0

heterotopic ossification-2

radio ulnar synostosis-0

LABC neural paresthesias- 45%

Re-rupture of tendon- 0

No patient had to be re operated on for any complication.

Conclusions: Single incision repair of the distal biceps tendon can be performed with minimal serious complications. The return of function and strength is comparable to reported results of the 2 incision techniques.