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Bicep tendon

B Poberaj, B Marjanovič, M Zupančič, M Nabergoj, E Cvetko, M Balažic, V Senekovič
PURPOSE: A new arthroscopic technique with Cobra Guide (CG) was developed to enable fast, controlled and strong intraosseous biceps tenodesis while avoiding an implant. The purpose of this study was to compare the newly developed suture-only biceps tenodesis technique [arthroscopic suprapectoral intraosseous implant-free biceps tenodesis (ASIIBT) with the new CG] to classical interference screws (IS) and suture anchors (SA) in terms of construct resistance to failure. MATERIALS AND METHODS: Fifty-eight human cadaveric shoulders were randomized into three treatment groups...
February 14, 2019: Musculoskeletal Surgery
Ashay A Kale, Laith M Jazrawi, Neel K Kale
Introduction: Rupture of the distal biceps brachii results in significant weakness and limitation of function in those affected. Acute ruptures of the biceps tendon are generally best treated with early repair, ideally within 3weeks of injury. The preferred treatment of chronic ruptures is still uncertain. Case Report: We present a case of a chronic distal biceps tendon rupture repaired with a novel, two-incision, minimally invasive anterior approach utilizing an Achilles tendon allograft and cortical button fixation, in a patient with a high demand occupation as a cabinet maker...
September 2018: Journal of Orthopaedic Case Reports
J Schmalzl, P Plumhoff, F Gilbert, F Gohlke, C Konrads, U Brunner, F Jakob, R Ebert, A F Steinert
INTRODUCTION: The long head of the biceps (LHB) is often resected in shoulder surgery. However, its contribution to inflammatory processes in the shoulder remains unclear. In the present study, inflamed and noninflamed human LHBs were comparatively characterized for features of inflammation. MATERIALS AND METHODS: Twenty-two resected LHB tendons were classified into inflamed ( n = 11) and noninflamed ( n = 11) samples. For histological examination, samples were stained with hematoxylin eosin, Azan, van Gieson, and Masson Goldner trichrome...
January 2019: Journal of Orthopaedic Surgery
Jefferson C Brand
Large or massive rotator cuff tears are vexing clinical problems. Current treatment algorithms, while effective for many patients, are associated with failure of repair, persistent pain, and weakness including the inability to use the hand above shoulder level for some. Superior humeral migration associated with large or massive rotator cuff tears may lead to arthrosis or shoulder weakness. The biceps tendon has been reported for superior capsular reconstruction, but not often for reconstruction of the superior labrum...
February 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Eloïse Tebaa, Juliet Tantot, Sylvie Isaac-Pinet, Laurent Nové-Josserand
BACKGROUND: Although subscapularis tendon lesions seem to differ from those of the supraspinatus tendon, the features they have in common suggest that the subscapularis tendon may also have 2 distinct layers. Our aim was therefore to characterize the histologic structure of the subscapularis tendon from its humeral insertion point to the musculotendinous junction. MATERIAL AND METHODS: A histologic study was performed on 10 autopsy samples. The subscapularis tendon was extracted in one piece from the musculotendinous junction to the humeral insertion point and was prepared using standard (hematoxylin-eosin-saffron) staining...
January 30, 2019: Journal of Shoulder and Elbow Surgery
S X Ren, B Zhang, D S Ma, L Zhou, Y Lin
Objective: To analyze the clinical effects of reverse shoulder arthroplasty (RSA) for the patients with the cuff tear arthritis(CTA). Methods: A retrospective analysis of 12 patients who had underwent primary RSA for treatment of CTA from January 2012 to June 2017 in Department of Orthopedic, Beijing Chaoyang Hospital, Capital Medical University. There were 8 males and 4 females, aged 69.4 years (range: 64-73 years). The operation was performed in a conventional manner, the subscapularis and biceps tendon were repaired separately...
February 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Patrick J Mitchell, Rachel W P Condon, David M Touchette
A 27-year-old active-duty male sailor directly accessed physical therapy for deep left anterior shoulder pain. The patient sustained his injury the previous day, when he threw a left hook into the body of his sparring partner, creating a sudden high-energy external rotation force. Based on the patient's complaint, mechanism of injury, and internal rotation weakness, the examining physical therapist ordered magnetic resonance imaging. The images revealed a large partial tear, with retraction of the subscapularis tendon at the lesser tuberosity, a labral tear, and an intratendon biceps tendon tear with subluxation...
December 2018: Journal of Orthopaedic and Sports Physical Therapy
Holt S Cutler, Matthew A Tao, Stephen J O'Brien, Samuel A Taylor
Introduction: Variant anatomy of the intra-articular portion of the long head of the biceps tendon (LHBT) is rare, and its clinical significance is poorly understood. However, these variants are encountered with increasing frequency due to increasing use of shoulder arthroscopy. Case Report: We report a case of a trifurcate intra-articular LHBT, a variation which, to our knowledge, has not been previously described. The patient was an adult male presenting with chronic atraumatic shoulder pain that worsened with overhead activity...
July 2018: Journal of Orthopaedic Case Reports
F J P Beeres, O M Quaile, B C Link, R Babst
OBJECTIVE: The aim of surgical stabilization of proximal humerus fractures is to restore the anatomical relations between the greater and lesser tubercle, to reconstruct the joint and preserve the vascular supply of the fragments. INDICATIONS: Approximately 80% of proximal humeral fractures can be treated conservatively. Surgical treatment is indicated based on the fracture pattern, patient-related factors and the risk of avascular head necrosis. Two-part fractures with a metaphyseal comminution zone and 3/4-part fractures can benefit from near to anatomic reconstruction depending on the patient's demands and bone quality...
January 25, 2019: Operative Orthopädie und Traumatologie
Rebecca Persson, Susan Jick
AIMS: To estimate the relative, absolute, and attributable risk of non-traumatic tendon rupture, at various sites, associated with use of fluoroquinolones, with and without concomitant corticosteroids. METHODS: We conducted cohort and nested case-control studies among fluoroquinolone users in the United Kingdom Clinical Practice Research Datalink Gold. We estimated the excess risk (cohort analysis) and odds ratios (ORs) (case control) of tendon rupture by fluoroquinolone (current, recent and past use verses unexposed) and corticosteroid (current versus unexposed) use...
January 25, 2019: British Journal of Clinical Pharmacology
Kemble K Wang, Matthew Yalizis, Gregory A Hoy, Eugene T Ek
Background: Controversies exist in the classification and management of superior labral anterior and posterior (SLAP) lesions. Our aims were to assess the concordance rate of a group of specialist shoulder surgeons on the diagnosis of SLAP types and to assess the current trends in treatment preferences for different SLAP types. Methods: Shoulder surgeons (N = 103) who are members of the Shoulder and Elbow Society of Australia were invited to participate in a multimedia survey on the classification and management of SLAP lesions...
March 2018: JSES open access
Matt Wentzell
Objective: To describe the successful rehabilitation of a distal biceps brachii tendon reattachment following an acute traumatic tendon rupture. Clinical Features: A 30-year-old weightlifter presented five days post-op after a left distal biceps tendon repair. A three month one pound weight-restriction was recommended by the attending surgeon. Active and passive elbow and wrist range of motion were markedly reduced with profuse post-operative swelling and bruising noted upon initial inspection...
December 2018: Journal of the Canadian Chiropractic Association
Aleksandra Królikowska, Martyna Kozińska, Mateusz Kuźniecow, Marcin Bieniek, Andrzej Czamara, Łukasz Szuba, Katarzyna Krzemińska, Wojciech Satora, Paweł Reichert
Distal biceps tendon injuries are relatively rare. Standard treatment of complete tears and significant partial tears involves surgical anatomical reinsertion of the tendon at the radial tuberosity. Chronic injuries are usually managed with surgical tendon reconstruction using autografts or allografts. Conservative treatment is mostly limited to the elderly, individuals with a very low level of physical activity, patients with evident contraindications to surgical treat-ment, and cases of mild partial tendon tears...
August 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Christopher J Burke, Scott R Mahanty, Hien Pham, Syed Hoda, James S Babb, Soterios Gyftopoulos, Laith Jazrawi, Luis Beltran
PURPOSE: To correlate the histopathologic appearances of resected long head of the biceps tendon (LHBT) specimens following biceps tenodesis, with pre-operative MRI and arthroscopic findings, with attention to the radiologically normal biceps. MATERIAL AND METHODS: Retrospective analysis of patients who had undergone preoperative MRI, subsequent arthroscopic subpectoral tenodesis for SLAP tears and histopathologic inspection of the excised sample between 2013 and 16...
January 7, 2019: Clinical Imaging
T Ertelt, T Gronwald
Injuries of the muscle-tendon complex are one of the most frequent non-contact injuries in sports. Particularly in team sports such as football, the demands of the game result in a large number of risk factors. Ekstrand and colleagues1 observed that each team experiences 50 injuries in every season and the hamstrings are most affected. Of these injuries, 83% affect the biceps femoris (BF) muscle2 . Current studies show that despite injury prevention programs, the rate of hamstring injuries has increased by more than 4% in recent years This article is protected by copyright...
January 11, 2019: Acta Physiologica
Peter Moreau, Michael Bresler, Benjamin Goldberg, Winnie A Mar
Posterior dislocation of the long head of the biceps tendon uncommonly occurs with traumatic shoulder injury. The diagnosis is almost always associated with anterior shoulder dislocation which often cannot be reduced. We present a case of traumatic posterior dislocation of the long head of the biceps tendon with no reported history of shoulder dislocation, but instead a rare and specific radiographic finding. The imaging features are described, the relevant literature reviewed, and salient features discussed...
January 5, 2019: Skeletal Radiology
Raymond E Chen, Sandeep P Soin, Rami El-Shaar, Hani A Awad, Michael D Maloney, Ilya Voloshin
PURPOSE: To describe 2 superior labral reconstruction techniques using long head of the biceps (LHB) autograft and to investigate the ability of the 2 reconstruction techniques to restore superior restraint to the glenohumeral joint compared with superior labrum-deficient models. METHODS: In this biomechanical study, 10 cadaveric shoulders were cycled on a servohydraulic machine while the force required to cause superior subluxation was recorded. Each specimen was cycled under 4 conditions: intact labrum, SLAP tear, posterior (9- to 12-o'clock position) labral reconstruction using LHB autograft (superior labral reconstruction 1 [SLR1]), and 180° (9- to 3-o'clock position) labral reconstruction using LHB autograft (superior labral reconstruction 2 [SLR2])...
December 24, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
Christopher L McCrum, R Kiran Alluri, Michael Batech, Raffy Mirzayan
BACKGROUND: Long head of the biceps tendon (LHBT) tenodesis is predominantly performed for 2 reasons: anterior shoulder pain (ASP) or structural reasons (partial tear, dislocation). METHODS: Between 2006 and 2014, all cases of primary LHBT tenodesis performed at an integrated health care system were retrospectively reviewed. Complications were analyzed by tenodesis location (below or out of the groove [OOG] vs leaving tendon in the groove [ITG]), fixation method (soft tissue vs implant), and indication (preoperative ASP vs structural)...
December 18, 2018: Journal of Shoulder and Elbow Surgery
Antonio García, María J Sedano, Silvia Álvarez-Paradelo, José Berciano
Objective: To describe the case of a patient with Guillain-Barré syndrome (GBS) showing early reversible conduction failure (RCF) detected by means of serial deep tendon reflex response (T-reflex) study. Methods: A 36-year-old woman had a 5-day history of foot and hand paresthesias ascending to thighs and arms, throbbing interscapular and neck pain, mild to moderate tetraparesis, and areflexia. Nerve conduction studies (NCS) were performed on days 7 and 33 after onset...
2018: Clinical Neurophysiology Practice
Chih-Kai Hong, Ming-Long Yeh, Chih-Hsun Chang, Florence L Chiang, I-Ming Jou, Ping-Hui Wang, Wei-Ren Su
Objectives: Tenotomy and tenodesis of the long head of biceps tendon are effective pain-relieving treatments. However, there is no consensus on the functional outcome after these surgical procedures. We hypothesized that there would be no difference in ambulation parameters after recovery from the surgery between rats that underwent tenotomy versus tenodesis procedures. Methods: Twenty-four New Zealand rats were used and randomly divided into three groups. Each group received one of the following surgeries: tenotomy, tenodesis, and sham operation...
January 2019: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
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