Distal biceps tendon repair via new knotless endobutton fixation: A biomechanical study

Repair of distal biceps tendon ruptures using the EndoButton.

A transverse skin incision 2 cm distal to the elbow skin crease was made and the lateral antebrachial cutaneous nerve was protected. In acute cases the the retracted biceps tendon and the tendon tract were readily identified. With the elbow in full extension and supination, the radial tuberosity was exposed. A cortical window to accommodate the tendon was made with a burr. A drill was advanced ...

Biomechanical in vitro validation of intramedullary cortical button fixation for distal biceps tendon repair: a new technique.

BACKGROUND Extramedullary cortical button-based fixation for distal biceps tendon ruptures exhibits maximum load to failure in vitro but cannot restore the anatomic footprint and has the potential risk for injury to the posterior interosseous nerve. HYPOTHESIS Double intramedullary cortical button fixation repair provides superior fixation strength to the bone when compared with single extram...

Use of the Endobutton in repair of the distal biceps brachii tendon.

Posterior interosseous nerve incarceration with endobutton repair of distal biceps.

Distal biceps ruptures are uncommon injuries that comprise approximately 3% of all biceps pathology. This injury is most commonly seen in 40- to 60-year-old men, and the mechanism of injury involves a forceful extension movement to a flexed elbow. Without surgical intervention, patients are left with measurable weakness in elbow flexion and supination as well as a cosmetic deformity that often ...

Complications of Distal Biceps Tendon Repair

Methods: A systematic review was conducted using the PubMed, MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), SPORTSDiscus, and the Cochrane Central Register of Controlled Trials databases to identify articles reporting distal biceps ruptures up to August 2013. We included English-language articles on adult patients with a minimum of 3 cases reporting singleand double...