How to Avoid Posterior Interosseous Nerve Injury During Single-Incision Distal Biceps Repair Drilling

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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 ...

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Permanent posterior interosseous nerve palsy following a two-incision distal biceps tendon repair.

account for approximately 3% of all biceps tendon ruptures. The two-incision repair techniques, as described by Boyd and Anderson1 in 1961, were developed to lower the risk of injury to the radial nerve and posterior interosseous nerve. Reports of posterior interosseous nerve palsy following this approach are rare.2-3 Transient posterior interosseous nerve palsies following a repair with the tw...

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Distal Biceps Tendon Repair: 1-Incision Versus 2-Incision Techniques

Treatment options for distal biceps tendon ruptures include nonoperative and operative approaches. Candidates for conservative nonoperative management include elderly low-demand patients, those in whom surgery is contraindicated because of medical comorbidities, and those who are unable to adhere to the strict postoperative rehabilitation regimen. Data have clearly shown the superiority of oper...

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Imaging of Posterior Interosseous Neuropathy following Distal Biceps Repair: A Report of 3 Cases.

Three cases of PIN palsy following biceps repair are presented with clinical and imaging correlation. The imaging findings in these cases will be discussed and the orthopedic literature, as regards possible surgical approaches and technical factors believed to predispose to or prevent this complication, will be reviewed. It is important for radiologists to serve as consultants in these uncommon...

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Surgical Management of Distal Biceps Tendon Anatomical Reinsertion Complications: Iatrogenic Posterior Interosseous Nerve Palsy

BACKGROUND Although iatrogenic posterior interosseous nerve (PIN) palsy is an uncommon complication of ruptured distal biceps brachii tendon surgical anatomical reinsertion, it is the most severe complication leading to functional limitation. The present study investigated possible types of PIN palsy as a postoperative complication of anatomical distal biceps tendon reinsertion, and aimed to cl...

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ژورنال

عنوان ژورنال: Clinical Orthopaedics & Related Research

سال: 2018

ISSN: 0009-921X

DOI: 10.1097/corr.0000000000000534