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Rev Esp Cir Ortop Traumatol 2021 Jul-Aug;65(4):305-311

Unidad de Investigación, Clínica CEMTRO, Madrid, Spain. Electronic address:

Background: and objective The aim of this work was to evaluate clinical outcomes of patients with biceps brachii tendon rupture who underwent a surgical tendon reconstruction using our own modified double approach technique.

Patients: The study was performed in 20 patients (21 cases) with biceps brachii tendon rupture. Patients were treated with our own double-approach surgical technique consisting of 2 minimum incisions. Read More

J Clin Orthop Trauma 2021 Aug 20;19:132-138. Epub 2021 May 20.

Medical Student, Parul Institute of Medical Sciences and Research, Parul University, Vadodara, India.

Injury to the distal biceps occurs in certain high risk groups. Anatomical continuity of the lacertus fibrosus has bearing on the extent of retraction of the torn tendon stump. The objective of clinical and imaging evaluation is to discriminate between tendinosis, partial tear, acute complete tear and chronic complete tear. Read More

Eur J Orthop Surg Traumatol 2021 May 29. Epub 2021 May 29.

Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.

Introduction: Approximately 75% of patients with carpal tunnel syndrome (CTS) are diagnosed as idiopathic. Despite this, the presence of an underlying cause such as an anatomical variant or a systemic disease must always be suspected, especially in cases of bilateral presentation without an obvious cause, recurrence or complications. The anatomical variant known as the bifid median nerve (BMN) is a very rare abnormality that can occasionally lead to CTS. Read More

Intern Med J 2021 05;51(5):808-809

Department of Medicine, Calvary Riverina Hospital, Wagga Wagga, New South Wales, Australia.

Arch Bone Jt Surg 2021 Mar;9(2):195-202

Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, MA, USA.

Background: The aim of this study was to evaluate the factors influencing patient reported outcome measures (PROM) of biceps tenodesis after the rupture of proximal long head of the biceps tendon.

Methods: Retrospective chart review was conducted to identify patients with complete proximal rupture of the long head of the biceps that underwent biceps tenodesis between 2002-2017. This yielded 42 patients, of which 23 (55%) completed the PROMIS Pain Interference, PROMIS Upper Extremity, Quick DASH, and a custom biceps tear questionnaire, at a median of 8. Read More

Arthroscopy 2021 May 20. Epub 2021 May 20.

Massachusetts General Hospital, Department of Sports Medicine and Shoulder Surgery, Boston, MA 02114.

Purpose: To summarize the indications, assess the modes of failure, and analyze the clinical and functional outcomes of revision biceps tenodesis after failed primary surgical treatment of long head of biceps (LHB) pathology.

Methods: A computerized search of PubMed, EMBASE, and CINAHL databases and manual screening of selected article reference lists was performed in September 2020. Randomized controlled trial, cohort, case-control, and case series studies reporting clinical outcomes of revision biceps tenodesis following failed LHB surgery were eligible. Read More

JBJS Case Connect 2021 05 11;11(2). Epub 2021 May 11.

São João University Hospital, Porto, Portugal.

Case: A 41-year-old right-handed male patient presented to our institution with a chronic distal biceps rupture after failed primary surgery 6 months previously. We performed a reconstruction with semitendinosus autograft fixed proximally with a Pulvertaft weave and distally with a cortical button plus interference screw. The patient showed complete pain resolution and excellent functional results. Read More

J Orthop 2021 May-Jun;25:151-154. Epub 2021 May 6.

The Kerlan-Jobe Orthopaedic Clinic, Los Angeles, CA, USA.

The purpose of this study is to report the change in surgical case volume and composition encountered by a multi-subspecialty orthopaedic practice due to COVID-19. We reviewed electronic medical records for patients who had surgery at our institution and collected multiple variables including age and the joint that was operated on. In the post-COVID-19 period, we found a significant increase in the percentage of hip procedures, and a significant decrease in the percentage of hand/wrist procedures. Read More

Rev Esp Cir Ortop Traumatol (Engl Ed) 2021 Apr 23. Epub 2021 Apr 23.

Servicio de Cirugía Ortopédica y Traumatología, Hospital Fremap, Sevilla, España.

Introduction And Objectives: Rupture of distal biceps has a frequency of 1.2 cases per 100,000 population. Conservative treatment presents a loss in supination of 40% and flexion of 30%, like transfers to the brachialis. Read More

Medicina (Kaunas) 2021 Mar 2;57(3). Epub 2021 Mar 2.

1st Orthopaedic Department, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

Superior capsular reconstruction (SCR) with the use of a fascia lata autograft or a dermal allograft is an established treatment in treating irreparable rotator cuff (RC) tears. The long head of the biceps tendon (LHBT) has been recently proposed as an alternative graft for SCR. The purpose of this study was to present the surgical techniques and clinical studies utilizing the LHBT for SCR. Read More

J Ultrason 2021 8;21(84):77-79. Epub 2021 Mar 8.

Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.

Ultrasound-guided injection of the shoulder via the rotator interval can be challenging. The procedure is used for arthrograms, hydrodilatation and intra-articular glenohumeral joint injections. The conventional approach to the rotator interval is from lateral to medial. Read More

Rev Fac Cien Med Univ Nac Cordoba 2021 03 12;78(1):68-73. Epub 2021 Mar 12.

Hospital Universitario Miguel Servet (Zaragoza, España).

Background: Rupture of the distal tendon of the biceps is a pathology with an increasing incidence, which can cause important functional alterations. When the rupture is complete and the patient is active, surgical treatment is of choice.

Material And Method: 47-year-old man with sudden and intense pain in the left antecubital fossa while lifting weight. Read More

J Hand Surg Am 2021 Mar 20. Epub 2021 Mar 20.

Department of Orthopedic Surgery, AZ Monica, Antwerp; Department of Orthopedic Surgery, University Hospital Antwerp, Edegem, Belgium. Electronic address:

Purpose: To describe and study a test for distal biceps tendon pathology other than complete tears.

Methods: In this prospective study, the biceps provocation test (BPT) was performed in a cohort of 30 patients with suspected distal biceps tendon pathology and 30 patients with another elbow pathology. Patients with a complete tear were excluded. Read More

JSES Int 2021 Mar 19;5(2):302-306. Epub 2020 Dec 19.

The Rothman Institute of Orthopaedics at Thomas Jefferson University Hospitals, Philadelphia, PA, USA.

Background: The purpose of this analysis was to analyze outcomes of distal biceps reconstruction with soft tissue allograft in the setting of chronic, irreparable distal biceps ruptures. The outcomes of these cases were then compared with a matched cohort of distal biceps ruptures that were able to be repaired primarily.

Methods: Retrospective review of an institutional elbow surgery database was conducted. Read More

J Shoulder Elbow Surg 2021 Mar 3. Epub 2021 Mar 3.

Rush University Medical Center, Chicago, IL, USA. Electronic address:

Background: Rupture of the distal biceps tendon is an increasingly frequent injury sustained predominantly by middle-aged men. Despite the prevalence of sport in this age group, little is known regarding return to sport outcomes following surgery.

Methods: Patients undergoing distal biceps tendon repair (DBR) between January 2015 and January 2017 were contacted electronically via e-mail and via telephone to administer a previously validated and standard return to sport survey. Read More

Knee Surg Sports Traumatol Arthrosc 2021 Mar 1. Epub 2021 Mar 1.

Department of Orthopaedic Surgery, School of Medicine, University of Pittsburgh, Kaufmann Medical Building, Suite 1011, 3471 Fifth Avenue, Pittsburgh, PA, 15213, USA.

This is a case report of a 26-year-old male who sustained a Segond fracture in the context of an acute anterior cruciate ligament (ACL) rupture incurred while downhill skiing. Further work-up revealed that the Segond fracture consisted of two distinct fragments with separate soft tissue attachments, including the capsule-osseous layer of the iliotibial band and the short arm of the biceps femoris. Imaging showed interval healing of the Segond fracture between initial presentation and the performance of arthroscopic ACL reconstruction approximately 4 months later. Read More

Rev Esp Cir Ortop Traumatol (Engl Ed) 2021 Feb 25. Epub 2021 Feb 25.

Unidad de Investigación, Clínica CEMTRO, Madrid, España. Electronic address:

Background: and objective The aim of this work was to evaluate clinical outcomes of patients with biceps brachii tendon rupture who underwent a surgical tendon reconstruction using our own modified double approach technique.

Patients: The study was performed in 20 patients (21cases) with biceps brachii tendon rupture. Patients were treated with our own double-approach surgical technique consisting of 2minimum incisions. Read More

Am J Sports Med 2021 04 26;49(5):1152-1159. Epub 2021 Feb 26.

NYU Langone Health, New York, New York, USA.

Background: The proximity of the posterior interosseous nerve (PIN) to the bicipital tuberosity is clinically important in the increasingly popular anterior single-incision technique for distal biceps tendon repair. Maximal forearm supination is recommended during tendon reinsertion from the anterior approach to ensure the maximum protective distance of the PIN from the bicipital tuberosity.

Purpose: To compare the location of the PIN on magnetic resonance imaging (MRI) relative to bicortical drill pin instrumentation for suspensory button fixation via the anterior single-incision approach in varying positions of forearm rotation. Read More

J Intern Med 2021 Jun 8;289(6):831-839. Epub 2020 Dec 8.

From the, Tuscan Regional Amyloidosis Centre, Careggi University Hospital, Florence, Italy.

Recent evidence suggests that carpal tunnel syndrome (CTS) and brachial biceps tendon rupture (BBTR) represent red flags for ATTR cardiac amyloidosis (ATTR-CA). The prevalence of upper limb tenosynovial complications in conditions entering differential diagnosis with CA, such as HCM or Anderson-Fabry disease (AFD), and hence their predictive accuracy in this setting, still remains unresolved.

Objective: To investigate the prevalence of CTS and BBTR in a consecutive cohort of ATTR-CA patients, compared with patients with HCM or AFD and with individuals without cardiac disease history. Read More

Orthop J Sports Med 2021 Jan 29;9(1):2325967120981752. Epub 2021 Jan 29.

Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.

Background: Little is known about the clinical indications of performing a revision distal biceps tendon repair/reconstruction, and there is even less data available on the clinical outcomes of patients after revision surgery.

Purpose: To determine the clinical outcomes of patients undergoing revision distal biceps tendon repair/reconstruction and evaluate the causes of primary repair failure.

Study Design: Case series; Level of evidence, 4. Read More

Heart Fail Rev 2021 Feb 20. Epub 2021 Feb 20.

Department of Medicine, Columbia University, New York, NY, USA.

Amyloid transthyretin (ATTR) amyloidosis is a clinically heterogeneous and fatal disease that results from deposition of insoluble amyloid fibrils in various organs and tissues, causing progressive loss of function. The objective of this review is to increase awareness and diagnosis of ATTR amyloidosis by improving recognition of its overlapping conditions, misdiagnosis, and multiorgan presentation. Cardiac manifestations include heart failure, atrial fibrillation, intolerance to previously prescribed antihypertensives, sinus node dysfunction, and atrioventricular block, resulting in the need for permanent pacing. Read More

JBJS Case Connect 2021 02 17;11(1). Epub 2021 Feb 17.

Department of Orthopedic Surgery, Loma Linda University Medical Center, Loma Linda, California.

Case: We report a case of a 56-year-old man who sustained a ruptured long head of biceps tendon (LHBT) that presented with symptoms typical of a pectoralis major rupture. Magnetic resonance imaging revealed an isolated LHBT tear. Intraoperatively, the biceps tendon had an unusually thick distal segment entrapped under the insertion of the pectoralis major. Read More

Knee Surg Sports Traumatol Arthrosc 2021 Feb 9. Epub 2021 Feb 9.

New York University Langone Orthopedic Hospital, 333 East 38th Street, New York, NY, 10016, USA.

Purpose: The purpose of this study was to identify if the location of posterolateral corner (PLC) injury was predictive of clinical common peroneal nerve (CPN) palsy.

Methods: A retrospective chart review was conducted of patients presenting to our institution with operative PLC injuries. Assessment of concomitant injuries and presence of neurologic injury was completed via chart review and magnetic resonance imaging (MRI) review. Read More

JSES Int 2021 Jan 31;5(1):24-30. Epub 2020 Oct 31.

Section of Orthopaedic Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada.

Background: Primary repair of chronic distal biceps tendon ruptures may not be possible because of tendon retraction, and there remains no clear consensus on the type of reconstruction technique used. The purpose of this study was to report the clinical outcomes and complication rates following reconstruction of chronic distal biceps tendon ruptures.

Methods: A systematic review was performed following PRISMA guidelines. Read More

Phys Ther Sport 2021 May 28;49:15-20. Epub 2021 Jan 28.

Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil. Electronic address:

Objective: Systematic review investigated efficacy of conservative therapy on pain and function in people with tendinopathy-related shoulder pain.

Methods: Searches were conducted on six databases. All randomized controlled trials investigating efficacy of any conservative therapy on pain and function in people with tendinopathy-related shoulder pain were included. Read More

Arthroscopy 2021 02;37(2):487-488

Rotator cuff tears are very common. They can be either traumatic or degenerative in nature. Many tears can be successfully treated nonoperatively with physical therapy or home exercises. Read More

Medicine (Baltimore) 2021 Jan;100(3):e23993

Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University.

Background: Biceps tenotomy and biceps tenodesis are 2 most common surgical procedures for long head of the biceps tendon (LHBT) pathology, but debate still exists regarding the choice of treatment. This meta-analysis was conducted to compare clinical results between tenotomy and tenodesis for the treatment of lesions of LHBT. It was hypothesized that there is no difference in outcomes of tenotomy and tenodesis for lesions of LHBT. Read More

JBJS Case Connect 2020 10 26;10(4):e20.00091. Epub 2020 Oct 26.

Department of Orthopedics, University of New Mexico, Albuquerque, New Mexico.

Case: A patient presented with simultaneous left-sided distal biceps tendon rupture and a right-sided distal biceps complete musculotendinous junction tear after lifting a motorcycle. The left upper extremity was treated operatively with acute repair, and the right upper extremity was managed nonoperatively. At the final follow-up, the patient reported full strength and motion with Disabilities of the Arm, Shoulder and Hand (DASH) and QuickDASH scores of 14. Read More

JBJS Case Connect 2020 11 24;10(4):e20.00290. Epub 2020 Nov 24.

Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, Washington.

Case: A 69-year-old woman with chronic upper extremity lymphedema secondary to bilateral mastectomy and axillary lymph node dissection for breast cancer 10 years before presented to the clinic with a massive rotator cuff tear. Her shoulder pain and dysfunction persisted despite nonoperative treatment. She underwent left shoulder arthroscopic rotator cuff repair (RCR) and biceps tenotomy. Read More

J Bone Joint Surg Am 2021 05;103(9):812-819

Shoulder and Elbow Mechanical Research Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

Background: Partial avulsions of the short and/or long head of the distal biceps tendon cause pain and loss of strength. The goal of the present study was to quantify the loss of supination and flexion strength following a series of surgical releases designed to simulate partial and complete short and long head traumatic avulsions.

Methods: Mechanical testing was performed to measure supination moment arms and flexion force efficiency on 18 adult fresh-frozen specimens in pronation, neutral, and supination. Read More