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Cureus 2022 May 20;14(5):e25172. Epub 2022 May 20.

Orthopaedic Surgery, Penn State Health Milton S. Hershey Medical Center, State College, USA.

Bilateral simultaneous rupture of distal biceps tendons is an extremely rare clinical entity that can result in significant morbidity for an active person if not addressed appropriately. Treatment becomes more complicated in a delayed presentation as the tendon retracts and scars to the adjacent tissues, thus precluding a primary tendon-to-bone repair. The present study is a case report of an active male with a two-month-old simultaneous rupture of both distal biceps tendons managed by Achilles allograft reconstruction and double cortical-button fixation technique that provided a satisfactory functional outcome. Read More

BMC Musculoskelet Disord 2022 Jun 22;23(1):599. Epub 2022 Jun 22.

Department of Sports Orthopaedics, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany.

Background: Distal biceps tendon ruptures can lead to significant restrictions in affected patients. The mechanisms of injury described in scientific literature are based exclusively on case reports and theoretical models. This study aimed to determine the position of the upper extremities and forces involved in tendon rupture through analyzing video recordings. Read More

BMC Med Genomics 2022 Jun 20;15(1):140. Epub 2022 Jun 20.

Department of Joint and Sport Medicine, Tianjin Union Medical Center, Nankai University Affiliated People's Hospital, Jieyuan Road 190, Hongqiao District, Tianjin, 300121, People's Republic of China.

Background: This study aimed to identify the differentially expressed mRNAs and lncRNAs in inflammatory long head of biceps tendon (LHBT) of rotator cuff tear (RCT) patients and further explore the function and potential targets of differentially expressed lncRNAs in biceps tendon pathology.

Methods: Human gene expression microarray was made between 3 inflammatory LHBT samples and 3 normal LHBT samples from RCT patients. GO analysis and KEGG pathway analysis were performed to annotate the function of differentially expressed mRNAs. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Jun;36(6):729-738

Department of Orthopedics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Graduate School of Peking Union Medical College, Beijing, 100730, P. R. China.

Objective: To identify and screen sensitive predictors associated with subscapularis (SSC) tendon tear and develop a web-based dynamic nomogram to assist clinicians in early identification and intervention of SSC tendon tear.

Methods: Between July 2016 and December 2021, 528 consecutive cases of patients who underwent shoulder arthroscopic surgery with completely MRI and clinical data were retrospectively analyzed. Patients admitted between July 2016 and July 2019 were included in the training cohort, and patients admitted between August 2019 and December 2021 were included in the validation cohort. Read More

Mil Med 2022 Jun 7. Epub 2022 Jun 7.

Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905, USA.

Introduction: Pectoralis major tendon tears are an injury pattern often treated in military populations. Although the majority of pectoralis major tendon tears occur during eccentric loading as in bench press weightlifting, military service members may also experience this injury from a blunt injury and traction force produced by static line entanglement during airborne operations. Although these injuries rarely occur in isolation, associated injury patterns have not been investigated previously. Read More

Arthroscopy 2022 Jun;38(6):1843-1845

Shoulder long head biceps pathology is one of the most common causes of shoulder pain. The fact that there are many surgical techniques available has led to discussion of which should be the best treatment; although, in general terms, the two main options are tenotomy or tenodesis. Tenotomy is a simple technique, with a low rate of complications and a very good cost-benefit ratio, faster recovery, and less use of narcotic pain medications. Read More

Arthroscopy 2022 Jun;38(6):1810-1811

Whether to repair a shoulder SLAP lesion or perform a biceps tenodesis depends on a multitude of factors: patient age, activity or work level, type of SLAP tear, location of SLAP tear, and quality of labral tissue. Determining which procedure to perform does not have such a simple, one-size-fits-all solution. For patients younger than 40 years, repair of type 2 SLAP tears that do not directly affect the biceps anchor (i. Read More

HSS J 2022 May 27;18(2):264-270. Epub 2021 Apr 27.

OrthoCarolina Sports Medicine Center, Charlotte, NC, USA.

Background: Distal biceps repair is a commonly reported procedure in male patients, with reliable outcomes and minimal long-term complications. Information on female patients, however, is limited, and variation in presentation and clinical outcomes is unknown.

Questions/purpose: We sought to report on the presentation, treatment algorithm, and outcomes of a case series of female patients with distal biceps pathology. Read More

EFORT Open Rev 2022 May 31;7(6):404-413. Epub 2022 May 31.

Shoulder and Elbow Unit, Hospital Cuf Descobertas, Lisbon, Portugal.

Massive rotator cuff tears (MRCTs) present a particular challenge due to high rates of retear that can range from 18 to 94%, failure of healing after repair, and potential for irreparability. Management of MRCTs must take into consideration the patient's characteristics, clinical examamination and expectation, number and quality of muscle tendons units involved. Conservative treatment, arthroscopic long head of the biceps tenotomy, cuff debridement, partial repair, and superior capsule reconstruction are viable solutions to treat selected patients. Read More

Eur Cell Mater 2022 05 24;43:228-251. Epub 2022 May 24.

Hannover Medical School, Clinic for Orthopaedic Surgery, Stadtfelddamm 34, 30625 Hannover,

The musculoskeletal system consists of different components comprising a wide range of tissue types, with tendons being one part. Tendon degeneration or rupture have a high prevalence in all age groups, often with poor outcomes of surgical treatment such as chronic pain and high re-tear rates. Therefore, much effort has been directed to further develop diagnostic and therapeutic methods as well as reconstruction techniques, including using adequate placeholders or implants. Read More

J Orthop 2022 Jul-Aug;32:18-24. Epub 2022 May 3.

Wirral University Teaching Hospital NHS Foundation Trust, Arrowe Park Road, Upton, Wirral, CH49 5PE, United Kingdom.

Background: Patients with partial rupture of the distal biceps tendon can present with vague elbow pain and weakness. Understanding of the anatomy and aetiology of this disease is essential to management. Patients can present with a single or multiple traumatic events or with a chronic degenerative history. Read More

JSES Int 2022 May 25;6(3):523-529. Epub 2022 Jan 25.

Center for Musculoskeletal Surgery, Charité - University of Berlin, Berlin, Germany.

Background: The aim of this study was to evaluate the clinical outcome and complication spectrum after delayed repair surgery of distal biceps tendon ruptures, postulating that satisfactory results are possible contrary to previous literature.

Methods: Forty-three of 92 patients with a full workup (= OPT in) undergoing primary distal biceps tendon repair were included in this study. The mean age of participants was 49. Read More

JSES Int 2022 May 14;6(3):530-534. Epub 2022 Feb 14.

AZ Monica, Department of Orthopedic Surgery, Antwerp, Belgium.

Background: Intramedullary fixatiovn in distal biceps tendon repair has been proposed to address specific shortcomings of current fixation techniques. Previous studies described a nonanatomical repair.

Hypothesis: The purpose of the present study is to report the short-term outcomes of an anatomic intramedullary fixation. Read More

JSES Int 2022 May 18;6(3):488-494. Epub 2022 Feb 18.

Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.

Background: This study aimed to investigate the relationship between Hamada Grade and rotator cuff and long head of the biceps (LHB) pathologies in symptomatic patients with rotator cuff tears (RCTs).

Methods: We retrospectively reviewed 376 patients (156 men and 220 women; mean age, 68.4 years) who had undergone surgery for complete RCTs. Read More

Am J Sports Med 2022 Jun 9;50(7):1928-1937. Epub 2022 May 9.

Department of Orthopaedic Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea.

Background: In patients with a known unilateral posterosuperior rotator cuff tear (PSRCT), the ability to predict a contralateral PSRCT may assist in earlier diagnosis and improved patient outcomes.

Purpose: To determine factors associated with bilateral PSRCT and their most predictive combinations using a nonhospitalized general population.

Study Design: Cross-sectional study; Level of evidence, 3. Read More

Acta Orthop Belg 2022 Mar;88(1):160-167

Distal biceps tendon ruptures are a rare pathology, but can have significant functional repercussions. Rapid, accurate diagnosis and treatment are essential for a favorable prognosis. During the diagnostic process of distal biceps tendon ruptures, several problems can emerge. Read More

Am J Sports Med 2022 05;50(6):1486-1494

Department of Sports Medicine, Midwest Orthopaedics at Rush, Chicago, Illinois, USA.

Background: We have previously reported the 1-year outcomes of arthroscopic suprapectoral biceps tenodesis (ASPBT) versus open subpectoral biceps tenodesis (OSPBT) for the management of long head of the biceps tendon (LHBT) pathology. While patients had similar 1-year biceps muscle strength and pain, longer-term functional outcomes are unknown.

Purpose: To directly compare clinical outcomes of ASPBT versus OSPBT with interference screw fixation, distal to the bony bicipital groove, at a minimum of 2 years' follow-up. Read More

BMC Musculoskelet Disord 2022 Apr 27;23(1):393. Epub 2022 Apr 27.

Orthopaedics Department, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, NO.1 DaHua Road, Dong Dan, Beijing, 100730, PR China.

Background: There are still some challenges in diagnosing subscapularis (SSC) tendon tears as accurately as posterosuperior rotator cuff tears on MRI. The omission of SSC tendon tear can lead to muscle atrophy, fatty infiltration, and increased tearing accompanied by aggravated shoulder pain and loss of function. An effective non-invasive evaluation tool will be beneficial to early identification and intervention. Read More

Lancet 2022 05 21;399(10339):1954-1963. Epub 2022 Apr 21.

University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Background: New surgical procedures can expose patients to harm and should be carefully evaluated before widespread use. The InSpace balloon (Stryker, USA) is an innovative surgical device used to treat people with rotator cuff tears that cannot be repaired. We aimed to determine the effectiveness of the InSpace balloon for people with irreparable rotator cuff tears. Read More

Acta Ortop Mex 2021 Sep-Oct;35(5):405-410

Hospital Alemán, Buenos Aires, Argentina.

Introduction: Distal biceps tear can lead to loss in flexion and supination strength. Early repair in active patients is recommended. Postoperative rehabilitation varies according to surgeon experience and surgical technique used. Read More

Ann Med 2022 12;54(1):978-988

FinnOrthopaedics/Hospital Mehiläinen NEO, Turku, Finland.

Hamstring injuries are among the most common muscle injuries. They have been reported in many different sports, such as running, soccer, track and field, rugby, and waterskiing. However, they are also present among the general population. Read More

J Hand Surg Glob Online 2022 Jan 1;4(1):3-7. Epub 2021 Dec 1.

Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger Musculoskeletal Institute, Danville, PA.

Purpose: Our purpose was to analyze the content and quality of YouTube videos related to distal biceps tendon (DBT) ruptures and repair. We aimed to compare differences between academic and nonacademic video sources.

Methods: The most popular YouTube videos related to DBT injuries were compiled and analyzed according to source. Read More

J Hand Surg Glob Online 2022 Jan 28;4(1):14-18. Epub 2021 Oct 28.

Stony Brook University Hospital, NY.

Purpose: To evaluate the possibility of posterior interosseous nerve (PIN) injury during cortical button deployment and seating associated with bicortical drilling and passage of the cortical button across the distal cortex when repairing a distal biceps rupture in a cadaveric model.

Methods: Each cadaver was placed in the supine position with the arm extended. A single 4 cm transverse incision was made in the region of the radial tuberosity, 3-4 cm distal to the antecubital fossa flexion crease, and dissected down to the radial tuberosity. Read More

J Hand Surg Glob Online 2021 Sep 8;3(5):266-271. Epub 2021 Jul 8.

Indiana Hand to Shoulder Center, Indianapolis, IN.

Purpose: Many approaches have been described to accomplish tendon reattachment to the radial tuberosity in a distal biceps tendon rupture, with significant success, but each is associated with potential postoperative complications, including posterior interosseous nerve (PIN) injury. To date, there has been no consensus on the best approach to the repair. The purpose of this study was to evaluate the supination strength and the distance of drill exit points from the PIN in a power-optimizing distal biceps repair method and compare the findings with those of a traditional anterior approach endobutton repair method. Read More

Int Orthop 2022 Jul 11;46(7):1673-1674. Epub 2022 Apr 11.

Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, No. 37 Guo Xue Rd, Chengdu, 610041, China.

J Orthop Surg Res 2022 Apr 10;17(1):220. Epub 2022 Apr 10.

Department of Joint and Sports Medicine, East Hospital, Tongji University School of Medicine, 150 Jimo Road, Pudong New Area, Shanghai City, 200120, People's Republic of China.

Objective: To explore the clinical effect of arthroscopic long head of biceps transfer and tenodesis for on irreparable rotator cuff tear.

Methods: A total of 18 patients with irreparable rotator cuff tear who were treated in the Dongfang Hospital Affiliated to Tongji University School of Medicine from April 2018 to March 2020 were included in this study. They all underwent arthroscopic long head of biceps transfer and tenodesis. Read More

J Orthop Surg Res 2022 Apr 7;17(1):206. Epub 2022 Apr 7.

Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.

Background: Discriminating traumatic rotator cuff tears (RCTs) from degenerative RCTs is sometimes difficult in elderly patients because the prevalence of asymptomatic RCTs increases with age. Little intraoperative information is available on the characteristics of traumatic and degenerative RCTs in elderly patients. The purpose of this study was to compare the arthroscopic findings and histological changes of the coracoacromial ligament (CAL) between traumatic and degenerative RCTs in elderly patients. Read More

Am J Sports Med 2022 05 6;50(6):1534-1540. Epub 2022 Apr 6.

Rothman Orthopaedic Institute, New York, New York, USA.

Background: Biceps tendon pathology is common in patients with rotator cuff tears. Leaving biceps pathology untreated in rotator cuff repairs (RCRs) may lead to suboptimal outcomes.

Purpose/hypothesis: The purpose was to compare clinical outcomes between patients who underwent isolated RCR versus patients who underwent RCR with concomitant biceps treatment. Read More

Trauma Case Rep 2022 Jun 21;39:100636. Epub 2022 Mar 21.

Department of Orthopaedic Surgery, University Hospital of Heraklion, Voutes, Heraklion, Crete, Greece.

Ruptures of the distal attachment of the biceps brachii are rare injuries that typically occur in the dominant arm of men between the third and fourth decade of life. Surgical repair is indicated in active patients. Complications of surgical repair include neurovascular injury, heterotopic ossification, wound infection, elbow stiffness and re-rupture. Read More