Combined Button and Screw Technique for Distal Biceps Ruptures

Paul Rizk, Daichi Morikawa, Katherine Coyner

Research output: Contribution to journalArticle

Abstract

Distal biceps tendon ruptures occur almost exclusively in middle aged men, and with the “baby boomer” population reaching that age group, publications discussing this injury increased 130% from 1995-2010. As nonoperative treatment of distal biceps rupture leads to 40% reduction in elbow supination strength, 79% decrease in supination endurance, 30% loss in flexion strength, and 30% decrease in flexion endurance, operative repair is favored for most patients. The most popular and biomechanically sound method of fixation is a combined cortical button or tension-slide technique with tenodesis screw fixation at the native footprint on the bicipital tuberosity. Several studies show this method has a lower incidence of early failure, rerupture, and stronger biomechanical properties in cadaveric studies. The preferred surgical method is detailed with appropriate dissection, preparation of the distal biceps tendon, preparation of the bicipital tuberosity, and tendon fixation and early mobilization with postoperative rehabilitation to ensure proper healing and return to activity.

Original languageEnglish (US)
Pages (from-to)120-125
Number of pages6
JournalOperative Techniques in Sports Medicine
Volume26
Issue number2
DOIs
StatePublished - Jun 1 2018

Fingerprint

Tendons
Supination
Rupture
Tenodesis
Early Ambulation
Elbow
Publications
Dissection
Rehabilitation
Age Groups
Incidence
Wounds and Injuries
Population
Therapeutics

Keywords

  • cortical button
  • distal biceps
  • fixation
  • interference screws

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Combined Button and Screw Technique for Distal Biceps Ruptures. / Rizk, Paul; Morikawa, Daichi; Coyner, Katherine.

In: Operative Techniques in Sports Medicine, Vol. 26, No. 2, 01.06.2018, p. 120-125.

Research output: Contribution to journalArticle

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