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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(05): 656-663
DOI: 10.1055/s-0041-1729566
Artigo de Atualização
Ombro e Cotovelo

Clinical Evaluation of the Reconstruction of the Biceps Brachii using Triceps Graft[*]

Article in several languages: português | English
Thiago Medeiros Storti 
1   Instituto de Pesquisa e Ensino, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
,
Rafael Gomes Dias 
2   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Gabriel Cesar Dias Dantas 
3   Centro Universitário de Brasília, Brasília, DF, Brasil
,
Rafael Salomon Silva Faria 
2   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
João Eduardo Simionatto 
2   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Alexandre Firmino Paniago 
2   Instituto do Ombro de Brasília, Brasília, DF, Brasil
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Abstract

Objective Clinical and functional evaluation of the surgical treatment for chronic injury of the distal biceps brachii applying a surgical technique with grafting of the distal triceps brachii tendon.

Methods A study based on a review of the medical records and clinical evaluation of the patients submitted to surgical treatment for chronic injury to the distal insertion of the biceps brachii between February 2015 and February 2017. In a 12-month-minimum postoperative follow-up, 7 patients were evaluated regarding the range of motion of the operated and non-operated elbows, flexion, upper-limb extension and supination with a digital dynamometer, the hook test, the satisfaction index, and the Disabilities of the Arm, Shoulder and Hand (DASH) and Mayo Elbow Performance Score (MEPS) intruments.

Results During the postoperative functional evaluation, no patient reported dissatisfaction with the esthetic outcome of the incisions, and all of them were satisfied/very satisfied with the range of motion and strength of the operated limb. No neurovascular complications, surgical site infection or tendon rupture were observed. On the MEPS and DASH scales, all patients scored 100 and 0 respectively. The mean flexion was of 133.5° on the operated side, versus 139.2° on the non-operated side. The mean extension was of 5° on the operated side versus 0° on the non-operated side. The supination was of 86.5° versus 90°, and the pronation, 80° versus 80°, when comparing the operated and non-operated sides respectively. The mean flexion, extension and supination corresponded respectively to 92.5%, 96.4% and 86.8% of those of the non-operated limb.

Conclusion Recosntruction of the distal biceps brachii with triceps grafting seems to be an effective and safe option for the treatment of chronic distal biceps injuries.

Keywords

autografting - elbow - orthopedic procedures - tendon injuries - upper extremity

* Work performed at Hospital Ortopédico e Medicina Especializada (HOME), Brasília, DF, Brazil.




Publication History

Received: 12 February 2020

Accepted: 28 October 2020

Article published online:
13 August 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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