Lesões agudas do tendão distal do bíceps: Diagnóstico e tratamento

Luiz Henrique Boraschi Vieira Ribas; Breno Schor; Geraldo da Rocha Motta Filho; Paulo Santoro Belangero

doi:10.1055/s-0043-1771488

Revista Brasileira de Ortopedia, Table of Contents

CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(05): e689-e697
DOI: 10.1055/s-0043-1771488

Artigo de Atualização

Ombro e Cotovelo

Acute Distal Biceps Tendon Injury: Diagnosis and Treatment

Article in several languages: português | English

Authors

Luiz Henrique Boraschi Vieira Ribas

¹Aluno do Programa de Pós-Graduação do Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil

²Médico ortopedista, especialista em Ombro e Cotovelo, Instituto Vita, São Paulo, SP, Brasil
Breno Schor

²Médico ortopedista, especialista em Ombro e Cotovelo, Instituto Vita, São Paulo, SP, Brasil
Geraldo da Rocha Motta Filho

³Médico ortopedista, especialista em Ombro e Cotovelo, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil
Paulo Santoro Belangero

⁴Cirurgião ortopçdico, Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil

Abstract

Acute distal biceps injuries clinically present with sudden pain and acute loss of flexion and supination strength. The main injury mechanism occurs during the eccentric load of the biceps. The hook test is the most significant examination test, presenting the highest sensibility and specificity for this lesion. Magnetic resonance imaging, the gold standard imaging test, can provide information regarding integrity and identify partial and/or complete tears. The surgical treatment uses an anterior or double approach and several reattachment techniques. Although there is no clinical evidence to recommend one fixation method over the other, biomechanical studies show that the cortical button resists better to failure. Although surgical treatment led to an 89% rate of return to work in 14 weeks, the recovery of high sports performance occurred in 1 year, with unsustainable outcomes.

Keywords

elbow joint/injuries - muscle, sketal - rupture - tendon injuries

Full Text

References

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