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Article Synopsis
- * Definitions of "failure" after LHBT tenodesis can vary, with signs like postoperative cramping and the Popeye sign indicating different issues, including possible tendon migration or mechanical failure.
- * Recent studies highlight that excessive migration of the tenodesed tendon can lead to complications like cramping or weakness, emphasizing the need to consider both ultimate load failure and cyclic loading effects in biomechanical evaluations of surgical fixation methods.
Raised body mass index and reduced muscle bulk reduces the incidence of Popeye's deformity post tenotomy of long head of biceps brachii.
J ISAKOS
October 2024
Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia Building Level 4, 169856, Singapore.
Article Synopsis
- The study investigates factors leading to the development of Popeye's deformity, a common complication (13%-70% incidence) after long head of the biceps tendon (LHBT) tenotomy, to improve patient selection for surgery.
- 91 patients undergoing rotator cuff repairs and LHBT tenotomy were analyzed based on demographics, physical attributes, and postoperative satisfaction through various pain and shoulder function scores at 6 and 24 months post-operation.
- Results showed a 58.9% incidence of Popeye's sign, with lower body mass index (BMI) and higher biceps to wrist circumference ratios linked to deformity, but it did not impact overall clinical outcomes or patient satisfaction after 24 months.
Physical Examination as a Clue to Transthyretin Cardiac Amyloidosis: A Case Report.
Cureus
August 2023
Cardiology, Matsushita Memorial Hospital, Moriguchi, JPN.
Transthyretin (ATTR) cardiac amyloidosis has recently received increased attention; however, the diagnosis is often delayed. We present a case of ATTR cardiac amyloidosis in which a comprehensive history-taking and focused physical examination played an important role in establishing the diagnosis. A 75-year-old man was referred to the cardiology department for left ventricular hypertrophy on electrocardiography.
View Article and Find Full Text PDFPopeye Sign in Hereditary Transthyretin Amyloidosis.
JAMA Neurol
September 2023
Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Key Clinical Message: Sudden onset bulging of the upper arm may indicate biceps tendon rupture.
Abstract: We describe a 72-year-old man with Popeye's sign. The patient experienced a sudden shock in his right humerus while mowing grass with his right arm using wide sweeps of a scythe.
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