2,108 results match your criteria: "Biceps Rupture"

13-year-old-male with a left open humerus fracture with concomitant intramuscular mid-substance biceps rupture: A case report.

Trauma Case Rep

December 2024

Yale University, Department of Orthopaedics and Rehabilitation, New Haven, CT 06510, United States of America.

A 13-year-old male presented with an open left humeral shaft fracture with intramuscular distal biceps rupture after being struck by a car. He underwent washout, humerus fixation, and open biceps repair. Immediate postoperative course was complicated by deep infection and failure of biceps repair.

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BACKGROUND Amyloidosis is a group of diseases characterized by the pathological deposition of misfolded proteins in various organs, including the heart, leading to structural and functional alterations. The primary types of cardiac amyloidosis are light chain amyloidosis and transthyretin amyloidosis. Early diagnosis is critical for effective management.

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Purpose: Distal biceps tendon (DBT) injuries are relatively uncommon. Controversies exist regarding the best approach, leading to variations in treatment. This study aims to understand the preferences and practices of orthopedic surgeons regarding management of DBT injuries, as well as assess the feasibility of a future pilot randomized controlled trial (RCT) to evaluate the impact of various surgical factors on patient outcomes.

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Article Synopsis
  • - The study aimed to evaluate the fixation strength and performance of three different devices used for securing the proximal biceps to the humerus in sheep, using a total of 27 tests across three groups: metallic anchors, biocomposite knotless devices, and metallic interference screws.
  • - The results indicated no significant difference in fixation strength or tendon displacement among the three techniques, although each device had distinct failure patterns: metallic anchors ruptured at the myotendinous junction, knotless anchors failed at the wire-screw interface, and interference screws slipped at the tendon.
  • - Overall, all three fixation methods demonstrated substantial resistance to tensile loads, suggesting equivalency in performance; further studies on cyclic load resistance could enhance comparisons between these
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US of Acute Tendon Tears.

Radiographics

December 2024

From the Department of Diagnostic Services, Hamilton Health Sciences, Hamilton General Hospital, 237 Barton St E, Hamilton, ON, Canada L8L 2X2 (L.M.B., S.J.A.); Department of Radiology, Radiation Oncology, and Medical Physics, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada (D.V.F.); and Department of Medical Imaging, The Ottawa Hospital, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada (D.V.F.).

Article Synopsis
  • Ultrasound (US) is a valuable tool for assessing acute tendon injuries, enabling quick evaluations and decisions on treatment at the bedside.
  • It surpasses physical exams in sensitivity and specificity, making it critical for accurately identifying conditions like distal triceps tears that show similar symptoms but have different severities.
  • US also helps characterize the injury's location and extent, which guides treatment choices, and can eliminate misdiagnoses by distinguishing between musculoskeletal and nonmusculoskeletal issues like deep venous thrombosis.
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Introduction While several studies have compared tenotomy and tenodesis, few studies have examined whether performing a tenodesis of the long head of the biceps (LHB), when indicated, in patients who have undergone rotator cuff reconstruction has a detrimental impact on clinical and radiological postoperative outcomes. The present study aimed to investigate whether performing a tenodesis of the LHB has a damaging effect on the clinical and radiological outcome after rotator cuff reconstruction. Material and methods Fifty-one patients surgically treated for supraspinatus (SSP) tendon tears were included.

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Pre- and Postoperative Ultrasound Assessment of Biceps Brachial Tendon Tears.

Semin Musculoskelet Radiol

December 2024

Department of Musculoskeletal Imaging, Enosis, Clinique du Sport, Mérignac, France.

Rupture of the distal biceps brachii tendon is a rare but debilitating injury, resulting in significant loss of strength. Diagnosis of complete rupture is based on clinical history and physical tests, with surgical repair often recommended due to functional discomfort. Ultrasound (US) is a powerful tool for diagnosing and classifying ruptures, particularly partial ruptures, which is crucial for therapeutic decisions.

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Distal biceps tendon rupture is a rare injury predominately occurring in middle-aged men. This study aimed to collect relevant risk factors associated with distal biceps tendon rupture from the published literature. This systematic review aimed to collect and tabulate the risk factors for distal biceps tendon rupture.

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Rupture of the anterior cruciate ligament (ACL) is a severe injury common in sports. It also has a high rate of re-injury. The aim of this work was to assess hamstring muscle fatigue in active football players after ACL reconstruction who were cleared to play and to determine symmetry between the lateral and medial hamstring muscles.

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Case: This case report describes the successful treatment of a year-round teenage softball pitcher who sustained a proximal biceps tendon rupture who underwent successful subpectoral tenodesis. To our knowledge, this is the only reported case of such an injury occurring in an underhand throwing teenage athlete.

Conclusion: This case highlights an unusual instance of a sport-related injury in an adolescent softball pitcher, suggesting that the softball pitch in elite athletes may put similar stress on the shoulder to overhead throwing athletes over time and further demonstrating that patients may continue to have success at elite levels of competition after tenodesis.

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Background: Rupture of the long head of the distal bifid biceps tendon is a rare injury, for which surgical anatomical repair should be considered in active patients. The aim of this study was to review our patients who benefited from the EndoButton technique via a single anterior approach, comparing the clinical outcomes with the contralateral uninjured side and assessing their quality of life. Our hypothesis was that an "anatomical" insertion, through an anterior approach, by reinserting the 2 distinct tendons on the radial tuberosity, would restore the supination ability of the forearm more effectively than flexion strength.

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Tissue-engineered Bicipital Autologous Tendon Patch Enhances Massive Rotator Cuff Defect Repair in a Rabbit Infraspinatus Tendon Defect Model.

Clin Orthop Relat Res

December 2024

Dr. Li Dak Sum-Yip Yio Chin Center for Stem Cells and Regenerative Medicine and Department of Orthopedic Surgery of The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China.

Background: Massive rotator cuff defects represent an important source of shoulder pain and functional debilitation, substantially diminishing patients' quality of life. The primary treatment of massive rotator cuff defects includes complete or partial repair and patch augmentation. However, because of the tendon's limited regenerative ability, the tendon retear risk after rotator cuff defect repair is still high.

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Article Synopsis
  • This study analyzed the long-term outcomes of surgical repairs for full-thickness distal biceps tears, focusing on patient demographics and injury characteristics over a median follow-up of 14.7 years.* -
  • The majority of the 66 patients studied were middle-aged men who experienced these injuries due to traumatic movements, and while they reported pain and weakness, most maintained near-normal range of motion and strength post-surgery.* -
  • Despite a 24% complication rate among participants, the results showed that most patients returned to full strength and function, validating the effectiveness of surgical intervention for these injuries.*
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Background: This study aims to compare clinical and functional results after distal biceps tendon repair in manual workers vs. non-manual workers.

Methods: This is a retrospective comparative study which refers to 57 cases with distal biceps tendon rupture, divided in manual workers (24 elbows) and non-manual workers (33), that were treated by a single incision with cortical button and interference screw fixation.

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Article Synopsis
  • The study aims to compare the healing and functionality of patients after one year, focusing on biceps augmentation versus tenotomy during rotator cuff repair (RCR).
  • It involved 77 patients divided into two groups: one receiving RCR with long head of the biceps (LHB) tenotomy and the other receiving RCR with biceps augmentation.
  • Results showed that the augmentation group had a lower re-rupture rate (16% vs. 38.5%) and better overall functionality, indicating that the biceps augmentation leads to improved healing outcomes.
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Article Synopsis
  • The study aimed to evaluate the effectiveness of a modified Chinese technique for shoulder arthroscopy in treating extensive rotator cuff tears in 22 patients aged 46 to 76.
  • Over an average follow-up period of 17 months, patients showed significant improvements in pain and shoulder function according to VAS and UCLA scores, despite four patients experiencing re-tears.
  • Results indicated that the technique led to a reduction in pain and enhanced functionality, proving to be a satisfactory treatment option with minimal complications.
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Article Synopsis
  • Diagnosing proximal hamstring tendinopathy (PHT) can be tough, as patients often have clinical symptoms but normal MRI results.
  • The study tested a new hip flexion (HF) MRI position, which mimics the sitting position that usually triggers pain, to see if it could better reveal PHT pathology compared to the standard scanning position.
  • Results showed that in 71% of cases, the HF position identified more severe injuries and significant differences in tendon diagnoses, suggesting this new position has better diagnostic value for PHT.
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Purpose: The aim of this systematic review is to review the functional, clinical and radiological outcomes of patients undergoing large to massive rotator cuff repair with long head of biceps tendon (LHBT) autograft, as well as compare these to standard arthroscopic cuff repair.

Methods: A review of the online Medline database was conducted on 20 October 2022 according to PRISMA guidelines and registered prospectively on the PROSPERO database. Clinical studies assessing patients with large to massive rotator cuff tears undergoing LHBT autograft repair were included.

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Objective: To retrospectively evaluate clinical outcomes, including function and pain, of patients after our all arthroscopic "whole layer" rotator cuff repair technique with simultaneous biceps tenodesis procedure; factors influencing results were also evaluated. Given the frequent association of rotator cuff tear with long head of biceps lesion and the need for effective combined treatment strategies, this study aims to evaluate the efficacy of our technique and compare it with established methods. We hypothesized that our technique would significantly improve function and reduce pain in patients with rotator cuff tears and biceps pathology.

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Purpose: The purpose of this study is to evaluate the functional outcome and quality of life in distal biceps tendon repair with single incision technique and anchor fixation method.

Methods: A retrospective cohort study was made of patients with complete distal biceps tendon rupture. The chosen repair method was single incision technique with anchor fixation.

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Background: The recent addition of biceps tendon augmentation to partial arthroscopic rotator cuff repair (ARCR) for the treatment of large-to-massive rotator cuff tears is proposed to improve clinical outcomes and reduce re-tears.

Materials And Methods: The purpose of this systematic review and meta-analysis (5 studies) was to compare outcomes between partial ARCR with (142 patients) and without (149 patients) biceps augmentation.

Results: Partial ARCR with and without biceps augmentation were comparable in pain, function, and range of motion.

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Zoledronate alleviates subchondral bone collapse and articular cartilage degeneration in a rat model of rotator cuff tear arthropathy.

Osteoarthritis Cartilage

January 2025

Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan; Department of Medical Joint Materials, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan; Department of Locomotory Organ Regeneration, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan; Department of Bone and Joint Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan. Electronic address:

Objective: To evaluate the humeral head bone volume of patients with cuff tear arthropathy (CTA) and examine the therapeutic effect of zoledronate in a rat modified model of CTA (mCTA).

Design: The bone mass in patients with CTA was measured using Hounsfield units from CT images. The mCTA was induced by transecting the rotator cuff, biceps brachii tendon, and superior half of the joint capsule in adult rat shoulders.

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The Destiny of the Subscapularis Tendon after Arthroscopic Supraspinatus Repair.

Clin Orthop Surg

August 2024

Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Article Synopsis
  • The study aimed to examine how untreated subscapularis muscles change in patients after undergoing supraspinatus repair surgery.
  • A review of 528 patients revealed that 17% experienced changes, such as new or aggravated lesions, which were linked to pre-existing subscapularis issues and other shoulder problems.
  • Despite these changes, clinical scores showed no significant differences between patients with subscapularis changes and those without after surgery.*
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