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. 2008 Dec;3(4):316-9.
doi: 10.1007/s11552-008-9129-8. Epub 2008 Sep 11.

Is therapy necessary after distal biceps tendon repair?

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Is therapy necessary after distal biceps tendon repair?

Edwin E Spencer Jr et al. Hand (N Y). 2008 Dec.

Abstract

The EndoButton technique of distal biceps tendon repair provides strong biomechanical fixation. This strength of fixation may allow earlier postoperative range of motion (ROM). A retrospective review of 15 male patients undergoing single incision EndoButton repairs was used. Six subjects participated in conventional supervised postoperative rehabilitation while nine subjects were allowed unrestricted ROM after 2 weeks. Final ROM, time to full ROM, and Disabilities of Arm Shoulder and Hand (DASH) scores were compared. There was a significant difference for time to full ROM (p < 0.05). The mean time to full ROM was 8.67 weeks for the supervised therapy group and 4.38 weeks for the unrestricted group. There were no reruptures in either group. There were no significant differences in final ROM or DASH scores. These data suggest that unrestricted ROM results in a quicker return to full ROM without an increased risk of rerupture.

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References

    1. Agins HJ, Chess JL, Hoekstra DV, Teitge RA. Rupture of the distal insertion of the biceps brachii tendon. Clin Orthop Relat Res 1988. (234):34–8. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S1058-2746(00)90040-5', 'is_inner': False, 'url': 'https://doi.org/10.1016/s1058-2746(00)90040-5'}, {'type': 'PubMed', 'value': '10810691', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/10810691/'}]}
    2. Bain GI, Prem H, Heptinstall RJ, Verhellen R, Paix D. Repair of distal biceps tendon rupture: a new technique using the Endobutton. J Shoulder Elbow Surg 2000;9(2):120–6. doi:10.1016/S1058-2746(00)90040-5. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '3972865', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/3972865/'}]}
    2. Baker BE, Bierwagen D. Rupture of the distal tendon of the biceps brachii. Operative versus non-operative treatment. J Bone Jt Surg Am 1985;67(3):414–7. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '15010168', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15010168/'}]}
    2. Balabaud L, Ruiz C, Nonnenmacher J, Seynaeve P, Kehr P, Rapp E. Repair of distal biceps tendon ruptures using a suture anchor and an anterior approach. J Hand Surg Br 2004;29(2):178–82. doi:10.1016/j.jhsb.2003.07.002. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S1058-2746(00)90059-4', 'is_inner': False, 'url': 'https://doi.org/10.1016/s1058-2746(00)90059-4'}, {'type': 'PubMed', 'value': '10888167', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/10888167/'}]}
    2. Bell RH, Wiley WB, Noble JS, Kuczynski DJ. Repair of distal biceps brachii tendon ruptures. J Shoulder Elbow Surg 2000;9(3):223–6. doi:10.1016/S1058-2746(00)90059-4. - PubMed

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