Distal Biceps Injuries

Description

The video transcript discusses distal biceps injuries and their surgical management. It outlines the key indications for surgery, which focus on restoring arm function, especially supination strength, and addressing pain or cramping that might persist with conservative treatment. Cosmetically, the appearance of retracted biceps muscles is considered, emphasizing the potential impact of injury if left untreated.



Surgical risks are highlighted, particularly the risk of damaging the lateral antebrachial cutaneous nerve, which is crucial for sensation in the forearm and is often near the surgical site. Anatomical details regarding the biceps tendon, including the insertion points of the short and long heads, are discussed, noting variations such as bifid tendons. The transcript explains common injury patterns, typically involving partial tears starting distally and moving proximally due to mechanical stress.



Various surgical techniques for repairing the tendon, including single and two incision approaches, are evaluated, along with their respective advantages and risks, such as heterotopic ossification and potential nerve injuries leading to complications like wrist drop. The overall message is a comprehensive overview of the considerations in surgical intervention for distal biceps injuries.

DOI: 10.1302/3114-251124

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