Description
This presentation by Neil Jain focuses on distal biceps tendon ruptures, discussing key topics such as the mechanism of injury, historical treatment approaches in the UK, and modern treatment options. Neil introduces himself as a speaker from Manchester, UK, and expresses gratitude to attendees for their participation, emphasizing the importance of joining the BOSTAA organization for further educational opportunities.
He details the injury mechanism, explaining that distal biceps tendon ruptures often occur due to eccentric contractions during activities such as weightlifting or accidents where individuals brace themselves during falls. The vulnerability of the tendon is highlighted, noting the concept of a vascular watershed area that may predispose it to injury. Additionally, he addresses risk factors including a higher prevalence among males, associations with steroid use, and the impact of smoking on tendon health.
Neil emphasizes the aesthetics, functionality, and strength loss associated with untreated ruptures, citing significant reductions in supination and flexion strength. He contrasts the more aggressive surgical approaches seen in North America with a historically conservative view in the UK, acknowledging a shift towards surgical intervention as the population becomes more active.
He outlines various surgical techniques, such as the tension slide method, emphasizing the importance of early intervention and the association with better outcomes and fewer complications. The presentation also touches on non-operative treatment options, particularly for older patients or those with lower functional demands, before exploring approaches for chronic tears, including the utilization of allografts.
Overall, Neil's talk underscores the increasing awareness and prevalence of distal biceps tendon injuries, the benefits of surgical repair, and the evolving landscape of treatment as more healthcare professionals gain experience with these cases.