Functional Outcomes and Complications following Distal Biceps Tendon Repair

Description

In this presentation, Hassaan Sheikh, a trainee from Sheffield, introduces the topic of "Functional Outcomes and Complications following a series of Distal Biceps Tendon Repairs." The presentation highlights that distal bicep ruptures are relatively rare but primarily affect the dominant arm, particularly in middle-aged men. Key risk factors for this injury include anabolic steroid use and smoking, which compromise tendon vascularity. Surgical repair is recommended for fit, active individuals, especially those aiming to maintain supination strength.



Hassaan discusses the surgical techniques involved, including single and double incision methods, emphasizing the potential complications like synostosis and stiffness. Two fixation techniques are explored: the suspensory EndoButton and bone anchor fixation, with studies indicating that both methods provide strong pull-out strength exceeding that of the native tendon.



He details the study conducted at their center, which included retrospective analysis of 97 patients, predominantly males, aged around 44. The focus was to evaluate outcomes using the Modified DASH Score, which adjusts for upper limb injuries. The results showed strong functional outcomes with a mean M2DASH score of six.



Conclusions indicate comparable outcomes regardless of incision type or fixation method, although younger patients demonstrated better results. The study found no re-ruptures and noted transient neuropraxias resolving within three months. Overall, the presentation reinforces that single-incision repairs using anchor fixation are reliable and effective without significant long-term complications.

DOI: 10.1302/3114-210727

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