Volume 15 | Issue 3 | July-September 2020 | Page 20-23 | Anurag H. Daxini, Vijay M. Panchanadikar
Authers: Anurag H. Daxini [1], Vijay M. Panchanadikar [1]
[1] Department of Orthopaedics, Deenanath Mangeshkar Hospital and Research Centre, Pune, India
Address of Correspondence
Dr. Vijay Panchanadikar,
Department of Orthopaedics, Deenanath Mangeshkar Hospital, Pune, India
E-mail: vmpsanjeevan@gmail.com
Abstract
Distal biceps tendon rupture is a rare condition occurring in young adults due to eccentric extension load applied to a flexed elbow. Patients usually present with pain, history of popping sound and bulge in affected arm. The diagnosis can be made with simple clinical tests and confirmed by ultrasonography (USG) or magnetic resonance imaging (MRI) The condition is a challenging entity to an orthopaedic surgeon due to proximity of neurovascular bundle. Different surgeons prefer different techniques each having its own merits and demerits. Results of reattachment of the distal biceps have been shown to be superior to conservative treatment. Our experience with a male adult is presented who came with clinical signs and symptoms of distal biceps tendon rupture. USG and MRI confirmed our diagnosis. Double incision technique was used and the retracted end of the tendon brought down and braided with heavy non absorbable suture. The tendon was then pulled through the posterolateral incision and buried in a trap door made over the radial tuberosity. Over subsequent follow up good range of elbow motion and pronation-supination was achieved without any complication. With early diagnosis and surgical intervention, an excellent functional outcome can be expected.
Keywords: distal biceps rupture, double incision..
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| How to Cite this article: Daxini AH, Panchanadikar VM. Surgical Management of Acute Distal Biceps Rupture- A Case Report. Journal of Trauma and Orthopaedic Surgery July-September 2020;15(3): 24-26. |