Advertisement

The intramedullary Endobutton® technique: the outcome of repair of acute distal biceps rupture

  • James E. Arbuthnot
  • Victoria M. Deans
  • David Morgan
  • James Colville
  • Roger Sloan
  • David M. Selvey
Original Article

Abstract

In this paper, we seek to present the outcome of repair of acute distal biceps tendon rupture using the intramedullary Endobutton® technique. We retrospectively assessed all patients undergoing repair of a distal biceps tendon rupture using a new technique with a single incision volar approach and repair with an Endobutton inserted into the intramedullary canal. Seven patients were included in the study. Patients were assessed clinically and also with dynamometry. All of the patients were male and had a mean age 49. On dynamometry assessment: the mean difference in power between arms on flexion/extension post-operatively was a reduction of 3% in the affected arm and the mean difference in work over a 60-s period was unchanged. There was no significant difference in post-op range of motion in the operated arm when compared to the unaffected side. No complications were identified. The results obtained in this study demonstrate a good short-term functional outcome with this technique.

Keywords

Distal biceps tendon Rupture Endobutton Repair 

Notes

Conflict of interest statement

The authors received financial assistance totaling less than £1,000 for carrying out of this study from a commercial party (Smith and Nephew).

References

  1. 1.
    Baker BE, Bierwagen D (1985) Rupture of the distal tendon of the biceps brachii: operative versus non-operative treatment. J Bone Joint Surg 67A:414–417Google Scholar
  2. 2.
    Bain GI, Prem H, Heptinstall RJ, Verhellen R, Paix D (2000) Repair of distal biceps tendon rupture: a new technique using the Endobutton. J Shoulder Elbow Surg 9(2):120–126PubMedCrossRefGoogle Scholar
  3. 3.
    Davison BL, Engber WD, Tigert LJ (1996) Long term evaluation of repaired distal biceps brachii tendon ruptures. Clin Orthop Relat Res Dec, (333), 186–191Google Scholar
  4. 4.
    Lynch SA, Beard DA, Renstrom PA (1999) Repair of distal biceps tendon rupture with suture anchors. Knee Surg Sports Traumatol Arthroscop 7(2):125–131CrossRefGoogle Scholar
  5. 5.
    Catonne Y, Delattre O, Pascal-Mousselard H, d’Istria FC, Busson J, Rouvillain JL (1995) Rupture of the distal tendon of the biceps brachialis: apropos of 43 cases. Rev Chir Orthop Reparatrice Appar Mot 81(2):163–172PubMedGoogle Scholar
  6. 6.
    Kelly EW, Morrey BF, O’Driscoll SW (2000) Complications of repair of the distal biceps tendon with the modified two-incision technique. J Bone Joint Surg Am 82-A(11):1575–1581PubMedGoogle Scholar
  7. 7.
    Moosmayer S, Odinsson A, Holm I (2000) Distal biceps tendon rupture operated on with the Boyd-Anderson technique: follow-up of 9 patients with isokinetic examination after 1 year. Acta Orthop Scand 71(4):399–402PubMedCrossRefGoogle Scholar
  8. 8.
    Lintner S, Fischer T (1996) Repair of the distal biceps tendon using suture anchors and an anterior approach. Clin Orthop Relat Res (322):116–119Google Scholar
  9. 9.
    Strauch RJ, Michelson H, Rosenwasser MP (1997) Repair of rupture of the distal tendon of the biceps brachii. Review of the literature and report of three cases treated with a single anterior incision and suture anchors. Am J Orthop 26(2):151–156PubMedGoogle Scholar
  10. 10.
    Greenberg JA, Fernandez JJ, Wang T, Turner C (2003) EndoButton-assisted repair of distal biceps tendon ruptures. J Shoulder Elbow Surg 12(5): 484–490 (Erratum in J Shoulder Elbow Surg 14(2): 231, 2005)Google Scholar
  11. 11.
    Sharma S, Mackay G (2005) Endoscopic repair of distal biceps tendon using an EndoButton. Arthroscopy 21(7):897PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • James E. Arbuthnot
    • 1
    • 2
  • Victoria M. Deans
    • 2
  • David Morgan
    • 2
  • James Colville
    • 4
  • Roger Sloan
    • 2
  • David M. Selvey
    • 3
  1. 1.SolihullUK
  2. 2.Department of Trauma and OrthopaedicsUniversity Hospitals Coventry and Warwickshire NHS TrustCoventryUK
  3. 3.Department of Trauma and OrthopaedicsAlexandra HospitalRedditchUK
  4. 4.Blackrock ClinicDublinIreland

Personalised recommendations