Abstract
Surgical Principles
The ruptured end of the tendon is bisected. An oval bone trough is made through the proximal radius and one of the tendon halves is pulled through it from the ulnar side. The other half is looped around the radius and the ends are then sutured together. Thus an anatomical reinsertion of the distal tendon of the biceps brachii muscle is achieved.
The transosseous fixation of the distal biceps tendon was described in 1927 by Bunnel [1] and 1931 by Platt [5]. Modifications were established in 1928 by Kerschner [3], in 1938 by Thomsen [6], and in 1962 by Lange [4]. These techniques also attempt to reinsert the tendon anatomically.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bunnell, S.: Surgery of tendons. Practice of surgery. Levis, Aggerstown 1927.
Hegelmaier, C., W. Schramm, P. Lange: Die distale Bicepssehnenruptur. Therapie und versicherungsrechtliche Beurteilung. Unfallchirurg 95 (1992), 9–16.
Kerschner, F.: Abriß der Bicepssehne von der Tuberositas radii. Zbl. Chir. 55 (1928), 1989–1992.
Lange, M.: Orthopädisch chirurgische Operationslehre, 2nd ed. J. F. Bergmann, München 1962, p. 323–324.
Platt, H.: Observations on some tendon ruptures. Brit. med. J. 41 (1931), 611–615.
Thomsen, W.: Operative Versorgung des Bicepssehnenabrisses an der Tuberositas radii. Zbl. Chir. 65 (1938), 2234–2239.
Wilhelm, K.: Der subcutane distale Bicepssehnenabriß. Arch. Orthop. Traumatol. Surg. 91 (1978), 223–227.
Author information
Authors and Affiliations
Additional information
Revised Version from: Operat. Orthop. Traumatol. 4 (1992), 185–193 (German Edition).
Rights and permissions
About this article
Cite this article
Hegelmaier, C., Schramm, W. A looping operation to restore the distally ruptured tendon of the bicipital muscle. Orthop. Traumatol. 3, 29–36 (1994). https://doi.org/10.1007/BF02620389
Issue Date:
DOI: https://doi.org/10.1007/BF02620389