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Tendons

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Surgical Atlas of Sports Orthopaedics and Sports Traumatology

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Abstract

Symptomatic rupture of the distal biceps tendon with weakness of the flexion and supination of the elbow joint.

Open reattachment of the distal biceps tendon to the radial tuberosity using suture anchors or extramedullary placed buttons.

  • Symptom-specific history: mechanism of injury (sudden maximal eccentric loading of the flexed elbow) symptoms (weakness of flexion and supination of the elbow), previous complaints/operations

  • Symptom specific examination: proximal migration of the biceps muscle belly, hematoma in the elbow crease, weakness of flexion and supination in side comparison, positive Hook test.

  • X-rays of the elbow in two views (a.-p. and lateral) to exclude bony lesions.

  • MRI to assess the extent of tendon lesion (complete vs. partial), level of the lesion, tendon quality, retraction of the tendon stump.

Specific operative risks: heterotopic ossification/radioulnar synostosis, nerve injury (radial, median and musculocutaneous nerves), persistent weakness, loosening, breakage or dislocation of the fixation systems, re-rupture of the tendon.

  • Supine position

  • The arm to be operated is positioned on a side table with the elbow extended and the forearm supinated.

  • A tourniquet is applied to the upper arm (280 mmHg)

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References:

Reference for section 10.1

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Sports Medicine, Hospital Rechts der Isar, Technische Universität München, Ismaninger Street 22, 81675, Munich, Germany

    Stephan Vogt Priv. Dozent Dr. med. & Andreas Lenich Dr. med. Priv.-Doz.

  2. Department of Hand, Trauma and Reconstructive surgery, Augsburg hospital, Stenglin street 2, 86156 , Augsburg, Germany

    Johannes E. Plath Dr. med.

Authors
  1. Johannes E. Plath Dr. med.
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  2. Stephan Vogt Priv. Dozent Dr. med.
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  3. Andreas Lenich Dr. med. Priv.-Doz.
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Editor information

Editors and Affiliations

  1. Dept. of Orthopaedic Sports Medicine, Hospital Rechts der Isar, Munich, Germany

    Andreas B. Imhoff

  2. Dept. of Orthopaedic Sports Medicine, Hospital Rechts der Isar, München, Germany

    Matthias J. Feucht

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© 2015 Springer-Verlag Berlin Heidelberg

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Plath, J.E., Vogt, S., Lenich, A. (2015). Tendons. In: Imhoff, A., Feucht, M. (eds) Surgical Atlas of Sports Orthopaedics and Sports Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43776-6_10

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  • DOI: https://doi.org/10.1007/978-3-662-43776-6_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43775-9

  • Online ISBN: 978-3-662-43776-6

  • eBook Packages: MedicineMedicine (R0)

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