Distal Biceps Repairs in Females: A Large Single-Center Case Series.
biceps rupture
distal biceps
female
tendon rupture
Journal
HSS journal : the musculoskeletal journal of Hospital for Special Surgery
ISSN: 1556-3316
Titre abrégé: HSS J
Pays: United States
ID NLM: 101273938
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
27
11
2020
accepted:
12
02
2021
entrez:
1
6
2022
pubmed:
2
6
2022
medline:
2
6
2022
Statut:
ppublish
Résumé
Distal biceps repair is a commonly reported procedure in male patients, with reliable outcomes and minimal long-term complications. Information on female patients, however, is limited, and variation in presentation and clinical outcomes is unknown. We sought to report on the presentation, treatment algorithm, and outcomes of a case series of female patients with distal biceps pathology. A retrospective evaluation was performed from a large, single specialty orthopedic group from 2005 to 2017. Inclusion criteria were surgical treatment of the distal biceps in female patients, with minimum 3 months of follow-up. The primary outcome variable was the Mayo Elbow Performance Score (MEPS). Of 26 patients who met inclusion criteria, 18 (70%) were available for follow-up with patient-reported outcomes. Median age at time of injury was 56.1 years; 46.2% of patients presented with a complete tear of the distal biceps, and the remaining 53.8% presented with a partial tear that failed nonoperative treatment. Six patients had lateral antebrachial cutaneous neuritis in early follow-up, which ultimately resolved. Median MEPS score was 100 (interquartile range: 20). This study represents the largest case series to date describing the presentation, treatment, and outcomes of female patients with distal biceps repair. Women tend to be older than men, have more insidious onset of pain, present with partial tearing, and may benefit from nonoperative treatment. Ultimately, based on this case series we believe distal biceps repair in female patients is a successful operation with minimal complications and high patient satisfaction.
Sections du résumé
Background
UNASSIGNED
Distal biceps repair is a commonly reported procedure in male patients, with reliable outcomes and minimal long-term complications. Information on female patients, however, is limited, and variation in presentation and clinical outcomes is unknown.
Questions/Purpose
UNASSIGNED
We sought to report on the presentation, treatment algorithm, and outcomes of a case series of female patients with distal biceps pathology.
Methods
UNASSIGNED
A retrospective evaluation was performed from a large, single specialty orthopedic group from 2005 to 2017. Inclusion criteria were surgical treatment of the distal biceps in female patients, with minimum 3 months of follow-up. The primary outcome variable was the Mayo Elbow Performance Score (MEPS).
Results
UNASSIGNED
Of 26 patients who met inclusion criteria, 18 (70%) were available for follow-up with patient-reported outcomes. Median age at time of injury was 56.1 years; 46.2% of patients presented with a complete tear of the distal biceps, and the remaining 53.8% presented with a partial tear that failed nonoperative treatment. Six patients had lateral antebrachial cutaneous neuritis in early follow-up, which ultimately resolved. Median MEPS score was 100 (interquartile range: 20).
Conclusion
UNASSIGNED
This study represents the largest case series to date describing the presentation, treatment, and outcomes of female patients with distal biceps repair. Women tend to be older than men, have more insidious onset of pain, present with partial tearing, and may benefit from nonoperative treatment. Ultimately, based on this case series we believe distal biceps repair in female patients is a successful operation with minimal complications and high patient satisfaction.
Identifiants
pubmed: 35645642
doi: 10.1177/15563316211009855
pii: 10.1177_15563316211009855
pmc: PMC9096998
doi:
Types de publication
Journal Article
Langues
eng
Pagination
264-270Informations de copyright
© The Author(s) 2021.
Déclaration de conflit d'intérêts
Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: R. Glenn Gaston, MD, reports relationships with NFL Physicians Society, American Association for Hand Surgery, American Society for Surgery of the Hand, Zimmer Biomet, BME, DePuy Synthes, Endo Pharmaceutical, Hanger Clinic, Integra, and Journal of Hand Surgery. Bryan M. Saltzman, MD, reports relationships with Nova Science Publishers. Nady Hamid, MD, reports relationships with Zimmer Biomet. Patrick M. Connor, MD, reports relationships with NFL Physicians Society, Zimmer Biomet, Lima, Inc., OrthoCarolina Research Institute (OCRI). The other authors declare no potential conflicts of interest.
Références
J Shoulder Elbow Surg. 2008 Sep-Oct;17(5):e1-3
pubmed: 18282723
J Shoulder Elbow Surg. 2015 Jun;24(6):928-33
pubmed: 25861852
Curr Stem Cell Res Ther. 2019;14(1):34-42
pubmed: 30332976
J Hand Surg Am. 2016 Jul;41(7):e175-89
pubmed: 27212410
Clin Sports Med. 2003 Oct;22(4):675-92
pubmed: 14560540
Am J Sports Med. 2015 Aug;43(8):2012-7
pubmed: 26063401
J Shoulder Elbow Surg. 2014 Oct;23(10):1532-6
pubmed: 25220201
J Shoulder Elbow Surg. 2016 Aug;25(8):1229-34
pubmed: 27107731
J Shoulder Elbow Surg. 2014 Jun;23(6):850-4
pubmed: 24774620
J Hand Surg Am. 2010 Jul;35(7):1111-4
pubmed: 20610056
Am J Sports Med. 2015 May;43(5):1072-6
pubmed: 25700163
J Shoulder Elbow Surg. 2018 Apr;27(4):720-725
pubmed: 29396100
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
J Am Acad Orthop Surg. 2010 Mar;18(3):139-48
pubmed: 20190104
J Shoulder Elbow Surg. 2003 Sep-Oct;12(5):456-61
pubmed: 14564267
Aging Cell. 2019 Jun;18(3):e12934
pubmed: 30938056
Arch Orthop Trauma Surg. 2013 Oct;133(10):1361-6
pubmed: 23880841
JBJS Essent Surg Tech. 2012 Nov 28;2(4):e22
pubmed: 31321142
J Hand Surg Am. 2012 Oct;37(10):2112-7
pubmed: 22938802
J Shoulder Elbow Surg. 2016 Apr;25(4):676-80
pubmed: 26853757
Am J Sports Med. 2017 Nov;45(13):3020-3029
pubmed: 28837369
J Shoulder Elbow Surg. 2001 Jul-Aug;10(4):377-9
pubmed: 11517369
Clin Orthop Relat Res. 2002 Nov;(404):275-83
pubmed: 12439270
J Shoulder Elbow Surg. 1995 May-Jun;4(3):149-56
pubmed: 7552670
J Bone Joint Surg Am. 2000 Nov;82(11):1575-81
pubmed: 11097447
J Shoulder Elbow Surg. 2002 Sep-Oct;11(5):516-8
pubmed: 12378174
J Am Acad Orthop Surg. 1999 May-Jun;7(3):199-207
pubmed: 10346828
Connect Tissue Res. 2020 Jan;61(1):48-62
pubmed: 31411079
J Shoulder Elbow Surg. 2010 Jul;19(5):645-50
pubmed: 20400339
J Shoulder Elbow Surg. 2018 Oct;27(10):1898-1906
pubmed: 30139681
J Hand Surg Am. 2006 May-Jun;31(5):798-800
pubmed: 16713845