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World J Clin Cases. Aug 16, 2014; 2(8): 357-361
Published online Aug 16, 2014. doi: 10.12998/wjcc.v2.i8.357
Published online Aug 16, 2014. doi: 10.12998/wjcc.v2.i8.357
Distal biceps tendon rupture reconstruction using muscle-splitting double-incision approach
Luigi Tarallo, Raffaele Mugnai, Francesco Zambianchi, Fabio Catani, Orthopaedics and Traumatology Department, Modena Policlinic, University of Modena and Reggio Emilia, 41124 Modena, Italy
Roberto Adani, Department of Hand Surgery and Microsurgery, University Hospital of Verona, 37134 Verona, Italy
Author contributions: Tarallo L and Adani R designed the research; Tarallo L, Adani R and Catani F performed the research; Mugnai R collected the data; Mugnai R and Zambianchi F wrote the paper.
Correspondence to: Raffaele Mugnai, MD, Orthopaedics and Traumatology Department, Modena Policlinic, University of Modena and Reggio Emilia, Modena, Via del Pozzo 71, 41124 Modena, Italy. raffaele.mugnai@gmail.com
Telephone: +39-59-4224916 Fax: +39-59-4224313
Received: April 5, 2014
Revised: June 21, 2014
Accepted: July 17, 2014
Published online: August 16, 2014
Revised: June 21, 2014
Accepted: July 17, 2014
Published online: August 16, 2014
Core Tip
Core tip: Both single and double-incision approaches have been successfully used for distal biceps tendon lesions. At present there is no solid scientific evidence to support preference of one technique over the other. However, recently, it has been demonstrated that the 2-incision technique recreates more closely footprint position compared with that of the 1-incision approach. In the present research the Morrey’s modified double-incision repair provided excellent outcome (including functional outcome, satisfaction, elbow and forearm motion, and grip strength) with few post-operative complications, mainly represented by heterotopic ossification and posterior interosseous nerve injuries.