APEX Elbow Mastering Surgical Techniques for Clinical Success-Acute Distal Biceps Ruptures

Acute Distal Biceps Ruptures - Dual Incisions or Posterior Approach

Video Transcription

Video Summary

The video discusses distal biceps tears and repairs, focusing on improving terminal supination strength during biceps tendon repair. Factors affecting strength include tendon reattachment site, tendon rotation, and repair technique. An anatomic repair at the native insertion site is crucial for regaining strength. The video emphasizes the importance of preserving the radial protuberance for enhanced supination torque with an onlay repair and an external tendon rotation. Surgical approaches, such as anterior and posterior, are also compared, with a posterior approach being preferred for easier access to the footprint. The video highlights the significance of protecting nerves during surgery and mentions the potential use of endomethacin to prevent heterotopic bone formation. The key message is to achieve an anatomic repair to restore strength and function effectively.

Asset Caption

Christopher C Schmidt, MD

Keywords

distal biceps tear

terminal supination strength

tendon reattachment

anatomic repair

surgical approaches

heterotopic bone formation