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Disorders of the Proximal and Distal Aspects of the Biceps Muscle

McDonald, LCDR Lucas S. MD, MPH&TM, MC, USN; Dewing, CDR Christopher B. MD, MC, USN; Shupe, LCDR Paul G. MD, MC, USN; Provencher, CDR Matthew T. MD, MC, USN

Journal of Bone & Joint Surgery - American Volume: 3 July 2013 - Volume 95 - Issue 13 - p 1235–1245
doi: 10.2106/JBJS.L.00221
Current Concepts Review
Supplementary Content
Disclosures
Disclosures

Proximal Aspect of Biceps:  ➤ Tenodesis of the long head of the biceps may offer improved cosmesis, improved strength, and diminished activity-related pain compared with tenotomy, although comparative studies have shown similar outcomes in some patient populations.

Distal Aspect of Biceps:  ➤ Operative treatment of both partial and complete distal biceps ruptures results in better outcomes compared with nonoperative care, although the optimal technique and fixation are yet to be determined.

 ➤ Nonoperative management is an acceptable treatment for patients willing to accept some loss of forearm supination and elbow flexion strength as well as changes in endurance and cosmesis.

1Department of Orthopaedics, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-1112. E-mail address for L.S. McDonald: Lucas.mcdonald@med.navy.mil

2U.S. Naval Hospital Yokosuka, Japan, PSC 475, Box 1630, FPO, AP 96350

Copyright 2013 by The Journal of Bone and Joint Surgery, Incorporated
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