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Individual Treatment of Delayed Distal Biceps Tendon Rupture

Case Report and Literature Review

Yao, Chenglun, MD; Weng, Weidong, MD; Zhou, Xijie, MD; Poonit, Keshav, MD; Yang, Jingquan, PhD; Lin, Damu, MD; Sun, Chao, MD; Yan, Hede, PhD

doi: 10.1097/SAP.0000000000001624
Hand Surgery

Introduction Complicated elbow injuries (elbow injuries with bone and soft tissue injury) with distal biceps tendon ruptures (DBTRs) are not uncommon. There are several treatment modalities in different situations of injuries. In this article, we reported 3 successful individual treatments of delayed DBTR with complicated elbow injuries.

Materials and Methods Three cases of complicated elbow injuries treated between 2010 and 2016 were reviewed. The delayed DBTR cases were summarized and treated. Mayo Elbow Performance Score value, range of motion, and visual analog scale score were used to assess outcomes after a minimum follow-up of 12 months.

Results All 3 patients were male, aged 47 to 54 years (mean, 49.6 years). Patients received surgical treatments. After a mean follow-up of 13.7 months, in cases 1 and 2, Mayo Elbow Performance Score values improved by 50% and 100%, elbow flexion-extension arc were 115 degrees and 110 degrees, pronation-supination arc were 130 degrees and 120 degrees. Arthrodesis case reported pain relief; visual analog scale score for pain was 0 to 1. No postoperative complications were observed, and all patients were satisfied with the results.

Conclusions Individual treatment is advised in DBTR with complicated elbow injuries. Secondary treatment of DBTR can achieve satisfactory results using individual strategies depending on patients' overall condition.

From the Division of Plastic and Hand Surgery, Department of Orthopedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Zhejiang, China

Received May 23, 2018, and accepted for publication, after revision July 21, 2018.

Conflicts of interest and sources of funding: Funding was received from National Natural Science Foundation of China (81571185). The authors report no conflict of interest.

This study was approved by the Research Ethics Committee of the Second Affiliated Hospital of Wenzhou Medical University (study number: L-2017-09). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Informed consent was obtained from all patients.

Reprints: Hede Yan, PhD, Division of Plastic and Hand Surgery, Department of Orthopedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109 Xueyuan Rd, Wenzhou, Zhejiang, 325027, China. E-mail:

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