The authors report a case of a young man of 38 years who presented a rupture of the distal biceps tendon, which occurred following the wearing of a heavy load. This is an observation describing a rare nosology, operated by anterior transversal approach to the elbow with tendon rehabilitation through anchors at the radial tuberosity. The radioclinical evolution was satisfactory.
Rupture of the distal biceps tendon is a rare lesion, usually affecting a male about 50 years, mostly employed force or doing sports strength using elbow flexion against resistance. Achieving often interested in the dominant member. Untreated, it faces the risk of losing the next flexion and supination decreased arm strength. Several surgical techniques have been proposed and none showed its superiority. The lack of algorithm codifying management of this disease justifies the interest of our present observation.
This is a man aged 38, a painter, right-handed, having felt when wearing a heavy load brutal pain, accompanied by a breakdown sensation “whiplash”. On examination it is presented with the elbow bent without bending deficit. An aspect distal ball is observed (
Surgical repair of fresh acute tendon ruptures of the distal tendon bicpital must be appropriate and early [
can remain in his dressing room and give a false impression of being intact. By cons do not expect a flexion deficit, the muscle of the forearm and brachialis to get it, however powerless. Radiography of the elbow is usually normal. Ultrasound or MRI better [
Surgical treatment is indicated for heavy workers, so often because it is on this ground that the injury occurs [
In reality the classic 3 weeks can be easily passed until about six weeks [
The more classical [
This technique as a disadvantage of causing a significant number of nerve complication of postoperative hematoma due to the large number of vessels to link before reaching the radius.
Boyd and Anderson [
Do not hesitate to make a strong pull on the tendon and can then leave the stump. The lateral aspect of the radial tuberosity will be heightened. Bending the elbow, then realize a son with lacing anchors ensuring that the stump is snug on the tuberosity (footprint of Anglo-Saxon) [
The patient is immobilized in 90 degrees of flexion for 03 weeks followed by functional rehabilitation is started. The change is often excellent and fast recovery of the extension does not posing difficulties [
Nerve complications are possible (5%) with the technique to a single lane. The complication of the technique to two lanes of Boyd and Anderson is the appearance of ossification break the interosseous membrane with a risk pronosupination deficit. We did not encounter in our experience.
Rupture of the distal biceps tendon is a rare lesion, whose diagnosis is easy. Treatment may only be using surgical tendon rehabilitation; the use of anchors through a minimal surgical approach, early and adapted, allows satisfactory functional recovery.
No conflicts of interest were reported by the authors.
All authors have contributed to the development of this work.
Amine Belmoubarik,Reda Ghabri,Nabil Omari,Younes Allali,Merouane Abouchane,Mohamed Amine Mahraoui,Ahmed Reda Haddoun,Mohamed Nechad, (2015) Reintegration through Anchors Rupture of the Distal Biceps Tendon: Report of a Case and Literature Review. Open Access Library Journal,02,1-4. doi: 10.4236/oalib.1101816