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Returned, strength function found with use of Endobutton fixation for distal biceps tendon rupture
Patients with distal biceps tendon ruptures who underwent repair with Endobutton fixation experienced return to nearly normal strength and function compared to patients who were nonoperatively treated, according to results.
Researchers performed a routine elbow examination and obtained radiographs and functional questionnaires for 65 men with 68 distal biceps ruptures treated with either the Endobutton (Smith & Nephew) technique or nonoperative care with a minimum follow-up of 6 months. Researchers also measured isometric supination, flexion and grip strength.
Overall, 47 patients with 50 distal biceps ruptures were available for follow-up. Of these, 40 ruptures underwent surgical repair and 10 were managed nonoperatively. Compared with the uninjured contralateral side, results showed a significant difference in flexion and supination isometric strength between the operative and nonoperative groups. However, researchers noted no significant difference in grip strength between the two groups vs. the uninjured side. Patients in the operated group experienced significantly better QuickDASH scores, Oxford Elbow Scores and Mayo Elbow Performance Scores, according to results. – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.