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Review paper
Received: 24.10.2020. >> Accepted: 23.11.2020. >> Published: 09.10.2020. Biochemistry
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https://doi.org/10.17392/1303-21

Distal biceps tendon repair and posterior interosseous nerve injury: clinical results and a systematic review of the literature

By
Silvio Chiossi Orcid logo ,
Silvio Chiossi
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Orthopedics and Traumatology Unit, Department of Emergency and Acceptance, San Camillo - Forlanini Hospital Rome, Rome, Italy

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Marco Spoliti ,
Marco Spoliti

Orthopedics and Traumatology Unit, Department of Emergency and Acceptance, San Camillo - Forlanini Hospital Rome, Rome, Italy

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Pasquale Sessa ,
Pasquale Sessa

Orthopedics and Traumatology Unit, Department of Emergency and Acceptance, San Camillo - Forlanini Hospital Rome, Rome, Italy

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Valerio Arceri ,
Valerio Arceri

Orthopedics and Traumatology Unit, Department of Emergency and Acceptance, San Camillo - Forlanini Hospital Rome, Rome, Italy

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Attilio Basile ,
Attilio Basile

Orthopedics and Traumatology Unit, Department of Emergency and Acceptance, San Camillo - Forlanini Hospital Rome, Rome, Italy

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Francesca Romana Rossetti ,
Francesca Romana Rossetti

Orthopedics and Traumatology Unit, Department of Emergency and Acceptance, San Camillo - Forlanini Hospital Rome, Rome, Italy

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Riccardo Maria Lanzetti
Riccardo Maria Lanzetti

Orthopedics and Traumatology Unit, Department of Emergency and Acceptance, San Camillo - Forlanini Hospital Rome, Rome, Italy

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Abstract

Aim
To report clinical, functional and radiographic results of oneincision distal biceps tendon repair with Toggle Loc (Zimmer-Biomet, Warsaw, Indiana, USA) at an average 4-year follow-up and to assess posterior interosseous nerve injury complications after reconstruction.
Methods
We conducted a retrospective review of 58 consecutive distal biceps tendon repairs performed at our department between
2010 and 2018. Disabilities of Arm, Shoulder and Hand (DASH) score, Visual Analogue Scale (VAS) scale and elbow range of motion (ROM) were recorded at each follow-up and an ultrasound examination was also performed to assess the repaired biceps brachii tendon.
Results
Clinical evaluation showed good and excellent results at medium- and long-term follow-up. A temporary posterior interosseous nerve (PIN) palsy developed in four (6.81%) patients and always resolved in 8 weeks. PIN palsy prevalence is in accordance with the results of the previous studies.
Conclusion
Distal biceps tendon repair with Toggle Loc is an effective surgical procedure. PIN injury is a relatively rare complication after one-incision anterior repair. Our complication rate did not differ significantly from other studies that have used cortical
button fixation, reported in current literature. Our results confirm that accidental injury of PIN may also happen to experienced surgeons and suggest extreme care and an appropriate surgical technique to reduce this iatrogenic risk. 

Keywords:

radial nerve lesion,
surgical repair,
sport trauma,
tendon avulsion

References

1.
Safran M, Graham S. Distal biceps tendon ruptures: incidence, demographics, and the effect of smoking. Clin Orthop Relat Res. 2002. p. 275–83.
2.
Kelly M, Perkinson S, Ablove R, Tueting J. Distal biceps tendon ruptures: an epidemiological analysis using a large population database. Am J Sports Med. 2015. p. 2012–7.
3.
Chillemi C, Marinelli M, Cupis D, V. Rupture of the distal biceps brachii tendon: conservative treatment versus anatomic reinsertion-clinical and radiological evaluation after 2 years. Arch Orthop Trauma Surg. 2007. p. 705–8.
4.
Quach T, Jazayeri R, Sherman O, Rosen J. Distal biceps tendon injuries-current treatment options. Bull NYU Hosp Jt Dis. 2010. p. 103–11.
5.
Lang N, Bukaty A, Sturz G, Platzer P, Joestl J. Treatment of primary total distal biceps tendon rupture using cortical button, transosseus fixation and suture anchor: a single center experience. Orthop Traumatol Surg Res. 2018. p. 859–63.
6.
Tjoumakaris F, Bradley J. Distal Biceps Injuries. Clin Sports Med. 2020. p. 661–72.
7.
Stoll L, Huang J. Surgical treatment of distal biceps ruptures. Orthop Clin North Am. 2016. p. 189–205.
8.
Ford S, Andersen J, Macknet D, Connor P, Loeffler B, Gaston R. Major complications after distal biceps tendon repairs: retrospective cohort analysis of 970 cases. J Shoulder Elbow Surg. 2018. p. 1898–906.
9.
Greenberg J, Fernandez J, Wang T, Turner C. En-doButton-assisted repair of distal biceps tendon ruptures. J Shoulder Elbow Surg. 2003. p. 484–90.
10.
Garon M, Greenberg J. Complications of distal biceps repair. Orthop Clin N Am. 2016. p. 435–44.
11.
Dobbie R. Avulsion of the lower biceps brachii tendon. Am J Surg. 1941. p. 662–83.
12.
Boyd H, Anderson L. A method for reinsertion of the distal biceps brachii tendon. J Bone Joint Surg. 1961. p. 1041–3.
13.
Kelly E, Morrey B, Driscoll O, S. Complications of repair of the distal biceps tendon with the modified two-incision technique. J Bone Joint Surg Am. 2000. p. 1575–81.
14.
Miyamoto R, Elser F, Millett P. Distal biceps tendon injuries. J Bone Joint Surg Am. 2010. p. 2128–38.
15.
Grewal R, Athwal G, Macdermid J, Faber K, Drosdowech D, El-Hawary R, et al. Single versus double-incision technique for the repair of acute distal biceps tendon ruptures: a randomized clinical trial. J Bone Joint Surg Am. 2012. p. 1166–74.
16.
Amin N, Volpi A, Lynch T, Patel R, Cerynik D, Schickendantz M, et al. Complications of distal biceps tendon repair: a meta-analysis of singleincision versus double-incision surgical technique. Orthop J Sports Med. 2016. p. 2325967116668137.
17.
Dunphy T, Hudson J, Batech M, Acevedo D, Mirzayan R. Surgical treatment of distal biceps tendon ruptures: an analysis of complications in 784 surgical repairs. Am J Sports Med. 2017. p. 3020–9.
18.
Cain R, Nydick J, Stein M, Williams B, Polikandriotis J, Hess A. Complications following distal biceps repair. J Hand Surg Am. 2012. p. 2112–7.
19.
Carroll M, Dacambra M, Hildebrand K. Neurologic complications of distal biceps tendon repair with 1-incision endobutton fixation. Am J Orthop. 2014. p. 159–62.
20.
Garon M, Greenberg J. Complications of distal biceps repair. Orthop Clin N Am. 2016. p. 435–44.
21.
Mckee M, Hirji R, Schemitsch E, Wild L. Waddell JP. Patient-oriented functional outcome after repair of distal biceps tendon ruptures using a single-incision technique. J Shoulder Elbow Surg. 2005. p. 302–6.
22.
Banerjee M, Shafizadeh S, Bouillon B, Tjardes T, Wafaisade A, Balke M. High complication rate following distal biceps refixation with cortical button. Arch Orthop Trauma Surg. 2013. p. 1361–6.
23.
Bain G, Prem H, Heptinstall R, Verhellen R, Paix D. Repair of distal biceps tendon rupture: a new technique using the Endobutton. J Shoulder Elbow Surg. 2000. p. 120–6.
24.
Spencer Ee, Tisdale A, Kostka K, Ivy R. Is therapy necessary after distal biceps tendon repair? Hand (NY). 2008. p. 316–9.
25.
Peeters T, Ng CS, Jansen N, Sneyers C, Declercq G, Verstreken F. Functional outcome after repair of distal biceps tendon ruptures using the endobutton technique. J Shoulder Elbow Surg. 2009. p. 283–7.
26.
Dillon M, Bollier M, King J. Repair of acute and chronic distal biceps tendon ruptures using the Endo-Button. Hand (NY). 2011. p. 39–46.
27.
Nigro P, Cain R, Mighell M. Prognosis for recovery of posterior interosseous nerve palsy after distal biceps repair. J Shoulder Elbow Surg. 2013. p. 70–3.
28.
Chavan P, Duquin T, Bisson L. Repair of the ruptured distal biceps tendon: a systematic review. Am J Sports Med. 2008. p. 1618–24.
29.
Diraimo M, Maney M, Deitch J. Distal biceps tendon repair using the toggle loc with zip loop. Orthopedics. 2008.
30.
Kodde I, Van Den Bekerom M, Eygendaal D. Reconstruction of distal biceps tendon ruptures with a cortical button. Knee Surg Sports Traumatol Arthrosc. 2015. p. 919–25.
31.
Thumm N, Hutchinson D, Zhang C, Drago S, Tyser A. Proximity of the posterior interosseous nerve during cortical button guidewire placement for distal biceps tendon reattachment. J Hand Surg Am. 2015. p. 534–6.
32.
Lo E, Li C. Van den Bogaerde JM. The effect of drill trajectory on proximity to the posterior interosseous nerve during cortical button distal biceps repair. Arthroscopy. 2011. p. 1048–54.
33.
Tat J, Hart A, Cota A, Alsheikh K, Behrends D, Martineau P. Distal biceps repair with flexible instrumentation and risk of posterior interosseous nerve injury: a cadaveric analysis. Orthop J Sports Med. 2018. p. 2325967118810523.
34.
Lo E, Li C. Van den Bogaerde JM. The effect of drill trajectory on proximity to the posterior interosseous nerve during cortical button distal biceps repair. Arthroscopy. 2011. p. 1048–54.
35.
Saldua N, Carney J, Dewing C, Thompson M. The effect of drilling angle on posterior interosseous nerve safety during open and endoscopic anterior single-incision repair of the distal biceps tendon. Arthroscopy. 2008. p. 305–10.
36.
Becker D, Marambio L, F. How to avoid posterior interosseous nerve injury durino single-incision distal biceps repair drilling. Clin Orthop Relat Res. 2019. p. 424–31.
37.
Mokhtee D, Brown J, Mackinnon S, Tung T. Reconstruction of posterior interosseous nerve injury following biceps tendon repair: case report and cadaveric study. Hand (NY). 2009. p. 134–9.

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