Disorders of the proximal and distal aspects of the biceps muscle

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 tr...

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Bibliographic Details
Published inJournal of bone and joint surgery. American volume Vol. 95; no. 13; p. 1235
Main Authors McDonald, Lucas S, Dewing, Christopher B, Shupe, Paul G, Provencher, Matthew T
Format Journal Article
LanguageEnglish
Published United States 03.07.2013
Subjects
Arthroscopy
Forearm - physiology
Humans
Muscle Strength
Muscle, Skeletal - anatomy & histology
Muscle, Skeletal - blood supply
Rotator Cuff - pathology
Supination
Tendinopathy - pathology
Tenodesis
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Summary: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.
ISSN:1535-1386
DOI:10.2106/JBJS.L.00221