Complications

Fortunately, complications from distal biceps tendon repair are uncommon. Postoperative infections and tendon reruptures are rare. Irritation of the lateral antebrachial cutaneous nerve can be avoided by making a more medial skin incision. Injuries to the radial nerve typically are transient, but can be devastating.5,15 The author has seen a patient who had a high median nerve palsy that occurred when the biceps tendon was placed inadvertently medial to the median nerve. The nerve recovered when the surgical repair was redone with the tendon placed lateral to the median nerve. Sporadic cases of proximal radioulnar synostosis continue to be reported and seem to be more common with the two-incision technique.6,26-28 Limiting soft-tissue dissection and not exposing the ulna appear to reduce the risk of this complication. Heterotopic calcification continues to be a problem, but probably represents the intrinsically chronic nature of the injury, rather than specific soft-tissue damage.

In my experience with repair of more than 40 distal biceps tendon ruptures, the modified two-incision technique that I use has caused no injuries to the posterior in-terosseous nerve. Postoperative irritation of the medial antebrachial cutaneous nerve has been transient. One patient presented with decreased sensation in the distribution of the medial antebrachial cutaneous nerve as a result of inflammation associated with the tendon rupture. Two patients demonstrated radiographic heterotopic calcification in the region of the musculotendinous junction. In one of the two patients, the calcification interfered with supination, but the patient was still able to return to his job as a laborer.

Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

Get My Free Ebook


Post a comment