AANA19 Wrist & Elbow Access Pass-Distal Biceps Repair Made Easy-Dr. Larry D. Field, M.D.

Distal Biceps Repair Made Easy-Dr. Larry D. Field, M.D.

Video Transcription

Video Summary

Dr. discusses distal biceps repair, emphasizing evidence-based approaches mostly for middle-aged males with partial or complete tears due to eccentric force injury. Diagnosis includes the hook test; complete tears and unresponsive partial tears often require surgery. Repair can be done via one- or two-incision techniques, both effective, though one-incision is more common. Fixation methods include suture anchors, buttons, and interference screws; combined fixation shows promising outcomes with early return to work. Key tips: operate early, use blunt dissection, avoid Holman retractors, irrigate well, and use fluoroscopy. Common complications: transient lateral antebrachial cutaneous nerve injury and rare PIN injury, especially with two-incision technique.

Asset Caption

Concurrent Scientific Session II: Wrist and Elbow 5.3.2019

Keywords

distal biceps repair

partial and complete tears

one-incision technique

suture anchors fixation

lateral antebrachial cutaneous nerve injury