Rotura distal del tendón de la porción larga del bíceps braquial. ¿por qué está aumentado su incidencia? ¿Cuándo se debe reparar?
Resumen: Introduction and objectives: The breaking of the distal biceps tendon is rare and represents only 3% of all breakings of this tendon. However, for the last decade this percentage has increased up to 10%. They are characteristic of middle-aged men with a predominance of the dominant arm. Local risk factor (high functional demand) and systemic ones (smoking, dyslipidemia, steroids, analogies, obesity) are associated with this pathology. Our goal is to analyze the risk factors which are associated with this condition and evaluate the results after surgical repair of the tendon. Materials and methods: Retrospective study of 13 patients diagnosed with distal biceps tendon breaking in our hospital from May 2012 to January 2014. All patients were treated surgically with anatomic reattachment single trak (69, 23 % with Endobutton''s technique and 30, 77 % remembering using harpoons). There have been assessed factors such us potential risk factors, joint mobility, early and late complications and the patient''s degree of satisfaction (scale Karunakar). Their clinical follow-up was carried out for at least 6 months after the surgery. Result: All patients were male, with an average age of 42, 69 years, the 92, 3 % were in the dominant arm, 76, 92 % of the patients usually exercised the biceps while training and 53, 84 % were taking medication for dyslipidemia. The results obtained after the treatment were excellent, shawing that all patients were satisfied with it. Conclusion: The risk factors that are known so far such us smoking, dyslipidemia, steroids, anabolics and obesity do not justify the increase in the currents incidence rate. Regular exercise involving the biceps brachial muscle in patients with risk factors increases the probability of breaking the distal biceps tendon and anatomic reattachment anterior approach is a correct treatment option.
Idioma: Español
Año: 2016
Publicado en: Archivos de medicina del deporte 33, 2 (2016), 103-107
ISSN: 0212-8799

Originalmente disponible en: Texto completo de la revista

Factor impacto SCIMAGO: 0.125 - Orthopedics and Sports Medicine (Q4) - Sports Science (Q4) - Physical Therapy, Sports Therapy and Rehabilitation (Q4)

Tipo y forma: Article (Published version)
Área (Departamento): Área Traumatología y Ortopedia (Dpto. Cirugía,Ginecol.Obstetr.)

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