Functional evaluation of patients with injury of the distal insertion of the biceps brachii muscle treated surgically
to functionally evaluate patients with injury of the distal insertion of the biceps brachii muscle that was treated surgically. between April 2002 and June 2011, 15 elbows of 14 patients underwent surgical treatment performed by the Shoulder and Elbow Surgery Group, Department of Orthopedics and Tra...
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Veröffentlicht in: | Revista brasileira de ortopedia 2014-03, Vol.49 (2), p.129-133 |
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Zusammenfassung: | to functionally evaluate patients with injury of the distal insertion of the biceps brachii muscle that was treated surgically.
between April 2002 and June 2011, 15 elbows of 14 patients underwent surgical treatment performed by the Shoulder and Elbow Surgery Group, Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo. The minimum follow-up was six months, with a mean of 28 months. The patients’ ages ranged from 28 to 62 years, with a mean age of 40 years. All the patients were male and the dominant arm was affected in 64.2%. The clinical evaluation on the results was conducted using the criteria of the American Medical Association (AMA), as modified by Bruce, with evaluation of the joint range of motion (flexion–extension and pronosupination), the presence of pain and the patient's degree of satisfaction.
from the AMA criteria, as modified by Bruce, we obtained 100% satisfactory results, of which 85.7% were considered to be excellent and 14.3% good. We observed that when distal injuries of the biceps brachii muscle affected young and active patients, surgical treatment was a good option.
avaliar funcionalmente os pacientes com lesão da inserção distal do músculo bíceps braquial tratados cirurgicamente.
entre abril de 2002 e junho de 2011, 15 cotovelos de 14 pacientes foram submetidos a tratamento cirúrgico pelo Grupo de Cirurgia de Ombro e Cotovelo do Departamento de Ortopedia e Traumatologia da Faculdade de Ciências Médicas da Santa Casa de São Paulo. O seguimento mínimo foi de seis meses, com média de 28. A idade variou de 28 a 62 anos, com média de 40. Todos os pacientes eram do sexo masculino e o membro dominante foi acometido em 64,2%. A avaliação clínica dos resultados foi feita pelos critérios da American Medical Association (AMA), modificados por Bruce, pelo grau de amplitude articular (flexoextensão e pronossupinação), pela presença de dor e pelo grau de satisfação do paciente.
pelos critérios da AMA, modificados por Bruce, obtivemos 100% de resultados satisfatórios, 85,7% considerados excelentes e 14,3% bons. Observamos que quando as lesões distais do músculo bíceps braquiais acometem pacientes jovens e ativos, o tratamento cirúrgico é uma boa opção. |
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ISSN: | 2255-4971 1982-4378 2255-4971 |
DOI: | 10.1016/j.rboe.2014.03.015 |