Repaired distal biceps magnetic resonance imaging anatomy compared with outcome
Background This study examined the magnetic resonance imaging (MRI) appearance of an anterior incision distal biceps tendon repair and evaluated the association between appearance and outcome. Materials and methods Nineteen patients were randomly recruited to undergo an elbow MRI from a single-surge...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2012-12, Vol.21 (12), p.1623-1631 |
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| creator | Schmidt, Christopher C., MD Diaz, Veronica A., MD Weir, David M., MS Latona, Carmen R., MD Miller, Mark Carl, PhD |
| description | Background This study examined the magnetic resonance imaging (MRI) appearance of an anterior incision distal biceps tendon repair and evaluated the association between appearance and outcome. Materials and methods Nineteen patients were randomly recruited to undergo an elbow MRI from a single-surgeon series of distal biceps repairs using an anterior approach. Tendon healing was evaluated by the integrity of the repair, the amount of heterogeneity within the tendon substance, and the presence of heterotopic bone. The angle of tendon insertion on the tuberosity was used to quantify the tendon location from the MRI in the patients and in 10 healthy volunteers. All patients completed the Disabilities of Arm, Shoulder and Hand (DASH) and a visual analog pain scale (VAPS), and 17 patients underwent isometric supination strength testing. MRI findings were statistically compared with the outcome scores. Results All of the repairs healed to cortical bone. High intrasubstance heterogeneity or heterotopic bone was present in 11 patients (58%). The insertion site angle of the repaired tendons was 73° more anterior than the uninjured controls ( P |
| doi_str_mv | 10.1016/j.jse.2012.03.009 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1178707937</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S1058274612001188</els_id><sourcerecordid>1178707937</sourcerecordid><originalsourceid>FETCH-LOGICAL-c471t-b62b481d6dd74c4c3223c2a5a7ae593a6408e51abf4405dd8f1e557388f92bc43</originalsourceid><addsrcrecordid>eNp9kduL1TAQh4Mo7nr0D_BF-iL40jq5NSmCsCzeYGHBy3NIk-ma2ptJq5z_3pRzVPDBp4Th-00y3xDylEJFgdYv-6pPWDGgrAJeATT3yCWVnJW1BLif7yB1yZSoL8ijlHrIhAD2kFwwVjdCa3pJbj_iYkNEX_iQVjsUbXC4pGK0dxOuwRUR0zzZyWERci1Md4Wd7DqPx8LN42L35M-wfi3mbc0FfEwedHZI-OR8HsiXt28-X78vb27ffbi-uimdUHQt25q1QlNfe6-EE44zxh2z0iqLsuG2FqBRUtt2QoD0XncUpVRc665hrRP8QF6c-i5x_r5hWs0YksNhsBPOWzKUKq1ANVxllJ5QF-eUInZmiXmWeDQUzO7R9CZ7NLtHA9xkSznz7Nx-a0f0fxK_xWXg-Rmwydmhi1lRSH-5WlGo81AH8urEYZbxI2A0yQXMOn2W7lbj5_Dfb7z-J-2GMIX84Dc8YurnLU7ZsqEm5Yz5tC983zdlAJRqzX8BvGuk8A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1178707937</pqid></control><display><type>article</type><title>Repaired distal biceps magnetic resonance imaging anatomy compared with outcome</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Schmidt, Christopher C., MD ; Diaz, Veronica A., MD ; Weir, David M., MS ; Latona, Carmen R., MD ; Miller, Mark Carl, PhD</creator><creatorcontrib>Schmidt, Christopher C., MD ; Diaz, Veronica A., MD ; Weir, David M., MS ; Latona, Carmen R., MD ; Miller, Mark Carl, PhD</creatorcontrib><description>Background This study examined the magnetic resonance imaging (MRI) appearance of an anterior incision distal biceps tendon repair and evaluated the association between appearance and outcome. Materials and methods Nineteen patients were randomly recruited to undergo an elbow MRI from a single-surgeon series of distal biceps repairs using an anterior approach. Tendon healing was evaluated by the integrity of the repair, the amount of heterogeneity within the tendon substance, and the presence of heterotopic bone. The angle of tendon insertion on the tuberosity was used to quantify the tendon location from the MRI in the patients and in 10 healthy volunteers. All patients completed the Disabilities of Arm, Shoulder and Hand (DASH) and a visual analog pain scale (VAPS), and 17 patients underwent isometric supination strength testing. MRI findings were statistically compared with the outcome scores. Results All of the repairs healed to cortical bone. High intrasubstance heterogeneity or heterotopic bone was present in 11 patients (58%). The insertion site angle of the repaired tendons was 73° more anterior than the uninjured controls ( P < .001). Average DASH was 7.7 (range, 0-49.2) and VAPS was 0.7 (range, 0-5). At 60° of forearm supination, supination strength was 67% of the uninjured side ( P < .01). No significant differences in DASH or VAPS scores were found between groups based on tendon appearance. Conclusions The distal biceps tendon predictably heals to cortical bone but demonstrates a wide variability in overall morphology that does not influence DASH or VAPS scores. A significant decrease in strength at 60° of supination appears to be an effect of an anterior tendon reattachment location.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2012.03.009</identifier><identifier>PMID: 22694881</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aged ; biceps rupture ; Biological and medical sciences ; Diseases of the osteoarticular system ; Distal biceps repair ; Elbow - injuries ; functional outcome ; Humans ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Middle Aged ; MRI appearance of biceps repair ; Muscle, Skeletal - anatomy & histology ; Muscle, Skeletal - injuries ; Muscle, Skeletal - surgery ; Orthopedic Procedures - methods ; Orthopedics ; repair site location ; Retrospective Studies ; Rupture ; supination torque ; Suture Techniques ; Treatment Outcome</subject><ispartof>Journal of shoulder and elbow surgery, 2012-12, Vol.21 (12), p.1623-1631</ispartof><rights>Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2012 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-b62b481d6dd74c4c3223c2a5a7ae593a6408e51abf4405dd8f1e557388f92bc43</citedby><cites>FETCH-LOGICAL-c471t-b62b481d6dd74c4c3223c2a5a7ae593a6408e51abf4405dd8f1e557388f92bc43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jse.2012.03.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26710622$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22694881$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schmidt, Christopher C., MD</creatorcontrib><creatorcontrib>Diaz, Veronica A., MD</creatorcontrib><creatorcontrib>Weir, David M., MS</creatorcontrib><creatorcontrib>Latona, Carmen R., MD</creatorcontrib><creatorcontrib>Miller, Mark Carl, PhD</creatorcontrib><title>Repaired distal biceps magnetic resonance imaging anatomy compared with outcome</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>Background This study examined the magnetic resonance imaging (MRI) appearance of an anterior incision distal biceps tendon repair and evaluated the association between appearance and outcome. Materials and methods Nineteen patients were randomly recruited to undergo an elbow MRI from a single-surgeon series of distal biceps repairs using an anterior approach. Tendon healing was evaluated by the integrity of the repair, the amount of heterogeneity within the tendon substance, and the presence of heterotopic bone. The angle of tendon insertion on the tuberosity was used to quantify the tendon location from the MRI in the patients and in 10 healthy volunteers. All patients completed the Disabilities of Arm, Shoulder and Hand (DASH) and a visual analog pain scale (VAPS), and 17 patients underwent isometric supination strength testing. MRI findings were statistically compared with the outcome scores. Results All of the repairs healed to cortical bone. High intrasubstance heterogeneity or heterotopic bone was present in 11 patients (58%). The insertion site angle of the repaired tendons was 73° more anterior than the uninjured controls ( P < .001). Average DASH was 7.7 (range, 0-49.2) and VAPS was 0.7 (range, 0-5). At 60° of forearm supination, supination strength was 67% of the uninjured side ( P < .01). No significant differences in DASH or VAPS scores were found between groups based on tendon appearance. Conclusions The distal biceps tendon predictably heals to cortical bone but demonstrates a wide variability in overall morphology that does not influence DASH or VAPS scores. A significant decrease in strength at 60° of supination appears to be an effect of an anterior tendon reattachment location.</description><subject>Adult</subject><subject>Aged</subject><subject>biceps rupture</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Distal biceps repair</subject><subject>Elbow - injuries</subject><subject>functional outcome</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>MRI appearance of biceps repair</subject><subject>Muscle, Skeletal - anatomy & histology</subject><subject>Muscle, Skeletal - injuries</subject><subject>Muscle, Skeletal - surgery</subject><subject>Orthopedic Procedures - methods</subject><subject>Orthopedics</subject><subject>repair site location</subject><subject>Retrospective Studies</subject><subject>Rupture</subject><subject>supination torque</subject><subject>Suture Techniques</subject><subject>Treatment Outcome</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kduL1TAQh4Mo7nr0D_BF-iL40jq5NSmCsCzeYGHBy3NIk-ma2ptJq5z_3pRzVPDBp4Th-00y3xDylEJFgdYv-6pPWDGgrAJeATT3yCWVnJW1BLif7yB1yZSoL8ijlHrIhAD2kFwwVjdCa3pJbj_iYkNEX_iQVjsUbXC4pGK0dxOuwRUR0zzZyWERci1Md4Wd7DqPx8LN42L35M-wfi3mbc0FfEwedHZI-OR8HsiXt28-X78vb27ffbi-uimdUHQt25q1QlNfe6-EE44zxh2z0iqLsuG2FqBRUtt2QoD0XncUpVRc665hrRP8QF6c-i5x_r5hWs0YksNhsBPOWzKUKq1ANVxllJ5QF-eUInZmiXmWeDQUzO7R9CZ7NLtHA9xkSznz7Nx-a0f0fxK_xWXg-Rmwydmhi1lRSH-5WlGo81AH8urEYZbxI2A0yQXMOn2W7lbj5_Dfb7z-J-2GMIX84Dc8YurnLU7ZsqEm5Yz5tC983zdlAJRqzX8BvGuk8A</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Schmidt, Christopher C., MD</creator><creator>Diaz, Veronica A., MD</creator><creator>Weir, David M., MS</creator><creator>Latona, Carmen R., MD</creator><creator>Miller, Mark Carl, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20121201</creationdate><title>Repaired distal biceps magnetic resonance imaging anatomy compared with outcome</title><author>Schmidt, Christopher C., MD ; Diaz, Veronica A., MD ; Weir, David M., MS ; Latona, Carmen R., MD ; Miller, Mark Carl, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-b62b481d6dd74c4c3223c2a5a7ae593a6408e51abf4405dd8f1e557388f92bc43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>biceps rupture</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Distal biceps repair</topic><topic>Elbow - injuries</topic><topic>functional outcome</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>MRI appearance of biceps repair</topic><topic>Muscle, Skeletal - anatomy & histology</topic><topic>Muscle, Skeletal - injuries</topic><topic>Muscle, Skeletal - surgery</topic><topic>Orthopedic Procedures - methods</topic><topic>Orthopedics</topic><topic>repair site location</topic><topic>Retrospective Studies</topic><topic>Rupture</topic><topic>supination torque</topic><topic>Suture Techniques</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schmidt, Christopher C., MD</creatorcontrib><creatorcontrib>Diaz, Veronica A., MD</creatorcontrib><creatorcontrib>Weir, David M., MS</creatorcontrib><creatorcontrib>Latona, Carmen R., MD</creatorcontrib><creatorcontrib>Miller, Mark Carl, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schmidt, Christopher C., MD</au><au>Diaz, Veronica A., MD</au><au>Weir, David M., MS</au><au>Latona, Carmen R., MD</au><au>Miller, Mark Carl, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Repaired distal biceps magnetic resonance imaging anatomy compared with outcome</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>21</volume><issue>12</issue><spage>1623</spage><epage>1631</epage><pages>1623-1631</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>Background This study examined the magnetic resonance imaging (MRI) appearance of an anterior incision distal biceps tendon repair and evaluated the association between appearance and outcome. Materials and methods Nineteen patients were randomly recruited to undergo an elbow MRI from a single-surgeon series of distal biceps repairs using an anterior approach. Tendon healing was evaluated by the integrity of the repair, the amount of heterogeneity within the tendon substance, and the presence of heterotopic bone. The angle of tendon insertion on the tuberosity was used to quantify the tendon location from the MRI in the patients and in 10 healthy volunteers. All patients completed the Disabilities of Arm, Shoulder and Hand (DASH) and a visual analog pain scale (VAPS), and 17 patients underwent isometric supination strength testing. MRI findings were statistically compared with the outcome scores. Results All of the repairs healed to cortical bone. High intrasubstance heterogeneity or heterotopic bone was present in 11 patients (58%). The insertion site angle of the repaired tendons was 73° more anterior than the uninjured controls ( P < .001). Average DASH was 7.7 (range, 0-49.2) and VAPS was 0.7 (range, 0-5). At 60° of forearm supination, supination strength was 67% of the uninjured side ( P < .01). No significant differences in DASH or VAPS scores were found between groups based on tendon appearance. Conclusions The distal biceps tendon predictably heals to cortical bone but demonstrates a wide variability in overall morphology that does not influence DASH or VAPS scores. A significant decrease in strength at 60° of supination appears to be an effect of an anterior tendon reattachment location.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>22694881</pmid><doi>10.1016/j.jse.2012.03.009</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Aged biceps rupture Biological and medical sciences Diseases of the osteoarticular system Distal biceps repair Elbow - injuries functional outcome Humans Magnetic Resonance Imaging - methods Male Medical sciences Middle Aged MRI appearance of biceps repair Muscle, Skeletal - anatomy & histology Muscle, Skeletal - injuries Muscle, Skeletal - surgery Orthopedic Procedures - methods Orthopedics repair site location Retrospective Studies Rupture supination torque Suture Techniques Treatment Outcome |
| title | Repaired distal biceps magnetic resonance imaging anatomy compared with outcome |
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