PubMed · 13991159
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M SALMON, M PIERRE, S PERPERE. [Postraumatic dangling elbow].. https://pubmed.ncbi.nlm.nih.gov/13991159/
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BACKGROUND: Distal biceps tendon ruptures are uncommon injuries with only around 300 cases reported in the literature. Current management tends to favour anatomical reinsertion of the tendon into the radial tuberosity, especially in young and active individuals. These injuries are commonly repaired using either a single anterior incision with suture anchors or the Boyd-Anderson dual incision technique. CASE REPORT: We report the use of a bioabsorbable interference screw for the repair of distal biceps tendon rupture using a minimal incision technique. In this technique the avulsed tendon and a bioabsorbable screw are secured in a drill hole on the radial tuberosity using whip stitch and fibre wire sutures according to Biotenodesis system guidelines. CONCLUSION: The technique described requires minimal volar dissection that is associated with a reduced number of synostosis and posterior interosseous nerve injuries. The bioabsorbable interference screw has all the advantages of being biodegradable and has been shown to have greater pullout strength than suture anchors. It is also a reasonable alternative to titanium screws in terms of primary fixation strength. The strong fixation provided allows early active motion and return to previous activities as seen in our case.
Extensive soft-tissue defects in the upper limb of a child are rare, and emergency surgical repair presents a challenge to the clinician and requires high proficiency in operating skills. The use of common regular flaps fails to completely cover the trauma. We report on a case in which the skin defect, reaching 42 x 15 cm, was repaired by the use of a scapula latissimus dorsi musculo-cutaneous flap, and the functions of the affected limb were maintained to the utmost extent. Thus the patient has escaped amputation.
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