SURGICAL-TREATMENT OF THE RUPTURE OF THE INFERIOR TENDON OF THE BICEPS

Introduction The purpose of this study is to compare the results of di rect reinsertion of the distal bicipital tendon to the bicipital tuber osity, with other methods described in the litterature. Material and m ethod This study is based on six athletic patients, all male, ranging in age from 42 to 62 years old, The rupture of the biceps occurred dur ing an unusually violent effort in flexion and forced supination of th e arm at a 90 degree of flexion. The surgical procedure which took pla ce between a week and a month after the accident, consisted in a direc t reattachment of the detached tendon. Results No paralysis in the are a of the radial nerve occured. All patients regained normal range of m otion of the joints with maintained strength. Discussion Faced with a recent lesion in a young patient, a reinsertion on the bicipital tuber osity is desirable in order to maximize the strength and movement of t he biceps. This simple technique uses a single approach. It does not w eaken the bicipital tuberosity nor the muscular function of the biceps .