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9 Cards in this Set

  • Front
  • Back
What is the long-term outcome of an unrepaired distal biceps rupture on flexion strength?
Flexion strength nearly restored
Supination strength?
Remains significantly diminished
Patients complain particularly of supination fatigue
What two nerves are at risk with distal biceps repair?
Lateral antebrachial cutaneous nerve
Radial nerve
What is the theoretical advantage of a one-incision repair?
Less dissection, so lower risk of heterotopic ossiiication (HO)
What is the theoretical advantage of a two-incision repair?
Less risk of injury to the posterior interosseous nerve
What is the main disadvantage of a two-incision repair? Especially if
what?
Increased risk of HO
Especially if the ulna is exposed subperiosteally
How can a two-incision repair be modified to minimize risk of HO?
Avoid subperiosteal dissection at ulna
Use a muscle splitting approach for the second incision?
What is a positive prognostic factor for postoperative return to function after distal biceps repair?
Dominant arm involvement
What is a general rule of thumb concerning restoration of strength with a distal biceps repair of the dominant arm?
Can restore strength to that of the nondominant arm