[Surgical treatment of the rupture of the inferior tendon of the biceps. Apropos of 6 cases].

INTRODUCTION

The purpose of this study is to compare the results of direct reinsertion of the distal bicipital tendon to the bicipital tuberosity, with other methods described in the literature.

MATERIAL AND METHOD: 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 during an unusually violent effort in flexion and forced supination of the arm at a 90 degree of flexion. The surgical procedure which took place between a week and a month after the accident, consisted in a direct reattachment of the detached tendon.

RESULTS

No paralysis in the area of the radial nerve occurred. All patients regained normal range of motion of the joints with maintained strength.

DISCUSSION: Faced with a recent lesion in a young patient, a reinsertion on the bicipital tuberosity is desirable in order to maximize the strength and movement of the biceps. This simple technique uses a single approach. It does not weaken the bicipital tuberosity nor the muscular function of the biceps.