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Cutting Edge Concepts on the Distal Biceps Tendon (IC10) - 2012 Annual Meeting (Lecture 02)
Faculty: Mark E. Baratz, MD
Learning Objectives:
- Recognize the anatomy of the native biceps tendon footprint, specifically the relationship between the short/long heads and the radial tuberosity.
- Understand the effect that reattachment site location has on the ability of the biceps to generate a supination torque.
- Assess the MRI appearance of a repaired distal biceps tendon and understand its effect on functional outcome.
- Discuss the surgical treatment options for acute and chronic tears, including endoscopic treatment of partial tears.
- Discuss outcomes of conservative treatment and basic complications and pitfalls with surgery.
Duration: 18:39
Description
This course is designed to provide the audience with cutting edge
anatomic, biomechanical, and clinical research on the distal biceps
tendon. It covers controversial topics like endoscopic treatment of
partial biceps tears to emerging concepts on repair site location.
Over fifty percent of the course time is devoted to lively banter during the "What's in, what's out!" section. Audience participation will be encouraged.
Over fifty percent of the course time is devoted to lively banter during the "What's in, what's out!" section. Audience participation will be encouraged.
- Anatomy and Biomechanics
- Anatomy of the biceps tendon and lacertus
- Footprint anatomy of the short and long head
- Biomechanical roles of the short and long head in supination and flexion
- Emerging Concepts
- Non-anatomic footprint repair leads to a loss of supination torque
- The biology of a repaired distal biceps and its effect on outcome
- Does an anatomic repair lead to return of normal supination strength?
- Surgical Techniques
- Open versus endoscopic treatment of partial tears
- Complete tears acute and chronic
- Conservative care outcomes/complications
- "What's in, what's out" - Audience and panel discussions
- Anatomic repair?
- Anterior versus posterior approach?
- Interference screws, anchors, cortical buttons (one or two)?
- Role of endoscopy?
- Is there a down side with conservative care?
- Complications and type of training?