Abstract | BACKGROUND: The study of conservative and surgical treatment of distal biceps tendinopathy and associated biceps tendon partial rupture. METHODS: Twenty-one cases with distal biceps tendonitis and partial ruptures were studied who visited Pohang Semyeong Christianity Hospital from June 2010 to August 2017. The mean age was 57.1 years (39-69 years), 14 males and 7 females. The mean duration of symptom at the time of first visit was 4.9 months (0.2-14 months). Ultrasonography and magnetic resonance imaging were performed for patients with severe symptoms. According to the severity of the symptoms, splint immobilization, oral nonsteroidal anti-inflammatory drugs, and ultrasound-guided steroid injection were performed. Surgical treatment was performed if the patient did not respond to conservative treatment for 3 to 6 months or longer. RESULTS: There were 9 cases of partial rupture of the distal biceps tendon associated with distal biceps tendinopathy on imaging studies. Conservative treatment showed symptomatic improvement in 16 of 21 cases. In 4 cases with a relatively mild symptom, anti-inflammatory analgesics and intermittent splinting showed good result. In 12 cases, symptoms improved after ultrasonography-guided steroid injection. Surgical treatment was performed on 5 cases that did not respond to conservative treatment. CONCLUSIONS:
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Authors | Jung Hyun Lee, Kyung Chul Kim, Ji-Ho Lee, Kee Baek Ahn, In Hyeok Rhyou |
Journal | Clinics in shoulder and elbow
(Clin Shoulder Elb)
Vol. 21
Issue 4
Pg. 213-219
(Dec 2018)
ISSN: 2383-8337 [Print] Korea (South) |
PMID | 33330179
(Publication Type: Journal Article)
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Copyright | Copyright © 2018 Korean Shoulder and Elbow Society. |