Treatment of acute distal biceps tendon ruptures. A survey of the British Elbow and Shoulder Society surgical membership

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dc.contributor.authorBaldwin, MJ
dc.contributor.authorWatts, AC
dc.contributor.authorPeach, CA
dc.contributor.authorPhadnis, J
dc.contributor.authorSingh, H
dc.contributor.authorGwilym, SE
dc.date.accessioned2023-09-19T13:11:20Z
dc.date.available2023-09-19T13:11:20Z
dc.date.issued01/10/2022
dc.description.abstractBackground Acute distal biceps tendon ruptures result in weakness and deformity. While in other jurisdictions the rate of surgical repair has outpaced rises in incidence, UK practice for distal biceps tendon ruptures is unknown. The aim of this survey was to characterise current UK clinical practice. Methods An online survey was sent to the surgeon members of the British Elbow and Shoulder Society. Questions covered respondent demographics, clinical decision making, surgical experience and willingness to be involved in future research. Results A total of 242 surgeons responded; 99% undertook acute distal biceps tendon repairs with 83% repairing at least half of all distal biceps tendon ruptures, and 84% of surgeons would have their own, hypothetical, acute distal biceps tendon rupture repaired in their dominant arm and 67% for their non-dominant arm. Patient age, occupation and restoration of strength were the commonest factors underpinning a recommendation of surgical fixation. Most surgeons (87%) supported a national trial to study operative and non-operative treatments. Conclusions UK upper limb surgeons currently advise surgical repair of acute distal biceps tendon ruptures for the majority of their patients. This is despite a paucity of evidence to support improved outcomes following surgical, rather than non-operative, management. There is a clear need for robust clinical evaluation in this area.
dc.identifier.citationShoulder & Elbow. 2021;14(5):555-561. doi:10.1177/17585732211032960
dc.identifier.doi10.1177/17585732211032960
dc.identifier.scopusWatts, Adam Charles - Author details - Scopus Preview
dc.identifier.urihttps://wwl.dspace-express.com/handle/20.500.13063/82
dc.language.isoen
dc.publisherSage Journals
dc.subjectDistal Biceps TendonEN
dc.subjectTendon RuptureEN
dc.titleTreatment of acute distal biceps tendon ruptures. A survey of the British Elbow and Shoulder Society surgical membership
dc.typeArticle
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