Distal biceps tendon injuries treatment: A survey of orthopaedic surgeons’ current practice and preferences

Purpose: Distal biceps tendon (DBT) injuries are relatively uncommon. Controversies exist regarding the best approach, leading to variations in treatment. This study aims to understand the preferences and practices of orthopedic surgeons regarding management of DBT injuries, as well as assess the fe...

Descripción completa

Detalles Bibliográficos
Autores: Prada C., Li Z., Sritharan P., Khan M., Marcano-Fernández F., Al Mana L., Alolabi B.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p4500
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/4500
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85177068121&doi=10.1177%2f17585732231215504&partnerID=40&md5=2ba7739de627a4b425f64139ddbf2864
Access Level:acceso abierto
Palabra clave:Distal biceps
distal biceps repair
distal biceps rupture
survey
tendon injury
id ES_0d1dc0e9e6b20b85a350cd8c527b90be
oai_identifier_str oai:i3pt.fundanetsuite.com:p4500
network_acronym_str ES
network_name_str España
repository_id_str
spelling Distal biceps tendon injuries treatment: A survey of orthopaedic surgeons’ current practice and preferencesPrada C.Li Z.Sritharan P.Khan M.Marcano-Fernández F.Al Mana L.Alolabi B.Distal bicepsdistal biceps repairdistal biceps rupturesurveytendon injuryPurpose: Distal biceps tendon (DBT) injuries are relatively uncommon. Controversies exist regarding the best approach, leading to variations in treatment. This study aims to understand the preferences and practices of orthopedic surgeons regarding management of DBT injuries, as well as assess the feasibility of a future pilot randomized controlled trial (RCT) to evaluate the impact of various surgical factors on patient outcomes. Methods: A cross-sectional international survey was conducted amongst surgeons treating patients with DBT injuries. The survey included questions about treatment preferences, surgical techniques, case volumes, and interest in participating in a future RCT. Results: Responses from 491 orthopedic surgeons from 26 countries/territories were obtained. Most surgeons had limited exposure to DBT ruptures. Variations were observed in the work-up process, with some relying solely on clinical examinations while others used diagnostic imaging. A single incision approach was the most common surgical technique, and tendon fixation with suspensory cortical buttons was frequently preferred. Most surgeons did not explore or repair the bicipital aponeurosis. Interest in participating in a future RCT varied for different surgical controversies. Conclusion: This survey provides valuable insights into surgeons’ preferences and practices for DBT injury management. The study highlights the need for standardization in the work-up process and the use of evidence-based guidelines. Current practices may be influenced by factors such as training, implant availability, and costs. The survey also identified surgeons and centers interested in collaboration for future multicenter trials, allowing for equitable access to surgical collaboration opportunities and addressing the lack of evidence in DBT rupture treatment. Level of Evidence: Level V, expert-opinion. © The Author(s) 2023.SAGE PUBLICATIONS INC2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://i3pt.portalinvestigacion.com/publicaciones/4500https://www.scopus.com/inward/record.uri?eid=2-s2.0-85177068121&doi=10.1177%2f17585732231215504&partnerID=40&md5=2ba7739de627a4b425f64139ddbf2864Shoulder & ElbowISSN: 17585732ISSNe: 17585740reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulíinstname:Institut d'Investigació i Innovació Parc Taulí (I3PT)Inglésinfo:eu-repo/semantics/openAccessoai:i3pt.fundanetsuite.com:p45002026-06-21T15:30:37Z
dc.title.none.fl_str_mv Distal biceps tendon injuries treatment: A survey of orthopaedic surgeons’ current practice and preferences
title Distal biceps tendon injuries treatment: A survey of orthopaedic surgeons’ current practice and preferences
spellingShingle Distal biceps tendon injuries treatment: A survey of orthopaedic surgeons’ current practice and preferences
Prada C.
Distal biceps
distal biceps repair
distal biceps rupture
survey
tendon injury
title_short Distal biceps tendon injuries treatment: A survey of orthopaedic surgeons’ current practice and preferences
title_full Distal biceps tendon injuries treatment: A survey of orthopaedic surgeons’ current practice and preferences
title_fullStr Distal biceps tendon injuries treatment: A survey of orthopaedic surgeons’ current practice and preferences
title_full_unstemmed Distal biceps tendon injuries treatment: A survey of orthopaedic surgeons’ current practice and preferences
title_sort Distal biceps tendon injuries treatment: A survey of orthopaedic surgeons’ current practice and preferences
dc.creator.none.fl_str_mv Prada C.
Li Z.
Sritharan P.
Khan M.
Marcano-Fernández F.
Al Mana L.
Alolabi B.
author Prada C.
author_facet Prada C.
Li Z.
Sritharan P.
Khan M.
Marcano-Fernández F.
Al Mana L.
Alolabi B.
author_role author
author2 Li Z.
Sritharan P.
Khan M.
Marcano-Fernández F.
Al Mana L.
Alolabi B.
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Distal biceps
distal biceps repair
distal biceps rupture
survey
tendon injury
topic Distal biceps
distal biceps repair
distal biceps rupture
survey
tendon injury
description Purpose: Distal biceps tendon (DBT) injuries are relatively uncommon. Controversies exist regarding the best approach, leading to variations in treatment. This study aims to understand the preferences and practices of orthopedic surgeons regarding management of DBT injuries, as well as assess the feasibility of a future pilot randomized controlled trial (RCT) to evaluate the impact of various surgical factors on patient outcomes. Methods: A cross-sectional international survey was conducted amongst surgeons treating patients with DBT injuries. The survey included questions about treatment preferences, surgical techniques, case volumes, and interest in participating in a future RCT. Results: Responses from 491 orthopedic surgeons from 26 countries/territories were obtained. Most surgeons had limited exposure to DBT ruptures. Variations were observed in the work-up process, with some relying solely on clinical examinations while others used diagnostic imaging. A single incision approach was the most common surgical technique, and tendon fixation with suspensory cortical buttons was frequently preferred. Most surgeons did not explore or repair the bicipital aponeurosis. Interest in participating in a future RCT varied for different surgical controversies. Conclusion: This survey provides valuable insights into surgeons’ preferences and practices for DBT injury management. The study highlights the need for standardization in the work-up process and the use of evidence-based guidelines. Current practices may be influenced by factors such as training, implant availability, and costs. The survey also identified surgeons and centers interested in collaboration for future multicenter trials, allowing for equitable access to surgical collaboration opportunities and addressing the lack of evidence in DBT rupture treatment. Level of Evidence: Level V, expert-opinion. © The Author(s) 2023.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://i3pt.portalinvestigacion.com/publicaciones/4500
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85177068121&doi=10.1177%2f17585732231215504&partnerID=40&md5=2ba7739de627a4b425f64139ddbf2864
url https://i3pt.portalinvestigacion.com/publicaciones/4500
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85177068121&doi=10.1177%2f17585732231215504&partnerID=40&md5=2ba7739de627a4b425f64139ddbf2864
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SAGE PUBLICATIONS INC
publisher.none.fl_str_mv SAGE PUBLICATIONS INC
dc.source.none.fl_str_mv Shoulder & Elbow
ISSN: 17585732
ISSNe: 17585740
reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
instname:Institut d'Investigació i Innovació Parc Taulí (I3PT)
instname_str Institut d'Investigació i Innovació Parc Taulí (I3PT)
reponame_str r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
collection r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869403322012663808
score 15,223283

Similares en LA Referencia