Biceps Brachii Distal Tendon Ruptures: Conservative and Surgical Treatment Outcomes

Background. Interest in the study of distal biceps brachii tendon ruptures recent decade has been caused by development instrumental diagnostic methods, new sports disciplines appear and technological workplace environment complication. The main concepts treatment depend on injury term, tissue damage area, patient functional needs his/her professional activities, comorbidity index (CCI), so are divided into two: conservative surgical.
 aim to identify most effective method treating patients with a rupture.
 Methods. included 58 (all men) injury. They were groups depending concept treatment: group 20 (34%) surgical 38 (66%). was also subgroups according approaches, reinsertion methods types fixation. Patients underwent physical tests (ODriscoll, Ruland, et al.), ultrasound compare proximal radio-ulnar space, degree muscle retraction, lacertus fibrosus involvement, MRI elbow joint. scales VAS, DASH ASES used evaluate obtained results. results evaluated L. Perera (2012) J. Fuente (2018) classifications.
 Results. Evaluation (Ns) (Nc) after 6 (VAS, DASH) 36 months (ASES) revealed: decrease subjective pain score 1 point, 21 43 points (statistically significant both p0.001, difference between p = 0.005), ASES: 91 71 (dynamics 0.001). Minimally invasive approaches compared open access (nD) showed better outcomes scale: nBA vs nD 0.006; nMA 0.013 months, 0.007; p= 0.002 months. An intragroup analysis revealed achievement peak indicators weeks without complications anatomical variant VAS: 0.264; DASH: 0.856; 0.179.
 Conclusion. Comparison within made it possible technique combination minimally an version intracanal fixation cortical button. This shown have low risk postoperative complications.