Distal Biceps surgery?
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Gary

San Francisco, CA

#1 Dec 16, 2006
When doing a distal Biceps reattachment and both the biceps tendon and the bicipital aponeurosis (lacertus fibrosis) are ruptured is it common/possible to have the bicipital aponeurosis reattached to ulna? Or does the Biceps tendon just get reattached to the radius, and the bicipital aponeurosis is just left alone?
Mike

Fort Lauderdale, FL

#2 Dec 21, 2006
Be careful I have lost function to my fingers and thumb following single incision suture anchor method.3 weeks post op.
Mike
Jeff

Columbus, OH

#3 Jan 5, 2007
I am 4 weeks post op for double incision distal bicep reinsertion. Incisions were made on the outside of the forearm and the inner elbow at the fold.
A small titanium device was used in the bone and the tendons were sutured.
I spent 2 weeks in the post op brace. Then the stitches were removed and I used the fixed brace they molded for me the day before surgery. This could be removed for showering.
At 4 weeks I no longer need the brace. I begin range of motion therapy now and at 8 weeks post op I will begin weight/strength training.
I feel my surgeon did an awesome job. Pain was quite intense the day after surgery when the block wore off. By day 3 I no longer needed the pain meds.
I've only been out of the brace 2 days and my range of motion is very good already. The muscle atrophy in my bicep & tricep is already improving.
I'm an avid weight lifter and cant wait to get back to 100%. However, I am proceeding cautiously and following my doc's instructions to the letter. I don't want to go through this again!
I also had my knee scoped at this office by another doctor for a torn meniscus and shredding to the inner cap. That surgery & rehab went very well also.
I highly recommend Ortho/Neuro in Cols,Ohio.
Mike

Fort Lauderdale, FL

#4 Jan 9, 2007
I am now 6 weeks post op and still can't move my fingers. I weight lift too but I fix Airplanes for a living. I hope this Doc did not ruin my living.
Mike
horace

AOL

#5 Mar 4, 2007
HEY MIKE I JUST HAD THE SURGERY ON MONDAY,PAST MY HAND IS NUMB AND MY FINGERS OR HALF WAY UP, DO YOU THINK THIS IS A RADIAL NERVE ISSUE WITH THIS SURGERY.

Since: Mar 07

Hollywood, FL

#6 Mar 9, 2007
horace wrote:
HEY MIKE I JUST HAD THE SURGERY ON MONDAY,PAST MY HAND IS NUMB AND MY FINGERS OR HALF WAY UP, DO YOU THINK THIS IS A RADIAL NERVE ISSUE WITH THIS SURGERY.
Sorry about the late reply. Yes particularly the posterior interosseous nerve, which is a deep branch of the radial nerve. I have the same issue 3 months later. It takes a long time to fully heal.Did he use the single incision technique? Post your e-mail and I'll contact you, mine is [email protected] I would very much like to talk to you as i know exactly what you are going through.
Best of luck to you!!
Mike
Mike

Hollywood, FL

#7 Mar 9, 2007
Who is Joebobo? That was somehow used as my name? Anyway this is Mike in Ft Lauderdale
Mike

Hollywood, FL

#8 Mar 9, 2007
horace wrote:
HEY MIKE I JUST HAD THE SURGERY ON MONDAY,PAST MY HAND IS NUMB AND MY FINGERS OR HALF WAY UP, DO YOU THINK THIS IS A RADIAL NERVE ISSUE WITH THIS SURGERY.
Horace e-mail me at [email protected] I would like to talk to you about this. Yes it's Radial nerve damage, to what extent depends on how bad it was traumatized.I am now 3 months + post op and still have very limited function of my hand.
Best of luck,
Mike
Mike

Hollywood, FL

#9 Mar 9, 2007
I am not in L.A.
Mike

Hollywood, FL

#10 Mar 9, 2007
Sorry about the multiple posts, my browser did not show any replies so i tried again and boom, they were all there? Anyway let's get in touch,
Mike
Dennis

California, MD

#11 Mar 10, 2007
I had a distal bicep tendon rupture from riding in rodeos and the doctor reattached the tendon by drilling two small holes in the forearm and then stretching the tendon and tying it off. Apparently it was a bit more complicated than he originally thought. the day after surgery sucked. took pain pills throughout the day. then just went off the pills from then on. I was in a splint for two weeks, a cast for two weeks, then a splint for the third week. But I am in therapy now and I am getting the range of motion back. hurts like hell to rotate the palm in and out, tho. Fingers work fine and I can pretty much straighten my arm now about 30 degrees. that will come with time. There is an 's' shaped incision at my elbow and a straight one at my forearm. it takes time to get it all back. I noticed some numbness along my arm tho. hopefull that will come back too. and has anyone noticed wrist pain at all? I have. Strange to me. ok I'm done.
Jeff

Edison, NJ

#12 Mar 21, 2007
Hi, my father is going to have suture anchor surgery to repear his torn distal biceps tendon next thursday, four days before all of my family excluding him was supposed to go on vacation. Do you all think that some one should stay home with him or will he be able to manage on his own after the surgery? He injured his non-dominant hand so I dont see why he wouldnt be able to take care of himself, but I'd appreciate your opinions.
Mike

Hollywood, FL

#13 Mar 22, 2007
Make sure above all that he is aware of possible nerve damage. I would ask the surgeon what he does to prevent nerve injury. Not trying to scare you, just want him to avoid what I am going through. It's his right to ask.
Mike
After surgery he will need a ride home. Someone should stay with him, I feel.
Leningrad Cowboy

Bozeman, MT

#14 Mar 23, 2007
Blew out the distal biceps tendon two Octobers ago while having an orthopedist figure out what was wrong with my shoulder (turned out to be a nasty torn labrum). Boy did that biceps tendon make a nasty sound when it let loose! And the look on the doc's face was priceless, although I didn't find the humor in it at the time. MRI confirmed a complete rupture, which I could have told you just from the sound. Doc used the endobutton technique (the small titanium button, sounds like the suture-anchor method mentioned previously).

Recovery went well, but took time. Hurt pretty good the first and second day, and had quite a bit of swelling for a week, but pain subsided quickly and the heavy duty pain pills weren't needed after the third day or so. However, I kept up with the ibuprofin to try to control the swelling.

Started passive rehab the day after surgery. Had good insurance so used physical rehab to the max and was very diligent about doing the prescribed exercises at home. It is brutal to rotate the palm after surgery, but well worth the effort to stretch that out and regain range of motion. Frustrating process, but at least there was measurable progress, no matter how slow.

Wore a sling for about a month. No casts or hard braces. Can't remember a lot of other rehab details because I had the shoulder fixed 6 weeks after the biceps and that started a whole new sling/rehab routine.

I didn't loose hand function, but I had an odd tingling from the incision site all the way down the radial nerve and up into my hand that lasted six months before going away completely. Sounds like some of you are experiencing much worse than that, but I wanted to give you some hope that things can improve, even if it takes a long time.

Jeff, how old is your father? As Mike noted, he will need someone to get him home from the hospital and take care of him for the rest of that day. Someone to help him out the day after would probably also be a good idea. If he is fairly young and/or in good shape, he could be fine on his own the second day after surgery if things go as well as they did for me. FWIW I was 31 when I nuked the biceps.

Most of life is manageable shortly after surgery, but jars are next to impossible right away and driving with one arm is also a concern. Just getting in and out of the car and buckling a seat belt can be a major challenge the first few days.

More than a year later, all seems to be well. Strength is back where it was pre-injury and the biceps feels solid.

Good luck to all of you! I hope your recovery goes as well as mine has.
cameronuz

Mersin, Turkey

#15 Mar 25, 2007
One month ago, I fell on an outstretched arm and had a radius neck fracture. I was admitted to the hospital and was operated on(19th of february). immediately after the surgery, I could not move my thumb or fingers. I used an elbow splint for a month and an EMG was taken. It showed that I had serious posterior interosseous damage. I now have a finger splint and am depressed because can not extend my fingers. I can not extend my elbow /arm as well. It is my left arm and I am an instructor at a university and I am left handed as well:( I go to physical theraphy everyday but my bones show no improvement of healing though I am only 26 years old. My thearapist tells me that I can stretch my arm as soon as my bones heal with the help of her. But I dont know how or when the posterior interosseous nerve damage will heal. Anyone with an answer to these questions will be appreciated.cameronuz at yahoo dot com
Bill

Boston, MA

#16 Apr 2, 2007
I tore my distal tendon about 2 weeks ago. I didnt think it was as abad as it is. I did the macho thing and didnt go see a doctor until I noticed my bicep was not where it always was. So 2 weeks have gone by, I see a surgeon finally and he told me the bad news. Now I need surgery! Bad news is that he is booked solid until next week. Which means that the wound will be almost 4 weeks old by surgery time. The doc told me that this is about the longest I should wait to fix it. Is he being honest with me? I told him if he couldnt squeeze me in, I would like to be referred to another doc, he said I still have time. Can anyone help me? Im sicerley scared about the possible damage time will cause. Im 31 years old, and really want full function of my muscles...who deosnt.
Leningrad Cowboy

Bozeman, MT

#17 Apr 6, 2007
Bill,

I remember reading some stuff about the impact of delayed repairs on distal biceps ruptures, but I can't recall the specifics. Sooner is better, but I think 3-4 weeks was acceptable. Of course, a second opinion is never a bad idea. I was 31 when mine blew up, so I can understand your concern. Had mine fixed within 2 weeks, and like you, didn't want to wait any a minute longer than was absolutely necessary.

There are medical journal articles that discuss biceps repair outcomes. Key words to search: distal biceps repair delay. Try searching at a university, if possible, as they have access to more electronic journals. The repair techniques have come a long way in recent years, so don't get too hung up on results from the 1990's, and don't even both with results from the 1980's). In the best case, your tendon will be in decent shape and they'll get everything hooked up without a problem.

If the tendon is in bad shape or things have retracted/shrunk too much, ask your doctor about grafting options. Some repairs require the use of cadaver tendons (allograft) or they can harvest tendons from your own body (autograft), if needed. There are pros and cons to each, so at least ask your doc about that.

I went with the single incision endobutton repair and I'm very pleased with the results nearly 1 1/2 years later. Take rehab seriously, but don't get impatient and push it too far too fast.

Good luck!
Taylor

Pompano Beach, FL

#18 Apr 7, 2007
I had my distal bicep tendon torn and repaired last year on my right arm. I torn my left on yesterday. I am wondering if anyone in the Fort Lauderdale area knows of a good surgeon for a repair. My last operation was a nightmare
Mike

Hollywood, FL

#19 Apr 9, 2007
Yes a Dr Gilbert, he's a hand specialist in Ft-Lauderdale. he's a great Doctor, wish I had him do the surgery.
Mike
Mike

Hollywood, FL

#20 Apr 9, 2007
Bill wrote:
I tore my distal tendon about 2 weeks ago. I didnt think it was as abad as it is. I did the macho thing and didnt go see a doctor until I noticed my bicep was not where it always was. So 2 weeks have gone by, I see a surgeon finally and he told me the bad news. Now I need surgery! Bad news is that he is booked solid until next week. Which means that the wound will be almost 4 weeks old by surgery time. The doc told me that this is about the longest I should wait to fix it. Is he being honest with me? I told him if he couldnt squeeze me in, I would like to be referred to another doc, he said I still have time. Can anyone help me? Im sicerley scared about the possible damage time will cause. Im 31 years old, and really want full function of my muscles...who deosnt.
They say the sooner the better. Just make sure your Doctor is well experienced.
Regards,
Mike

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