{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:15:24Z","timestamp":1790291724541,"version":"4.1.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2022,11,22]],"date-time":"2022-11-22T00:00:00Z","timestamp":1669075200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,22]],"date-time":"2022-11-22T00:00:00Z","timestamp":1669075200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005713","name":"Technische Universit\u00e4t M\u00fcnchen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005713","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>The aim of this study was to retrospectively evaluate the clinical outcome of double intramedullary all-suture anchors\u2019 fixation for distal biceps tendon ruptures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>A retrospective case series of patients who underwent primary distal biceps tendon repair with all-suture anchors was conducted. Functional outcome was assessed at a minimum follow-up of at 12\u00a0months based on the assessments of the Mayo Elbow Performance Score (MEPS), Andrews\u2013Carson Score (ACS), Quick Disabilities of the Arm, Shoulder, and Hand questionnaire (QuickDASH), and the Visual Analog Scale (VAS) for pain. Maximum isometric strength test for flexion and supination as well as postoperative range of motion (ROM) were determined for both arms.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>23 patients treated with all-suture anchors were assessed at follow-up survey (mean age 56.5\u2009\u00b1\u200911.4\u00a0years, 96% male). The follow-up time was 20\u00a0months (range <jats:italic>Q<\/jats:italic><jats:sub>0.25<\/jats:sub>\u2013<jats:italic>Q<\/jats:italic><jats:sub>0.75<\/jats:sub>, 15\u201323\u00a0months). The following outcome results were obtained: MEPS 100 (range <jats:italic>Q<\/jats:italic><jats:sub>0.25<\/jats:sub>\u2013<jats:italic>Q<\/jats:italic><jats:sub>0.75<\/jats:sub>, 100\u2013100); ACS 200 (range <jats:italic>Q<\/jats:italic><jats:sub>0.25<\/jats:sub>\u2013<jats:italic>Q<\/jats:italic><jats:sub>0.75<\/jats:sub>, 195\u2013200); QuickDASH 31 (range <jats:italic>Q<\/jats:italic><jats:sub>0.25<\/jats:sub>\u2013<jats:italic>Q<\/jats:italic><jats:sub>0.75<\/jats:sub>, 30\u201331); VAS 0 (range <jats:italic>Q<\/jats:italic><jats:sub>0.25<\/jats:sub>\u2013<jats:italic>Q<\/jats:italic><jats:sub>0.75<\/jats:sub>, 0\u20130). The mean strength compared to the uninjured side was 95.6% (range <jats:italic>Q<\/jats:italic><jats:sub>0.25<\/jats:sub>\u2013<jats:italic>Q<\/jats:italic><jats:sub>0.75<\/jats:sub>, 80.9\u2013104%) for flexion and 91.8\u2009\u00b1\u200911.6% for supination. There was no significant difference in ROM or strength compared to the uninjured side and no complications were observed in any patient.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Distal biceps tendon refixation using all-suture anchors provides good-to-excellent results in terms of patient-reported and functional outcome. This repair technique appears to be a viable surgical option, although further long-term results are needed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Level of evidence<\/jats:title>\n                <jats:p>Level IV (case series)<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-022-04690-0","type":"journal-article","created":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T10:18:39Z","timestamp":1669198719000},"page":"3271-3278","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["All-suture anchors for distal biceps tendon repair: a preliminary outcome study"],"prefix":"10.1007","volume":"143","author":[{"given":"Sebastian","family":"Lappen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Geyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavel","family":"Kadantsev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Hinz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Kleim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannes","family":"Degenhardt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas B.","family":"Imhoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Siebenlist","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,11,22]]},"reference":[{"issue":"8","key":"4690_CR1","doi-asserted-by":"publisher","first-page":"2012","DOI":"10.1177\/0363546515587738","volume":"43","author":"MP Kelly","year":"2015","unstructured":"Kelly MP, Perkinson SG, Ablove RH, Tueting JL (2015) Distal biceps tendon ruptures: an epidemiological analysis using a large population database. 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Naples and Medi Bayreuth. Andreas B. Imhoff is a consultant for Arthrosurface and Medi Bayreuth, and receives royalties from Arthrex and Arthrosurface.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the institutional review board of the Technical University of Munich (reference: 268\/20-S) and the study was performed in accordance with the Declaration of Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Written informed consent was obtained from all patients.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}