{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:58:33Z","timestamp":1775473113425,"version":"3.50.1"},"reference-count":37,"publisher":"Medical Association of Zenica-Doboj","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2020,10,9]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;To report clinical, functional and radiographic results of oneincision distal biceps tendon repair with Toggle Loc (Zimmer-Biomet, Warsaw, Indiana, USA) at an average 4-year follow-up and to assess posterior interosseous nerve injury complications after reconstruction.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;We conducted a retrospective review of 58 consecutive distal biceps tendon repairs performed at our department between&amp;lt;br \/&amp;gt;2010 and 2018. Disabilities of Arm, Shoulder and Hand (DASH) score, Visual Analogue Scale (VAS) scale and elbow range of motion (ROM) were recorded at each follow-up and an ultrasound examination was also performed to assess the repaired biceps brachii tendon.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Clinical evaluation showed good and excellent results at medium- and long-term follow-up. A temporary posterior interosseous nerve (PIN) palsy developed in four (6.81%) patients and always resolved in 8 weeks. PIN palsy prevalence is in accordance with the results of the previous studies.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Distal biceps tendon repair with Toggle Loc is an effective surgical procedure. PIN injury is a relatively rare complication after one-incision anterior repair. Our complication rate did not differ significantly from other studies that have used cortical&amp;lt;br \/&amp;gt;button fixation, reported in current literature. Our results confirm that accidental injury of PIN may also happen to experienced surgeons and suggest extreme care and an appropriate surgical technique to reduce this iatrogenic risk.&amp;amp;nbsp;&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/1303-21","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:28:16Z","timestamp":1713695296000},"page":"196-201","source":"Crossref","is-referenced-by-count":0,"title":["Distal biceps tendon repair and posterior interosseous nerve injury: clinical results and a systematic review of the literature"],"prefix":"10.17392","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9383-1000","authenticated-orcid":false,"given":"Silvio","family":"Chiossi","sequence":"first","affiliation":[{"name":"San Camillo - Forlanini Hospital Rome","place":["Rome,Italy"],"department":["Orthopedics and Traumatology Unit, Department of Emergency and Acceptance"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Spoliti","sequence":"additional","affiliation":[{"name":"San Camillo - Forlanini Hospital Rome","place":["Rome,Italy"],"department":["Orthopedics and Traumatology Unit, Department of Emergency and Acceptance"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pasquale","family":"Sessa","sequence":"additional","affiliation":[{"name":"San Camillo - Forlanini Hospital Rome","place":["Rome,Italy"],"department":["Orthopedics and Traumatology Unit, Department of Emergency and Acceptance"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerio","family":"Arceri","sequence":"additional","affiliation":[{"name":"San Camillo - Forlanini Hospital Rome","place":["Rome,Italy"],"department":["Orthopedics and Traumatology Unit, Department of Emergency and Acceptance"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attilio","family":"Basile","sequence":"additional","affiliation":[{"name":"San Camillo - Forlanini Hospital Rome","place":["Rome,Italy"],"department":["Orthopedics and Traumatology Unit, Department of Emergency and Acceptance"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca Romana","family":"Rossetti","sequence":"additional","affiliation":[{"name":"San Camillo - Forlanini Hospital Rome","place":["Rome,Italy"],"department":["Orthopedics and Traumatology Unit, Department of Emergency and Acceptance"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Maria Lanzetti","sequence":"additional","affiliation":[{"name":"San Camillo - Forlanini Hospital Rome","place":["Rome,Italy"],"department":["Orthopedics and Traumatology Unit, Department of Emergency and Acceptance"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"ref1","first-page":"275","article-title":"Distal biceps tendon ruptures: incidence, demographics, and the effect of smoking","author":"MSafranM","year":"2002","unstructured":"Safran MR, Graham SM. Distal biceps tendon ruptures: \nincidence, demographics, and the effect of smoking. \nClin Orthop Relat Res 2002; 404:275-83.","journal-title":"Clin Orthop Relat Res"},{"key":"ref2","first-page":"2012","article-title":"Distal biceps tendon ruptures: an epidemiological analysis using a large population database","author":"MKellyM","year":"2015","unstructured":"Kelly MP, Perkinson SG, Ablove RH, Tueting JL. Distal \nbiceps tendon ruptures: an epidemiological analysis \nusing a large population database. Am J Sports Med \n2015; 43:2012-7.","journal-title":"Am J Sports Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1007\/s00402-007-0326-7","article-title":"Rupture of the distal biceps brachii tendon: conservative treatment versus anatomic reinsertion-clinical and radiological evaluation after 2 years","author":"CChillemiC","year":"2007","unstructured":"Chillemi C, Marinelli M, De Cupis V. Rupture of the \ndistal biceps brachii tendon: conservative treatment \nversus anatomic reinsertion-clinical and radiological \nevaluation after 2 years. Arch Orthop Trauma Surg \n2007; 127:705-8.","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref4","first-page":"103","article-title":"Distal biceps tendon injuries-current treatment options","author":"TQuachT","year":"2010","unstructured":"Quach T, Jazayeri R, Sherman OH, Rosen JE. Distal \nbiceps tendon injuries-current treatment options. Bull \nNYU Hosp Jt Dis 2010; 68:103-11.","journal-title":"Bull NYU Hosp Jt Dis"},{"key":"ref5","first-page":"859","article-title":"Treatment of primary total distal biceps tendon rupture using cortical button, transosseus fixation and suture anchor: a single center experience","author":"NLangN","year":"2018","unstructured":"Lang NW, Bukaty A, Sturz GD, Platzer P, Joestl J. Tre-\natment of primary total distal biceps tendon rupture \nusing cortical button, transosseus fixation and suture \nanchor: a single center experience. Orthop Traumatol \nSurg Res 2018; 104:859-63.","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1016\/j.csm.2020.02.004","article-title":"Distal Biceps Injuries","author":"FTjoumakarisF","year":"2020","unstructured":"Tjoumakaris FP, Bradley JP. Distal Biceps Injuries. \nClin Sports Med 2020; 39:661-672.","journal-title":"Clin Sports Med"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.ocl.2015.08.025","article-title":"Surgical treatment of distal biceps ruptures","author":"LStollL","year":"2016","unstructured":"Stoll LE, Huang JI. Surgical treatment of distal biceps \nruptures. Orthop Clin North Am 2016; 47:189-205.","journal-title":"Orthop Clin North Am"},{"key":"ref8","first-page":"1898","article-title":"Major complications after distal biceps tendon repairs: retrospective cohort analysis of 970 cases","author":"SFordS","year":"2018","unstructured":"Ford SE, Andersen JS, Macknet DM, Connor PM, Lo-\neffler BJ, Gaston RG. Major complications after distal \nbiceps tendon repairs: retrospective cohort analysis of \n970 cases. J Shoulder Elbow Surg 2018; 27:1898-906.","journal-title":"J Shoulder Elbow Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/S1058-2746(03)00173-3","article-title":"En-doButton-assisted repair of distal biceps tendon ruptures","author":"JGreenbergJ","year":"2003","unstructured":"Greenberg JA, Fernandez JJ, Wang T, Turner C. En-\ndoButton-assisted repair of distal biceps tendon rup-\ntures. J Shoulder Elbow Surg 2003; 12:484-90.","journal-title":"J Shoulder Elbow Surg"},{"key":"ref10","first-page":"435","article-title":"Complications of distal biceps repair","author":"MGaronM","year":"2016","unstructured":"Garon MT, Greenberg JA. Complications of distal \nbiceps repair. Orthop Clin N Am 2016; 47: 435-444.","journal-title":"Orthop Clin N Am"},{"key":"ref11","first-page":"662","article-title":"Avulsion of the lower biceps brachii tendon","author":"RDobbieR","year":"1941","unstructured":"Dobbie RP. Avulsion of the lower biceps brachii ten-\ndon. Am J Surg 1941; 51: 662-83.","journal-title":"Am J Surg"},{"key":"ref12","first-page":"1041","article-title":"A method for reinsertion of the distal biceps brachii tendon","author":"HBoydH","year":"1961","unstructured":"Boyd HB, Anderson LD. A method for reinsertion of \nthe distal biceps brachii tendon. J Bone Joint Surg \n1961; 43:1041-3.","journal-title":"J Bone Joint Surg"},{"key":"ref13","first-page":"1575","article-title":"Complications of repair of the distal biceps tendon with the modified two-incision technique","author":"EKellyE","year":"2000","unstructured":"Kelly EW, Morrey BF, O'Driscoll SW. Complications \nof repair of the distal biceps tendon with the modified \ntwo-incision technique. J Bone Joint Surg Am 2000; \n82:1575-81.","journal-title":"J Bone Joint Surg Am"},{"key":"ref14","first-page":"2128","article-title":"Distal biceps tendon injuries","author":"RMiyamotoR","year":"2010","unstructured":"Miyamoto RG, Elser F, Millett PJ. Distal biceps ten-\ndon injuries. J Bone Joint Surg Am 2010; 92:2128-38.","journal-title":"J Bone Joint Surg Am"},{"key":"ref15","first-page":"1166","article-title":"Single versus double-incision technique for the repair of acute distal biceps tendon ruptures: a randomized clinical trial","author":"RGrewalR","year":"2012","unstructured":"Grewal R, Athwal GS, MacDermid JC, Faber KJ, Dro-\nsdowech DS, El-Hawary R, King GJ. Single versus \ndouble-incision technique for the repair of acute distal \nbiceps tendon ruptures: a randomized clinical trial. J \nBone Joint Surg Am 2012; 94:1166-74.","journal-title":"J Bone Joint Surg Am"},{"key":"ref16","first-page":"2325967116668137","article-title":"Complications of distal biceps tendon repair: a meta-analysis of singleincision versus double-incision surgical technique","author":"NAminN","year":"2016","unstructured":"Amin NH, Volpi A, Lynch TS, Patel RM, Cerynik \nDL, Schickendantz MS, Jones MH. Complications of \ndistal biceps tendon repair: a meta-analysis of single-\nincision versus double-incision surgical technique. \nOrthop J Sports Med 2016; 4:2325967116668137.","journal-title":"Orthop J Sports Med"},{"key":"ref17","first-page":"3020","article-title":"Surgical treatment of distal biceps tendon ruptures: an analysis of complications in 784 surgical repairs","author":"TDunphyT","year":"2017","unstructured":"Dunphy TR, Hudson J, Batech M, Acevedo DC, Mir-\nzayan R. Surgical treatment of distal biceps tendon \nruptures: an analysis of complications in 784 surgical \nrepairs. Am J Sports Med 2017; 45:3020-9.","journal-title":"Am J Sports Med"},{"key":"ref18","first-page":"2112","article-title":"Complications following distal biceps repair","author":"RCainR","year":"2012","unstructured":"Cain RA, Nydick JA, Stein MI, Williams BD, Poli-\nkandriotis JA, Hess AV. Complications following dis-\ntal biceps repair. J Hand Surg Am 2012; 37:2112-7.","journal-title":"J Hand Surg Am"},{"key":"ref19","first-page":"159","article-title":"Neurologic complications of distal biceps tendon repair with 1-incision endobutton fixation","author":"MCarrollM","year":"2014","unstructured":"Carroll MJ, DaCambra MP, Hildebrand KA. Neurolo-\ngic complications of distal biceps tendon repair with \n1-incision endobutton fixation. Am J Orthop (Belle \nMead NJ) 2014; 43:E159-62.","journal-title":"Am J Orthop"},{"key":"ref20","first-page":"435","article-title":"Complications of distal biceps repair","author":"MGaronM","year":"2016","unstructured":"Garon MT, Greenberg JA. Complications of distal bi-\nceps repair. Orthop Clin N Am 2016; 47: 435-44.","journal-title":"Orthop Clin N Am"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.jse.2004.09.007","article-title":"Waddell JP. Patient-oriented functional outcome after repair of distal biceps tendon ruptures using a single-incision technique","author":"MMckeeM","year":"2005","unstructured":"McKee MD, Hirji R, Schemitsch EH, Wild LM, Wad-\ndell JP. Patient-oriented functional outcome after \nrepair of distal biceps tendon ruptures using a sin-\ngle-incision technique. J Shoulder Elbow Surg 2005; \n14:302-6.","journal-title":"J Shoulder Elbow Surg"},{"key":"ref22","first-page":"1361","article-title":"High complication rate following distal biceps refixation with cortical button","author":"MBanerjeeM","year":"2013","unstructured":"Banerjee M, Shafizadeh S, Bouillon B, Tjardes T, Wa-\nfaisade A, Balke M. High complication rate following \ndistal biceps refixation with cortical button. Arch Ort-\nhop Trauma Surg 2013; 133:1361-6.","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref23","first-page":"120","article-title":"Repair of distal biceps tendon rupture: a new technique using the Endobutton","author":"GBainG","year":"2000","unstructured":"Bain GI, Prem H, Heptinstall RJ, Verhellen R, Paix \nD. Repair of distal biceps tendon rupture: a new tech-\nnique using the Endobutton. J Shoulder Elbow Surg \n2000; 9:120-6.","journal-title":"J Shoulder Elbow Surg"},{"key":"ref24","first-page":"316","article-title":"Is therapy necessary after distal biceps tendon repair?","author":"Spencer Ee","year":"2008","unstructured":"Spencer EE Jr, Tisdale A, Kostka K, Ivy RE. Is the-\nrapy necessary after distal biceps tendon repair? Hand \n(NY) 2008; 3:316-9.","journal-title":"Hand (NY)"},{"key":"ref25","first-page":"283","article-title":"Functional outcome after repair of distal biceps tendon ruptures using the endobutton technique","author":"TPeetersT","year":"2009","unstructured":"Peeters T, Ching-Soon NG, Jansen N, Sneyers C, \nDeclercq G, Verstreken F. Functional outcome after \nrepair of distal biceps tendon ruptures using the en-\ndobutton technique. J Shoulder Elbow Surg 2009; \n18:283-7.","journal-title":"J Shoulder Elbow Surg"},{"key":"ref26","first-page":"39","article-title":"Repair of acute and chronic distal biceps tendon ruptures using the Endo-Button","author":"MDillonM","year":"2011","unstructured":"Dillon MT, Bollier MJ, King JC. Repair of acute and \nchronic distal biceps tendon ruptures using the Endo-\nButton. Hand (NY) 2011; 6:39-46.","journal-title":"Hand (NY)"},{"key":"ref27","first-page":"70","article-title":"Prognosis for recovery of posterior interosseous nerve palsy after distal biceps repair","author":"PNigroP","year":"2013","unstructured":"Nigro PT, Cain R, Mighell MA. Prognosis for reco-\nvery of posterior interosseous nerve palsy after distal \nbiceps repair. J Shoulder Elbow Surg 2013; 22:70-3.","journal-title":"J Shoulder Elbow Surg"},{"key":"ref28","first-page":"1618","article-title":"Repair of the ruptured distal biceps tendon: a systematic review","author":"PChavanP","year":"2008","unstructured":"Chavan PR, Duquin TR, Bisson LJ. Repair of the rup-\ntured distal biceps tendon: a systematic review. Am J \nSports Med 2008; 36:1618-24.","journal-title":"Am J Sports Med"},{"key":"ref29","article-title":"Distal biceps tendon repair using the toggle loc with zip loop","author":"MDiraimoM","year":"2008","unstructured":"DiRaimo MJ Jr, Maney MD, Deitch JR. Distal biceps \ntendon repair using the toggle loc with zip loop. Ort-\nhopedics 2008; 31.","journal-title":"Orthopedics"},{"key":"ref30","first-page":"919","article-title":"Reconstruction of distal biceps tendon ruptures with a cortical button","author":"IKoddeI","year":"2015","unstructured":"Kodde IF, van den Bekerom MP, Eygendaal D. Re-\nconstruction of distal biceps tendon ruptures with a \ncortical button. Knee Surg Sports Traumatol Arthrosc \n2015; 23:919-25","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref31","first-page":"534","article-title":"Proximity of the posterior interosseous nerve during cortical button guidewire placement for distal biceps tendon reattachment","author":"NThummN","year":"2015","unstructured":"Thumm N, Hutchinson D, Zhang C, Drago S, Tyser \nAR. Proximity of the posterior interosseous nerve \nduring cortical button guidewire placement for distal \nbiceps tendon reattachment. J Hand Surg Am 2015; \n40:534-6.","journal-title":"J Hand Surg Am"},{"key":"ref32","first-page":"1048","article-title":"Van den Bogaerde JM. The effect of drill trajectory on proximity to the posterior interosseous nerve during cortical button distal biceps repair","author":"ELoE","year":"2011","unstructured":"Lo EY, Li CS, Van den Bogaerde JM. The effect of \ndrill trajectory on proximity to the posterior interos-\nseous nerve during cortical button distal biceps repair. \nArthroscopy 2011; 27:1048-54.","journal-title":"Arthroscopy"},{"key":"ref33","first-page":"2325967118810523","article-title":"Distal biceps repair with flexible instrumentation and risk of posterior interosseous nerve injury: a cadaveric analysis","author":"JTatJ","year":"2018","unstructured":"Tat J, Hart A, Cota A, Alsheikh K, Behrends D, Mar-\ntineau PA. Distal biceps repair with flexible instru-\nmentation and risk of posterior interosseous nerve in-\njury: a cadaveric analysis. Orthop J Sports Med 2018; \n6 :2325967118810523.","journal-title":"Orthop J Sports Med"},{"key":"ref34","first-page":"1048","article-title":"Van den Bogaerde JM. The effect of drill trajectory on proximity to the posterior interosseous nerve during cortical button distal biceps repair","author":"ELoE","year":"2011","unstructured":"Lo EY, Li CS, Van den Bogaerde JM. The effect of \ndrill trajectory on proximity to the posterior interos-\nseous nerve during cortical button distal biceps repair. \nArthroscopy 2011; 27:1048-54.","journal-title":"Arthroscopy"},{"key":"ref35","first-page":"305","article-title":"The effect of drilling angle on posterior interosseous nerve safety during open and endoscopic anterior single-incision repair of the distal biceps tendon","author":"NSalduaN","year":"2008","unstructured":"Saldua N, Carney J, Dewing C, Thompson M. The ef-\nfect of drilling angle on posterior interosseous nerve \nsafety during open and endoscopic anterior single-in-\ncision repair of the distal biceps tendon. Arthroscopy \n2008; 24:305-10.","journal-title":"Arthroscopy"},{"key":"ref36","first-page":"424","article-title":"How to avoid posterior interosseous nerve injury durino single-incision distal biceps repair drilling","author":"DBeckerD","year":"2019","unstructured":"Becker D, Lopez Marambio FA. How to avoid poste-\nrior interosseous nerve injury durino single-incision \ndistal biceps repair drilling. Clin Orthop Relat Res \n2019; 477: 424-31.","journal-title":"Clin Orthop Relat Res"},{"key":"ref37","first-page":"134","article-title":"Reconstruction of posterior interosseous nerve injury following biceps tendon repair: case report and cadaveric study","author":"DMokhteeD","year":"2009","unstructured":"Mokhtee DB, Brown JM, Mackinnon SE, Tung TH. \nReconstruction of posterior interosseous nerve injury \nfollowing biceps tendon repair: case report and cada-\nveric study. Hand (NY) 2009; 4:134-9.","journal-title":"Hand (NY)"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/358\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/358\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:44:54Z","timestamp":1775468694000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/385\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,9]]},"references-count":37,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,10,9]]},"published-print":{"date-parts":[[2020,10,9]]}},"URL":"https:\/\/doi.org\/10.17392\/1303-21","archive":["Internet Archive"],"relation":{"is-cited-by":[{"id-type":"doi","id":"10.1007\/s10143-023-01944-2","asserted-by":"object"}]},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,9]]}}}