{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:14:56Z","timestamp":1790291696916,"version":"4.1.0"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"14","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2016,7,20]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Supination weakness commonly occurs after a distal biceps repair. The goal of this study was to identify factors that could influence postoperative supination strength through a full arc of forearm rotation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Fifteen patients were prospectively studied and underwent a biceps repair using a posterior approach; this cohort was compared with a randomized selection of 17 anterior repair subjects. All patients underwent postoperative magnetic resonance imaging (MRI). Quantitative MRI analysis determined the insertion site angle of the tendon and supinator fat content. Supination strength was measured in 3 forearm positions. A multiple linear regression analysis was performed to determine the effect of all factors on supination strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The anterior group had a significantly higher nonanatomic insertion site angle of the tendon than the control group and the posterior group (p &lt; 0.001). The posterior group had significantly greater supinator fat content (p \u2264 0.019) than both the control group and the anterior group. After repair, the posterior group had significantly greater supination strength than the anterior group (p = 0.027). Multiple regression analysis (r = 0.765) found that an anatomic reinsertion of the ruptured tendon (\u03b2 = 1.159; p &lt; 0.001), posterior approach (\u03b2 = 0.484; p = 0.043), and limited supinator muscle fat content (\u03b2 = 0.360; p = 0.013) were significant predictors of the restoration of supination strength in 60\u00b0 of supination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Future directions for distal biceps tendon repair techniques should focus on restoring an anatomic reattachment site while limiting supinator damage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level III<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.15.01025","type":"journal-article","created":{"date-parts":[[2016,7,20]],"date-time":"2016-07-20T14:13:02Z","timestamp":1469023982000},"page":"1153-1160","source":"Crossref","is-referenced-by-count":55,"title":["Factors That Determine Supination Strength Following Distal Biceps Repair"],"prefix":"10.2106","volume":"98","author":[{"given":"Christopher C.","family":"Schmidt","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon T.","family":"Brown","sequence":"additional","affiliation":[{"name":"Departments of Bioengineering (B.T.B.) and Mechanical Engineering and Materials Science (M.C.M.), University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars M.","family":"Qvick","sequence":"additional","affiliation":[{"name":"St. Mary\u2019s Center for Orthopaedics, Auburn, Maine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafal Z.","family":"Stacowicz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Crystal Clinic Orthopaedic Center, Kent, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen R.","family":"Latona","sequence":"additional","affiliation":[{"name":"Department of Radiology, Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Carl","family":"Miller","sequence":"additional","affiliation":[{"name":"Departments of Bioengineering (B.T.B.) and Mechanical Engineering and Materials Science (M.C.M.), University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"1","key":"bib1-20230714","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1177\/0363546508323749","article-title":"Immediate active range of motion after modified 2-incision repair in acute distal biceps tendon rupture","volume":"37","author":"Cil","year":"2009","journal-title":"Am J Sports Med."},{"issue":"12","key":"bib2-20230714","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1016\/j.jse.2012.03.009","article-title":"Repaired distal biceps magnetic resonance imaging anatomy compared with outcome","volume":"21","author":"Schmidt","year":"2012","journal-title":"J Shoulder Elbow Surg."},{"issue":"12","key":"bib3-20230714","doi-asserted-by":"crossref","first-page":"1898","DOI":"10.1016\/j.jse.2014.06.051","article-title":"Anatomic repair of the distal biceps tendon cannot be consistently performed through a classic single-incision suture anchor technique","volume":"23","author":"Hansen","year":"2014","journal-title":"J Shoulder Elbow Surg."},{"issue":"3","key":"bib4-20230714","doi-asserted-by":"crossref","first-page":"418","DOI":"10.2106\/00004623-198567030-00011","article-title":"Rupture of the distal tendon of the biceps brachii. 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