{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T03:23:41Z","timestamp":1761017021273},"reference-count":27,"publisher":"SLACK, Inc.","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:p>The posterior interosseous nerve (PIN) is at risk for injury during surgical dissection for distal biceps repair, yet the optimal position of elbow flexion to avoid a PIN injury has never been established for the 2-incision approach. The purpose of this study was to determine the proximity of the PIN to the radial tuberosity during surgical dissection in different degrees of elbow flexion.<\/jats:p>\n          <jats:p>\n            Ten cadaveric specimens with an intact elbow and forearm were dissected in full pronation using a modified Boyd-Anderson approach. Half of the dissections were completed in 90\u00b0 of flexion and the other half were completed in maximal flexion. To simulate the location of the PIN during a single-incision biceps repair, the distance of the PIN to the radial tuberosity was recorded in full extension and supination. Results from these measurements were assessed for differences using paired\n            <jats:italic>t<\/jats:italic>\n            tests, with differences deemed significant for\n            <jats:italic>P<\/jats:italic>\n            values less than .05. The PIN was not identified in any of the 2-incision surgical dissections.\n          <\/jats:p>\n          <jats:p>Based on these findings, the proximity of the PIN to the radial tuberosity is not significantly affected by the degree of elbow flexion in the muscle-splitting 2-incision approach. In addition, a safe zone exists for avoiding PIN injury in a single-incision technique for distal biceps repair because a drill bit exiting the radial tuberosity greater than 1 cm in a distal-radial direction would place the PIN at risk.<\/jats:p>","DOI":"10.3928\/01477447-20130624-25","type":"journal-article","created":{"date-parts":[[2013,7,4]],"date-time":"2013-07-04T05:44:12Z","timestamp":1372916652000},"source":"Crossref","is-referenced-by-count":6,"title":["Effect of Elbow Flexion on the Proximity of the PIN During 2-incision Distal Biceps Repair"],"prefix":"10.3928","volume":"36","author":[{"given":"Jason A.","family":"Jones","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher M.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark G.","family":"Grossman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.07.006"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200211000-00042"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567030-00011"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567030-00010"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508321482"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2003.50081"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196143070-00012"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200011000-00010"},{"issue":"253","key":"e_1_3_2_10_2","first-page":"133","article-title":"Proximal radioulnar synostosis after repair of distal biceps brachii rupture by the two-incision technique. Report of four cases","author":"Failla JM","year":"1990","unstructured":"Failla JM, Amadio PC, Morrey BF, Beckenbaugh RD. Proximal radioulnar synostosis after repair of distal biceps brachii rupture by the two-incision technique. Report of four cases. Clin Orthop Relat Res. 1990; (253):133\u2013136.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(93)90253-Y"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(97)80157-8"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(98)80166-6"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(99)90100-3"},{"key":"e_1_3_2_15_2","first-page":"702","article-title":"Quantitative anatomical study of the posterior interosseous nerve","volume":"29","author":"Ebraheim NA","year":"2000","unstructured":"Ebraheim NA, Jin F, Pulisetti D, Yeasting RA. Quantitative anatomical study of the posterior interosseous nerve. Am J Orthop. 2000; 29:702\u2013704.","journal-title":"Am J Orthop"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-20001101-19"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.16360"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20114"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2006.104.5.796"},{"key":"e_1_3_2_20_2","first-page":"e37","article-title":"Anatomic landmarks for the radial tunnel","volume":"8","author":"Hazani R","year":"2008","unstructured":"Hazani R, Engineer NJ, Mowlavi A, Neumeister M, Lee WP, Wilhelmi BJ. Anatomic landmarks for the radial tunnel. Eplasty. 2008; 8:e37.","journal-title":"Eplasty"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-008-0412-8"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.3171\/2008.10.08859"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.53B2.320"},{"issue":"345","key":"e_1_3_2_24_2","first-page":"215","article-title":"Anatomy of the posterior interosseous nerve in relation to fixation of the radial head","author":"Tornetta P","year":"1997","unstructured":"Tornetta P, Hochwald N, Bono C, Grossman M. Anatomy of the posterior interosseous nerve in relation to fixation of the radial head. Clin Orthop Relat Res. 1997; (345):215\u2013218.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200006000-00007"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B2.8036"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20982"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.03.084"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20130624-25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T01:44:03Z","timestamp":1683078243000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20130624-25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.3928\/01477447-20130624-25"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20130624-25","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7]]}}}