Elbow

Distal Biceps Tendon Repair

A distal biceps tendon rupture is a tear of the tendon from the forearm bone (radius).  Ruptures of the distal biceps tendon are almost always caused by a sudden injury to the elbow. This can happen when lifting objects that are too heavy, resulting in the elbow being forced straight when the bicep is under tension.

Men, age 30 years or older, are most likely to tear their distal biceps tendon. Additional risk factors for distal biceps tendon tear are smoking as nicotine use can affect tendon strength and quality as well as the use of corticosteroids which has been linked to increased muscle and tendon weakness.

A common technique used to repair the ruptured tendon is performed by whip stitching the distal end of the biceps tendon and docking it into a predrilled socket with a bi-cortical button fixation and a tenodesis screw uni-cortically.

Ulnar Collateral Ligament Reconstruction

The UCL is a ligament on the inside part of the elbow. There are three bones that make up the elbow joint: Humerus, Ulna and Radius. The elbow joint is unique because it can bend and straighten as well as rotate and twist. There are two ligaments in the elbow that aid in preventing the elbow from dislocation-the RCL and the UCL. The UCL helps to connect the upper arm bone (Humerus) to one of the forearm bones (Ulna). The UCL stabilizes the elbow during the throwing motion, so it must be able to withstand a great amount of stress. There are also several nerves that run through the elbow and supply sensation to the forearm and fingers.

UCL injuries are very common for throwing athletes and those that use their upper extremity frequently. They can result from an acute injury (sudden onset) or from a chronic injury (over time). An acute injury can occur if too much stress is put on the elbow in one single incident which can cause the ligament to tear. An audible ‘pop’ typically can be heard or felt with this type of injury and intense pain may accompany this.

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