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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2022, Number 3

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Acta Ortop Mex 2022; 36 (3)

Distal biceps brachii rupture in a patient with COVID-19

Cuéllar-Avaroma A, King-Martínez M, Martínez-Oliva D, Rodríguez-Zulueta P, King-Martínez A

Language: Spanish
References: 27
Page: 179-184
PDF size: 218.00 Kb.


ABSTRACT

Introduction: distal biceps tendon injury commonly occurs in male patients between the fifth and sixth decade of life. The mechanism of the injury is an eccentric contraction with the elbow in flexion of 90 degrees. For its surgical treatment, several options have been described in the literature with different approaches, type of suture to be used and various methods of fixing the repair of the distal biceps tendon. The musculoskeletal clinical manifestations of COVID-19 are fatigue, myalgia, arthralgia, but the musculoskeletal effects of COVID-19 remain unclear. Case report: 46-year-old COVID-19 positive male patient with acute distal biceps tendon injury and secondary to minimal trauma, with no other risk factors. The patient was treated surgically following orthopedic and safety guidelines for the patient and medical staff due to the COVID-19 pandemic. The surgical procedure of the double tension slide (DTS) technique with a single incision in a reliable option and our case of a low morbidity, few complications and a good cosmetic option. Conclusion: the management of orthopedic pathologies in COVID-19 positive patients is increasing as well as the ethical and orthopedic implications of the management of these injuries and/or the delay of their care during the pandemic.


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