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- Sigmundsson, Freyr Gauti, 1972-, et al.
(author)
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Árangur agera á slitinni fjærsin upphandleggsvöva á FSA 1986-2006 [Repair of distal biceps brachii tendon ruptures : long term retrospective follow-up for two-incision technique]
- 2009
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In: Laeknabladid. - : Laeknafelag Islands. - 0023-7213 .- 1670-4959. ; 95:1, s. 19-24
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Journal article (peer-reviewed)abstract
- INTRODUCTION: Rupture of the distal tendon of the biceps muscle is a rare injury. If unrepaired the patient will be left with weakness of supination of the arm and flexion in the elbow. Long term results for the 2-incision approach for tendon reinsertion are few but in this study we describe the long term, clinical, functional, and subjective results of surgical repair using the 2-incision method described by Boyd and Anderson.MATERIAL AND METHODS: All patients who were operated at FSA hospital during the years 1986-2000 because of rupture of the distal tendon of the biceps muscle were asked to participate in the study. Twelve of 16 patients accepted and answered the DASH questionnaire. Strength was tested with handheld dynamometer and ROM where measured. Radiograph was taken of the affected arm.RESULTS: From 1986 through 2006 we operated on 16 patients because of rupture of the distal biceps tendon, one female and 15 male. Mean age at the time of rupture was 46 years (24-53).The average follow up were seven years (1-17). Ten of 12 patients were operated within two weeks from the injuries. No difference in strength was found between operated and non-operated arms. Late repair was associated with high DASH score and poor subjective results. Six patients developed heterotopic ossification but none of them developed radioulnar synostosis. One reoperation because entrapment of the median nerve was done.CONCLUSIONS: Despite heterotopic ossification and a small ROM deficit the Boyd and Anderson technique for repair of distal biceps ruptures yields good long term results in a low volume rural hospital. Early diagnosis and tendon reinsertion is of great importance to avoid persistent anterior elbow pain and poor subjective results.
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| 2. |
- Jonsson, Eythor Orn, et al.
(author)
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Sjúkratilfelli. Sýking í gervilið í hné eftir endurteknar liðástungur
- 2016
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In: Laeknabladid. - : Laeknabladid/The Icelandic Medical Journal. - 0023-7213. ; 102:9, s. 6-393
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Research review (peer-reviewed)abstract
- UNLABELLED: An 80-year old male presented with an infected knee replacement following repeated joint aspirations. They were carried out due to recurrent hemarthrosis resulting from an initially missed quadriceps tendon injury. The infection was eradicated first after arthrodesis. This case highlights that prosthetic joints are sensitive to infection, which once established can be difficult to eradicate. Careful consideration is necessary before aspirating prosthetic joints. Diagnosing quadriceps tendon injuries can be difficult and they must be included in the differential diagnosis of traumatic hemarthrosis. We review the initials steps in the diagnosis and management of periprosthetic joint infections.KEY WORDS: periprosthetic joint infection, total knee replacement, quadriceps tendon rupture, hemarthrosis, joint aspiration. Correspondence: Eythor Orn Jonsson, eythororn@gmail.com.
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| 3. |
- Sigmundsson, Freyr Gauti, et al.
(author)
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Pisa-heilkenni – sjúkratilfelli
- 2019
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In: Laeknabladid. - : Laeknabladid/The Icelandic Medical Journal. - 0023-7213. ; 105:5, s. 231-235
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Journal article (peer-reviewed)abstract
- This case report describes a 66-year old woman with Parkinson´s disease and a subacute onset lateral postural deformity. She experienced severe back pain and reduced walking ability. She was diagnosed with Pisa syndrome and sagittal and coronal imbalance was observed on radiographs. Posterior reconstructive surgery was performed from sacrum to Th10. Post operatively, sagittal and coronal imbalance was improved and maintained at the two year follow-up. The patient remained pain free and improvements in walking ability were sustained. The caveats of spine surgery in Parkinson´s patients are discussed and the importance of goal oriented surgery in terms of improvements in sagittal and coronal balance.
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