Abordagem e tratamento da lesão do bíceps distal: uma revisão sistemática

Authors

  • João Marques Mourão
  • Marco César Rosa Martins
  • Mateus Rocha Muniz
  • Erik Cadar de Freitas Aguiar Alves

DOI:

https://doi.org/10.34119/bjhrv8n4-244

Keywords:

bíceps distal, abordagem e tratamento, ortopedia, traumatologia

Abstract

Objetivo: analisar o contexto atual referente à abordagem e o tratamento da lesão do bíceps distal. Materiais e métodos: a pesquisa foi embasada através de uma revisão sistemática onde primeiro se realizou uma coleta de dados sobre o tema em estudos com até 20 anos de publicação, a partir da seguintes palavras-chave: Bíceps distal. Abordagem e tratamento. Ortopedia e traumatologia. As buscas foram feitas em fontes como Scielo, BIREME, PubMed, LILACS, entre outras instituições importantes, com a separação de 45 textos, porém, apenas 34 estudos eram inerentes ao tema proposto. A seleção se deu a partir da leitura dos resumos em português e inglês. Os aspectos avaliados foram conceitos, abordagem, tratamento e resultados. Resultados: a pesquisa mostrou que se trata de uma lesão incomum, que ocorre geralmente em indivíduos do sexo masculino, ativos, atletas e trabalhadores braçais, sendo o tratamento cirúrgico o mais indicado. Conclusão: a conduta cirúrgica traz bons resultados, recupera a mobilidade e a funcionalidade do membro, com baixos índices de complicações. Várias técnicas cirúrgicas podem ser aplicadas com sucesso, tendo mais destaque na literatura, a cirurgia com endobutton

References

Alech-Tournier F, Elkholti K, Locquet V, Ninou M, Gibert N, Pozzetto M, et al. Outcomes of distal biceps tendon reattachment using the ToggleLocTM fixation device with ZipLoopTM technology with single mini-open technique. Eur J Orthop Surg Traumatol 2019.

Amarasooriya M, Bain GI, Roper T, Bryant K, Iqbal K, Phadnis J. Complications after distal biceps tendon repair: a systematic review. Am J Sports Med 2020;48(12):

–11.

American Academy of Orthopaedic Surgeons. AAOS clinical practice guideline and systematic review methodology. Available at: https://aaos.org/globalassets/quality-and-practice-resources/methodology/cpg-methodology-v.03-october-2019-3.pdf.

Bain GI, Prem H, Heptinstall RJ, Verhellen R, Paix D. Repair of distal biceps tendon rupture: A new technique using the Endobutton. J Shoulder Elb Surg. Published online 2010. doi:10.1067/2000.10258116.

Da Cambra MP, Walker RE, Hildebrand KA. Simultaneous bilateral distal biceps tendon ruptures repaired using na endobutton technique: a case report. J Med Case Rep 2013; 23(7), 213.

Dunphy TR, Hudson J, Batech M, Acevedo DC, Mirzayan R. Surgical treatment of

distal biceps tendon ruptures: an analysis of complications in 784 surgical repairs.

Am J Sports Med 2017;45(13):3020–9. https://doi.org/10.1177/

Garcia Júnior JC, Castro Filho CDC, Mello TFC, Vasconcelos RA, Zabeu JLA, Garcia JPM. Lesão do bíceps distal: avaliação funcional e dinamometria digital da sua reconstrução pela técnica da minidupla via de mayo. Rev Bras Ortop. Published online 2012. doi:10.1590/s0102-36162012000500007.

Goedderz C, Plantz MA, Gerlach EB, et al. Determining the incidence and risk factors for short-term complications following distal biceps tendon repair. Clin Shoulder Elbow 2022.

Gowd AK, Liu JN, Maheshwer B, Garcia GH, Beck EC, Cohen MS, et al. Return to sport and weightlifting analysis following distal biceps tendon repair. J Shoulder Elbow Surg 2021;30(9):2097–104. https://doi.org/10.1016/j.jse.2021.01.034.

Grégory T, Roure P, Fontès D. Repair of distal biceps tendon rupture using a suture anchor: description of a new endoscopic procedure. Am J Sports Med. 2009; 37(3): 506-511. doi:10.1177/0363546508326985.

Kelly MP, Perkinson SG, Ablove RH, Tueting JL. Distal biceps tendon ruptures: an epidemiological analysis using a large population database. Am J Sports Med 2015;

(8):2012–7. https://doi.org/10.1177/0363546515587738.

Kodde IF, Baerveldt RC, Mulder PG, Eygendaal D, van den Bekerom MP. Refixation techniques and approaches for distal biceps tendon ruptures: a systematic review of clinical studies. J Shoulder Elbow Surg 2016;25(2):e29–37. https://doi.org/ 10.1016/j.jse.2015.09.004.

Kokkalis ZT, Sotereanos DG. Biceps tendon injuries in athletes. Hand Clin 2009;

(3):347–57. https://doi.org/10.1016/j.hcl.2009.05.007

Lang NW, Bukaty A, Sturz GD, Platzer P, Joestl J. Treatment of primary total distal

biceps tendon rupture using cortical button, transosseus fixation and suture anchor:

a single center experience. Orthop Traumatol Surg Res 2018;104(6):859–63.

https://doi.org/10.1016/j.otsr.2018.05.013.

Looney AM, Day J, Bodendorfer BM, Wang D, Fryar CM, Murphy JP, et al. Operative vs. nonoperative treatment of distal biceps ruptures: a systematic review and metaanalysis. J Shoulder Elbow Surg 2022;31(4):e169–89. https://doi.org/10.1016/

j.jse.2021.12.001.

Lopez-Zabala, JA Fernandez-Valencia: Nonoperative treatment of distal biceps brachii musculotendinous partial Rupture: a report of two cases. Case Rep Orthop. 2013:970512 2013.

Maciel RA, Costa PS, Figueiredo EA, Belangero PS, Pochini A de C, Ejnisman B. Acute distal biceps ruptures: single incision repair by use of suture anchors. Rev Bras Ortop (English Ed. Published online 2017.

Matthews, JR., Wind W. "Bilateral Simultaneous Distal Biceps Rupture: A Case Report and Review of the Literature." Int J Sports Exerc Med 6 (2020): 163.

Mazzocca AD, Burton KJ, Romeo AA, Santangelo S, Adams DA,Arciero RA. Biomechanical evaluation of 4 techniques ofdistal biceps brachii tendon repair. Am J Sports Med.2007;35(2):252–8.

McGinniss A, Guinand LA, Vosbikian M, Ahmed I. Distal biceps ruptures in national

football League players: return to play and performance analysis. J Shoulder Elbow

Surg 2021;30(7):1647–52. https://doi.org/10.1016/j.jse.2020.11.010.

Nicoletti S, Bucciarelli G, Maffei G. La reinserzione del tendine distaledel bicipite con EndoButtonRepair of distal biceps tendon rupture using EndoButton. Lo scalpello-Otodi, Educ. Published online 2013. doi:10.1007/s11639-013-0013-0.15.

Olsen JR, Shields E, Williams RB, Miller R, Maloney M, VoloshinI. A comparison of cortical button with interference screwversus suture anchor techniques for distal biceps brachiitendon repairs. J Shoulder Elbow Surg. 2014;23(11):1607–11.

Pagani NR, Leibman MI, Guss MS. Return to play and performance after surgical

repair of distal biceps tendon ruptures in National Football League athletes.

J Shoulder Elbow Surg 2021;30(2):346–51.

Peeters T, Ching-Soon NG, Jansen N Sneyers C. Functional outcome after repair of distal biceps tendon ruptures using the endobutton technique. J Shoulder Elbow Sug. 2009 Mar 18 (2), 283-7.

Rokito AS, Lofin I. Simultaneous bilateral distal biceps tendo rupture during a preacher curl exercise: a case report. Bull NYU Hosp Jt Dis. 2008; 66(1): 68–71.

Sarda P, Qaddori A, Nauschutz F, Boulton L, Nanda R, BaylissN. Distal biceps tendon rupture: current concepts. Injury.2013;44(4):417–20.14.

Schmidt CC, Brown BT, Williams BG, Rubright JH, Schmidt DL, Pic AC, et al. The importance of preserving the radial tuberosity during distal biceps repair. J Bone

Joint Surg Am 2015;97(24):2014–23. https://doi.org/10.2106/jbjs.N.01221.

Schneider, A, et al. “Bilateral ruptures of the distal biceps brachii tendon.” Journal of shoulder and elbow surgeryvol. 18,5 (2009): 804-7. doi: 10.1016/j.jse.2009.01.029

Stort TM, Paniago AF, Faria RSS, Simultaneous bilateral distal biceps tendon repair: case report. Rer Bras ortop. 2016. Feb 1100, 4.

Terra BB, Rodrigues LM, Lima ALM, Cabral BC, Cavatte JM, DeNadai A. Direct repair of chronic distal bíceps tendo tears. RevBras Ortop. 2016;51(3):303–12.

Weißenberger M, Heinz T, Rueckl K, Rudert M, Klug A, Hoffmann R, Schmidt- Horlohé K. No functional differences in anatomic reconstruction with one vs. two suture anchors after non-simultaneous bilateral distal biceps brachii tendon rupture: a case report and review of the literature. BMC Musculoskelet Disord. 2020 Apr 27; 21(1): 270.

Weiss C, Mittelmeier M, Gruber G. Do we need MR images for diagnosing tendon ruptures of the distal bíceps. Archives of medicine, Health and education, 2024.

Published

08/25/2025

How to Cite

MOURÃO, J. M.; MARTINS, M. C. R.; MUNIZ, M. R.; ALVES, E. C. de F. A. Abordagem e tratamento da lesão do bíceps distal: uma revisão sistemática. Brazilian Journal of Health Review, [S. l.], v. 8, n. 4, p. e81698, 2025. DOI: 10.34119/bjhrv8n4-244. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/81698. Acesso em: 20 oct. 2026.

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Section

Original Papers