{"id":"https://openalex.org/W7213620995","doi":"https://doi.org/10.7759/cureus.116557","title":"A Retrospective Cohort Study of Distal Biceps Brachii Tendon Rupture and Subsequent Repair Methods: A Comparison of Two Combined Treatment Pathways","display_name":"A Retrospective Cohort Study of Distal Biceps Brachii Tendon Rupture and Subsequent Repair Methods: A Comparison of Two Combined Treatment Pathways","publication_year":2026,"publication_date":"2026-09-19","ids":{"openalex":"https://openalex.org/W7213620995","doi":"https://doi.org/10.7759/cureus.116557","pmid":"https://pubmed.ncbi.nlm.nih.gov/42899293","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13679967"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.116557","doi":"https://doi.org/10.7759/cureus.116557","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116557","pdf_url":"https://www.cureus.com/articles/519424-a-retrospective-cohort-study-of-distal-biceps-brachii-tendon-rupture-and-subsequent-repair-methods-a-comparison-of-two-combined-treatment-pathways.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/519424-a-retrospective-cohort-study-of-distal-biceps-brachii-tendon-rupture-and-subsequent-repair-methods-a-comparison-of-two-combined-treatment-pathways.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5121072220","display_name":"Niall Hill","orcid":"https://orcid.org/0000-0002-9572-5631","observed_orcids":["https://orcid.org/0000-0002-9572-5631"]},"institutions":[{"id":"https://openalex.org/I2801827761","display_name":"Wishaw General Hospital","ror":"https://ror.org/037egvh70","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801443577","https://openalex.org/I2801827761"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Niall E Hill","raw_affiliation_strings":["Orthopedics and Trauma, University Hospital Wishaw, Lanarkshire, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedics and Trauma, University Hospital Wishaw, Lanarkshire, GBR","institution_ids":["https://openalex.org/I2801827761"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070974289","display_name":"Peadar A. Mac Suibhne","orcid":"https://orcid.org/0000-0001-9568-588X","observed_orcids":["https://orcid.org/0000-0001-9568-588X"]},"institutions":[{"id":"https://openalex.org/I2799523603","display_name":"Bon Secours Hospital Tralee","ror":"https://ror.org/05bp6y176","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2799523603"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Peadar A Mac Suibhne","raw_affiliation_strings":["Orthopedics and Trauma, Bon Secours Hospital Tralee, Tralee, IRL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedics and Trauma, Bon Secours Hospital Tralee, Tralee, IRL","institution_ids":["https://openalex.org/I2799523603"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076568006","display_name":"Ryan J. Browne","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802258401","display_name":"Great Western Hospital","ror":"https://ror.org/04xfhjr27","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802258401","https://openalex.org/I4210145759"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ryan J Browne","raw_affiliation_strings":["Surgery, Great Western Hospital, Swindon, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Surgery, Great Western Hospital, Swindon, GBR","institution_ids":["https://openalex.org/I2802258401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152235794","display_name":"Carla J Foxworthy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802322126","display_name":"Hairmyres Hospital","ror":"https://ror.org/0488ndr53","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801443577","https://openalex.org/I2802322126"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Carla J Foxworthy","raw_affiliation_strings":["General Surgery, University Hospital Hairmyres, Lanarkshire, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, University Hospital Hairmyres, Lanarkshire, GBR","institution_ids":["https://openalex.org/I2802322126"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010812562","display_name":"Adam Reaney","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79510175","display_name":"Cardiff University","ror":"https://ror.org/03kk7td41","country_code":"GB","type":"education","lineage":["https://openalex.org/I79510175"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Adam Reaney","raw_affiliation_strings":["Orthopedics and Trauma, Cardiff University, Cardiff, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedics and Trauma, Cardiff University, Cardiff, GBR","institution_ids":["https://openalex.org/I79510175"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152174877","display_name":"Frank S Davis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I23923803","display_name":"University of Exeter","ror":"https://ror.org/03yghzc09","country_code":"GB","type":"education","lineage":["https://openalex.org/I23923803"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Frank S Davis","raw_affiliation_strings":["Orthopedics and Trauma, South West Orthopaedics and University of Exeter, Exeter, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedics and Trauma, South West Orthopaedics and University of Exeter, Exeter, GBR","institution_ids":["https://openalex.org/I23923803"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030243172","display_name":"Awen Iorwerth","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802961082","display_name":"Cwm Taf University Health Board","ror":"https://ror.org/00rh52j13","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802961082","https://openalex.org/I4210144625"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Awen Iorwerth","raw_affiliation_strings":["Orthopedics and Trauma, Cwm Taf Morgannwg University Health Board, Cardiff, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedics and Trauma, Cwm Taf Morgannwg University Health Board, Cardiff, GBR","institution_ids":["https://openalex.org/I2802961082"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5152203425","display_name":"Dai Morgan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802961082","display_name":"Cwm Taf University Health Board","ror":"https://ror.org/00rh52j13","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802961082","https://openalex.org/I4210144625"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Dai Morgan","raw_affiliation_strings":["Orthopedics and Trauma, Cwm Taf Morgannwg University Health Board, Cardiff, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedics and Trauma, Cwm Taf Morgannwg University Health Board, Cardiff, GBR","institution_ids":["https://openalex.org/I2802961082"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5121072220"],"corresponding_institution_ids":["https://openalex.org/I2801827761"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.67860776,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"9","first_page":"e116557","last_page":"e116557"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11068","display_name":"Tendon Structure and Treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/biceps-tendon-repair","display_name":"biceps tendon repair","score":0.9610000252723694},{"id":"https://openalex.org/keywords/surgical-fixation-techniques","display_name":"surgical fixation techniques","score":0.7799999713897705},{"id":"https://openalex.org/keywords/elbow-stiffness","display_name":"elbow stiffness","score":0.7850000262260437},{"id":"https://openalex.org/keywords/re-rupture","display_name":"re-rupture","score":0.7770000100135803},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.8790000081062317},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.4690000116825104}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9900000095367432},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7839999794960022},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5943999886512756},{"id":"https://openalex.org/C2781425419","wikidata":"https://www.wikidata.org/wiki/Q201363","display_name":"Biceps","level":2,"score":0.4050000011920929},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3325999975204468},{"id":"https://openalex.org/C2780105995","wikidata":"https://www.wikidata.org/wiki/Q232358","display_name":"Tendon","level":2,"score":0.31859999895095825},{"id":"https://openalex.org/C2776218473","wikidata":"https://www.wikidata.org/wiki/Q40889763","display_name":"Tendon rupture","level":3,"score":0.31130000948905945},{"id":"https://openalex.org/C2994558629","wikidata":"https://www.wikidata.org/wiki/Q201363","display_name":"Biceps tendon","level":3,"score":0.30140000581741333},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.2696000039577484},{"id":"https://openalex.org/C2781184374","wikidata":"https://www.wikidata.org/wiki/Q42586","display_name":"Elbow","level":2,"score":0.2425999939441681}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.116557","doi":"https://doi.org/10.7759/cureus.116557","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116557","pdf_url":"https://www.cureus.com/articles/519424-a-retrospective-cohort-study-of-distal-biceps-brachii-tendon-rupture-and-subsequent-repair-methods-a-comparison-of-two-combined-treatment-pathways.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13679967","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13679967/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13679967/pdf/cureus-0018-00000116557.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42899293","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42899293","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.7759/cureus.116557","doi":"https://doi.org/10.7759/cureus.116557","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116557","pdf_url":"https://www.cureus.com/articles/519424-a-retrospective-cohort-study-of-distal-biceps-brachii-tendon-rupture-and-subsequent-repair-methods-a-comparison-of-two-combined-treatment-pathways.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213620995.pdf","grobid_xml":"https://content.openalex.org/works/W7213620995.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W1971832169","https://openalex.org/W2005675348","https://openalex.org/W2018863126","https://openalex.org/W2051550526","https://openalex.org/W2096254426","https://openalex.org/W2105944086","https://openalex.org/W2153888867","https://openalex.org/W2260178863","https://openalex.org/W2274735089","https://openalex.org/W2528306326","https://openalex.org/W2997011029","https://openalex.org/W3007259015","https://openalex.org/W3207634258","https://openalex.org/W4312861477","https://openalex.org/W4388128938","https://openalex.org/W4404313666","https://openalex.org/W7133629522"],"related_works":["https://openalex.org/W2749525068","https://openalex.org/W2002694459","https://openalex.org/W3007259015","https://openalex.org/W4379877143","https://openalex.org/W2322257553","https://openalex.org/W2330793637","https://openalex.org/W1965252466","https://openalex.org/W4292302491","https://openalex.org/W2330382011","https://openalex.org/W1985725581"],"abstract_inverted_index":{"Background":[0],"Distal":[1],"biceps":[2,74,96,261,286],"brachii":[3],"tendon":[4,75,262],"rupture":[5,287],"is":[6,11,24,65],"an":[7],"uncommon":[8],"injury":[9,183],"that":[10],"predominantly":[12],"caused":[13],"by":[14,116,276],"excessive":[15],"eccentric":[16,175],"force":[17],"to":[18,27,66,84,88,151,197],"a":[19,31,99,166,257],"flexed":[20],"elbow.":[21],"Operative":[22],"repair":[23,76,97,263],"generally":[25],"preferred":[26],"restore":[28],"function,":[29],"with":[30,44,165],"variety":[32],"of":[33,62,118,140,155,169,180,259,284],"surgical":[34,55,143],"fixation":[35],"techniques":[36,56],"and":[37,108,128,142,158,220,244],"postoperative":[38,78,86,156,293],"rehabilitation":[39],"protocols":[40],"currently":[41],"employed":[42],"but":[43,266],"no":[45],"clear":[46],"consensus":[47],"regarding":[48],"the":[49,138,153,185,205,228],"optimal":[50],"approach.":[51],"Comparative":[52],"evidence":[53],"evaluating":[54],"remains":[57],"limited.":[58],"Objective":[59],"The":[60,182,194,281],"objective":[61],"this":[63,289],"study":[64],"compare":[67,85],"two":[68,119,251],"combined":[69],"treatment":[70,297],"pathways":[71],"for":[72],"distal":[73,95,285],"using":[77],"complications":[79],"such":[80],"as":[81,177],"rerupture":[82],"rates":[83],"outcomes":[87,294],"complication":[89],"profiles.":[90],"Methods":[91],"All":[92,172,265],"patients":[93,173,192,218,225,237,242,252],"undergoing":[94],"in":[98,102,189,216,223,235,240,250,269,288],"single":[100],"center":[101],"Wales,":[103],"United":[104],"Kingdom,":[105],"between":[106],"2018":[107],"2022":[109],"were":[110,113,145,149,163],"included.":[111],"Patients":[112],"operated":[114],"on":[115],"one":[117,267],"surgeons.":[120],"Information":[121],"was":[122,201,214],"gathered":[123],"from":[124,295],"electronic":[125],"patient":[126,255,268],"records":[127],"radiographic":[129],"images.":[130],"Demographics":[131],"including":[132],"age,":[133],"gender,":[134],"hand":[135],"dominance,":[136],"occupation,":[137],"mechanism":[139,179],"injury,":[141],"intervention":[144],"recorded.":[146],"Clinic":[147],"letters":[148],"reviewed":[150],"determine":[152],"incidence":[154],"function":[157],"complications.":[159],"Results":[160],"Forty-four":[161],"men":[162],"included":[164],"median":[167,195],"age":[168],"45":[170],"years.":[171],"reported":[174],"contraction":[176],"their":[178,260],"injury.":[181],"affected":[184],"dominant":[186],"upper":[187],"limb":[188],"all":[190],"44":[191],"(100%).":[193],"time":[196],"surgery":[198],"after":[199],"imaging":[200],"24":[202],"days.":[203],"In":[204,227],"Surgeon":[206,229],"1":[207],"cohort,":[208,231],"lateral":[209],"cutaneous":[210],"nerve":[211,247],"(LCN)":[212],"numbness":[213],"documented":[215],"15":[217],"(50.0%)":[219],"elbow":[221],"stiffness":[222,239],"six":[224],"(20.0%).":[226],"2":[230],"LCN":[232],"paresthesia":[233,249],"occurred":[234],"four":[236],"(28.6%),":[238],"three":[241,277],"(21.4%),":[243],"superficial":[245],"radial":[246],"(SRN)":[248],"(14.3%).":[253],"One":[254],"required":[256],"revision":[258],"(2%).":[264],"each":[270],"cohort":[271],"achieved":[272],"complete":[273],"functional":[274],"resolution":[275],"months":[278],"postoperatively.":[279],"Conclusions":[280],"operative":[282],"management":[283],"unit":[290],"demonstrates":[291],"similar":[292],"both":[296],"pathways.":[298]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-09-20T00:00:00"}
