Description
Andrew Duckworth begins his presentation on distal bicep injuries at the symposium, delving into the epidemiology of such injuries, mainly affecting active males in their 40s, particularly those who smoke or use steroids. He discusses treatment options, distinguishing between non-operative management, which includes early range of motion without specific restrictions, and operative approaches involving surgical fixation. Duckworth emphasizes the varying practices across the UK regarding the treatment of these injuries, raising concerns about complications such as nerve injury in surgical cases and functional outcomes. He presents findings from recent literature, including a study showcasing both minor and major complications arising from distal bicep tendon repairs, and draws comparisons with non-operative management. The analysis reflects on patients' return to work rates post-surgery and the debate over whether surgical or non-surgical options yield superior long-term benefits. Finally, Duckworth addresses the potential for future research trials, suggesting an appetite among surgeons for randomized studies to further explore treatment efficacy, ultimately arguing the case for setting up a trial to better inform patient care.