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Release of the lacertus and transfer of the biceps to the brachialis tendon
10%
24/249
Open detachment, debridement, and reattachment of the biceps tendon
46%
114/249
Anterior exploration and decompression of the posterior interosseous nerve
26%
64/249
Excision of the anterior intramuscular lipoma
6%
14/249
Endoscopic debridement of the biceps tendon
12%
31/249
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The MRI findings are most consistent with a partial tear of the biceps tendon. In the setting of prolonged symptoms that are resistant to nonsurgical interventions like rest, physical therapy, and modality, surgical treatment is indicated. Exploration, debridement, and reattachment with one of a variety of techniques are the standards of care. No lipomatous mass is seen on the MRI scan. There is no weakness in finger extension to suggest posterior interosseous nerve palsy. Transfer of the biceps would result in loss of supination strength. Endoscopic biceps tendon surgery is reserved for long-head pathology.
1.3
(52)
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