Construct strength of a drilling trajectory angled proximally avoiding the posterior interosseous nerve in single incision distal biceps repair; a comparative cadaveric study
A proximally angled (30°) and ulnar (20°) drilling trajectory for distal biceps repair using a bicortical button yields construct strength comparable to the traditional perpendicular axial ulnar trajectory. This technique may reduce the risk of PIN injury without compromising mechanical integrity. Further clinical studies are warranted to confirm safety and efficacy in vivo.
Authors
- Denise Eygendaal (ORCID: https://orcid.org/0000-0003-4948-7000)
- Pieter Caekebeke (ORCID: https://orcid.org/0000-0001-8627-9206)
- Ronald L. A. W. Bleys (ORCID: https://orcid.org/0000-0002-5408-038X)
- Nynke van der Gaast (ORCID: https://orcid.org/0000-0003-4610-4107)
- Arno A. Macken (ORCID: https://orcid.org/0000-0002-7513-7437)
- Wouter J. van der Poel
- Michel P.J. van den Bekerom
- Derek F.P. van Deurzen
- Igor Shirinskiy
Institutions
- Radboud University Nijmegen (NL)
- Utrecht University (NL)
- Erasmus MC (NL)
- Radboud University Medical Center (NL)
- Laboratoire d'Annecy de Physique Théorique (FR)
- OLVG (NL)
- GGD Amsterdam (NL)
- Ziekenhuis Oost-Limburg (BE)
- Vrije Universiteit Amsterdam (NL)
- Erasmus University Rotterdam (NL)
Publication Details
- Journal
- JSES Reviews Reports and Techniques
- Published
- 2026-01-22
- DOI
- https://doi.org/10.1016/j.xrrt.2026.100665
- Primary Topic
- Elbow and Forearm Trauma Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Stryker