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The osteoid osteoma is a bone tumor that accounts for 10% of benign tumors. It was described in 1935 by Jaffe, as a tumor that affects the young adult population, with a predominance of males. This study aims to present a case of late diagnosis of a patient with osteoid osteoma of the distal clavicle region. Female patient, 44 years old, non-professional volleyball player, reported pain in the anterior and superior region of the shoulder girdle, specifically in the acromioclavicular joint, which worsened at night and had been treated for nine months as tendinitis of the rotator cuff and acromioclavicular joint arthritis. After confirming the diagnosis, the patient underwent open surgery with resection of the distal clavicle. At two years of follow-up, the patient presents without local pain. In the radiographic evaluation, coracoclavicular distance is preserved and there are no signs of recurrence. Tumors of the shoulder girdle are rare and are often diagnosed late. A high degree of suspicion for the diagnosis of tumors of the shoulder girdle is needed in order to avoid late diagnosis.

ResumoO osteoma osteóide é um tumor ósseo que corresponde a 10% dos tumores benignos. Foi descrito em 1935 por Jaffe, como um tumor que acomete a população adulta jovem, com predominância no sexo masculino. O objetivo do trabalho é apresentar um caso de diagnóstico tardio de uma paciente com osteoma osteóide da região da clavícula distal e relatar seu tratamento. Paciente de 44 anos, jogadora de vôlei não profissional, com dores na região anterior e superior da cintura escapular, mais especificamente na articulação acromioclavicular, as quais pioravam a noite e que era tratada havia nove meses como uma tendinite do manguito rotador e artrite da articulação acromioclavicular. Após confirmação diagnóstica, a paciente foi submetida ao tratamento cirúrgico aberto com ressecção da clavícula distal.Atualmente a paciente encontra‐se com dois anos de evolução sem dor local. Na avaliação radiográfica, a distância coracoclavicular encontra‐se preservada e não há sinais de recidiva. Tumores ósseos da cintura escapular são raros e frequentemente são diagnosticados tardiamente. Deve‐se ter um alto grau de suspeição para o diagnóstico de neoplasias da cintura escapular, a fim de evitar o diagnóstico tardio.AbstractThe osteoid osteoma is a bone tumor that accounts for 10% of benign tumors. It was described in 1935 by Jaffe, as a tumor that affects the young adult population, with a predominance of males. This study aims to present a case of late diagnosis of a patient with osteoid osteoma of the distal clavicle region. Female patient, 44 years old, non‐professional volleyball player, reported pain in the anterior and superior region of the shoulder girdle, specifically in the acromioclavicular joint, which worsened at night and had been treated for nine months as tendinitis of the rotator cuff and acromioclavicular joint arthritis. After confirming the diagnosis, the patient underwent open surgery with resection of the distal clavicle. At two years of follow‐up, the patient presents without local pain. In the radiographic evaluation, coracoclavicular distance is preserved and there are no signs of recurrence. Tumors of the shoulder girdle are rare and are often diagnosed late. A high degree of suspicion for the diagnosis of tumors of the shoulder girdle is needed in order to avoid late diagnosis.

ResumoAs fraturas da cabeça e do colo do rádio correspondem a 1,7% a 5,4% de todas as fraturas e 30% podem apresentar lesões associadas. Na literatura existem poucos casos descritos de fratura da cabeça do rádio com lesão do nervo interósseo posterior. O objetivo deste trabalho é relatar um caso de fratura da cabeça do rádio associada a lesão do nervo interósseo posterior (NIP).Relato de casoPaciente masculino, 42 anos, procurou atendimento médico após queda de skate. Relatava dor e limitação de movimento do cotovelo direito, bem como dificuldade de estender os dedos da mão ipsilateral. Durante o exame físico, evidenciou‐se déficit de extensão do polegar e dos dedos da mão. A extensão do punho apresentava um leve desvio radial. Após exames de imagem, ficou evidenciado que o paciente apresentava uma fratura da cabeça do rádio tipo grau III de Mason. O paciente foi submetido à fixação da fratura; no primeiro dia do pós‐operatório notou‐se o retorno da extensão do polegar e dos dedos da mão. Apesar de rara, a lesão do ramo interósseo posterior pode estar associada a fraturas da cabeça do rádio. No presente caso, acredita‐se que a neuropraxia se deu em decorrência do hematoma e do edema fraturário.AbstractFractures of the radial head and radial neck correspond to 1.7 to 5.4% of all fractures and approximately 30% may present associated injuries. In the literature, there are few reports of radial head fracture with posterior interosseous nerve injury. This study aimed to report a case of radial head fracture associated with posterior interosseous nerve injury.Case reportA male patient, aged 42 years, sought medical care after falling from a skateboard. The patient related pain and limitation of movement in the right elbow and difficulty to extend the fingers of the right hand. During physical examination, thumb and fingers extension deficit was observed. The wrist extension showed a slight radial deviation. After imaging, it became evident that the patient had a fracture of the radial head that was classified as grade III in the Mason classification. The patient underwent fracture fixation; at the first postoperative day, thumb and fingers extension was observed. Although rare, posterior interosseous nerve branch injury may be associated with radial head fractures. In the present case, the authors believe that neuropraxia occurred as a result of the fracture hematoma and edema.

Background: The glenohumeral joint is characterized by its large degree of movement and consequently is the most susceptible joint to dislocations. There are few studies on the first episode of a shoulder dislocation in younger athletes. Purpose: To report the results of arthroscopic treatment for the first episode of a glenohumeral dislocation in younger athletes. Study Design: Case series; Level of evidence, 4. Methods: In this retrospective study, 53 patients younger than 40 years (N = 54 shoulders) sustained their first anterior shoulder dislocation and underwent arthroscopic surgery. Surgery was undertaken in the lateral decubitus position. Standard posterior, anteroinferior, and anterosuperior portals were used, and the number of anchors and the degree of capsular plication were individualized and based on the arthroscopic findings of each patient. The minimum follow-up was 2 years (mean, 2.31 years), and patients were evaluated with the Rowe functional score, Athletic Shoulder Outcome Rating Scale (EROE; acronym in Portuguese), and visual analog scale (VAS) for pain. Results: The mean EROE score was 93.8, with 98% of results being good or excellent, and the mean Rowe score was 95.0, with 98% good or excellent results. The mean VAS pain score was Conclusion: The present study showed favorable results for arthroscopic surgical treatment after the first dislocation episode in young athletes. It was an effective and safe treatment option in this population.

Fractures of the radial head and radial neck correspond to 1.7–5.4% of all fractures and approximately 30% may present associated injuries. In the literature, there are few reports of radial head fracture with posterior interosseous nerve injury. This study aimed to report a case of radial head fracture associated with posterior interosseous nerve injury. Case report A male patient, aged 42 years, sought medical care after falling from a skateboard. The patient related pain and limitation of movement in the right elbow and difficulty to extend the fingers of the right hand. During physical examination, thumb and fingers extension deficit was observed. The wrist extension showed a slight radial deviation. After imaging, it became evident that the patient had a fracture of the radial head that was classified as grade III in the Mason classification. The patient underwent fracture fixation; at the first postoperative day, thumb and fingers extension was observed. Although rare, posterior interosseous nerve branch injury may be associated with radial head fractures. In the present case, the authors believe that neuropraxia occurred as a result of the fracture hematoma and edema.

ResumoObjetivoApresentar os resultados do reparo direto do tendão com EndoButton e parafuso de interferência nos pacientes com lesão do bíceps distal com evolução maior do que 28 dias.MétodosEntre janeiro de 2012 e novembro de 2013, 11 pacientes (todos do sexo masculino) com ruptura do bíceps distal com intervalo da lesão e cirurgia maior do que 28 dias. A idade média foi de 46 anos e o mecanismo de trauma mais comum foi uma carga excêntrica com o cotovelo em flexão e supinação.ResultadosFoi feita uma análise subjetiva da dor e função com a Escala Visual Analógica de Dor (EVA) e o Mayo Elbow Performance Score (MEPS) pré e pós‐operatório. Houve uma diminuição da EVA de 5 pontos para 0,8 ponto em média. O MEPS melhorou de 69,3 pontos no pré para 97,5 pontos no pós‐operatório. A média de flexão foi de 133,1° do lado operado contra 134,3°. A média de extensão foi de −2,5̊ e 0̊ (lado operado × não operado). Supinação foi de 88,2° × 89,5° e pronação 82,5° × 84,1° quando comparado o lado operado versus o lado não operado. A força de flexão e supinação foi avaliada com o auxílio de um dinamômetro e verificamos que a força média de flexão e supinação correspondia, respectivamente, a 78,57% e 89,65% a força do membro não operado.ConclusãoA técnica do reparo direto do tendão com o uso de EndoButton e parafuso de interferência mostra‐se como uma opção segura e eficaz para o reparo direto das lesões crônicas do bíceps distal.AbstractObjectiveTo present the results from direct tendon repair using EndoButton and interference screws in patients with lesions of the distal biceps that had evolved over a period of more than 28 days.MethodsBetween January 2012 and November 2013, eleven patients (all male) with a torn distal biceps and a time interval between injury and surgery of more than 28 days were evaluated. The patients’ mean age was 46 years and the most common mechanism of injury was eccentric loading with the elbow flexed and supinated.ResultsA subjective analysis on pain and function was conducted using a visual analogue scale of pain (VAS) and the Mayo Elbow Performance Score (MEPS), before and after surgery. The VAS showed a decrease of 5 points to 0.8 points on average. The MEPS improved from 69.3 points before the operation to 97.5 points afterwards. The mean flexion was 133.1° on the operated side, versus 134.3°. The mean extension was −2.5 degrees and zero degrees (operated side versus non‐operated). Supination was 88.2° versus 89.5° and pronation was 82.5° versus 84.1°, comparing the operated side versus the non‐operated side. Flexion and supination strengths were evaluated with the aid of a dynamometer, and the mean flexion and supination strengths were found to be respectively 78.57% and 89.65% of the strength of the non‐operated limb.ConclusionUse of the technique of direct tendon repair using Endobutton and interference screws was shown to be a safe and effective alternative for repairing chronic lesions of the distal biceps.

Synovial osteochondromatosis is a benign proliferative disorder with metaplasia of the synovial membrane that affects the fibroblasts of the synovial joints, tendons and bursae. In literature, there are few descriptions of synovial osteochondromatosis of the elbow. The objective of this article was to report a case of synovial osteochondromatosis of the elbow in a patient aged 32, basketball athlete, in which surgical treatment was chosen because of the pain and functional limitation and stage of disease with multiple loose bodies. Patient 32, male, presented with pain and limitation of motion of the elbow. The range of passive motion was 100° of flexion and 30° extension. The range of active motion was 40–90°. Magnetic resonance observed many loose bodies mainly in the posterior compartment in the olecranon fossa plus some chondral lesions in the capitellum. The arthroscopic treatment was chosen with two anteriors portals (medial and lateral) and two posterior portals (standard posterior and posterolateral) for easing loose bodies and osteoplasty of the olecranon fossa. The visual analog scale pain was 9–3 and its arc of active motion was 110° to −20° of flexion and extension. On a scale of performance from Mayo Clinic patients was 65 points preoperatively to 90 postoperatively with 9 months follow-up and the patient was satisfied with the treatment outcome. Arthroscopic treatment of synovial osteochondromatosis of the elbow is an effective and safe therapeutic management with low morbidity and early return to activities.

ResumoA osteocondromatose sinovial é uma patologia proliferativa com metaplasia benigna da membrana sinovial que afeta os fibroblastos das articulações sinoviais, dos tendões e das bursas. Na literatura, existem poucas descrições de osteocondromatose sinovial do cotovelo. O objetivo deste artigo foi relatar um caso de osteocondromatose sinovial de cotovelo em um paciente de 32 anos, sexo masculino, atleta de basquete, no qual se optou pelo tratamento cirúrgico devido ao quadro clínico com dor e limitação funcional e ao estágio da doença com múltiplos corpos livres. Paciente apresentou dor e limitação do arco de movimento do cotovelo. O arco de movimento passivo era de 100° de flexão e ‐30° de extensão. Na ressonância magnética observaram‐se diversos corpos livres, principalmente no compartimento posterior na fossa do olecrano, além de algumas lesões condrais no capítulo. Optou‐se pelo tratamento artroscópico com a feitura de dois portais anteriores (medial e lateral) e dois posteriores (posterior padrão e posterolateral) para remoção dos corpos livres e osteoplastia da fossa olecraniana. A escala visual analógica da dor foi de 9 para 3 e seu arco de movimento ativo foi para 110° de flexão e ‐20° de extensão. Na escala de desempenho da Clínica Mayo o paciente foi de 65 pontos no pré‐operatório para 90 no pós‐operatório com nove meses de seguimento e satisfeito com o resultado. O tratamento artroscópico da osteocondromatose sinovial do cotovelo mostra‐se com uma opção terapêutica eficaz e segura no manejo terapêutico dessa patologia, apresenta baixa morbidade e retorno precoce às atividades.AbstractSynovial osteochondromatosis is a benign proliferative disorder with metaplasia of the synovial membrane that affects the fibroblasts of the synovial joints, tendons and bursae. In literature, there are few descriptions of synovial osteochondromatosis of the elbow. The objective of this article was to report a case of synovial osteochondromatosis of the elbow in a patient aged 32, basketball athlete, in which surgical treatment was chosen because of the pain and functional limitation and stage of disease with multiple loose bodies. Patient 32, male, presented with pain and limitation of motion of the elbow. The range of passive motion was 100 degrees of flexion and 30 degrees extension. The range of active motion was 40 – 90 degrees. Magnetic resonance observed many loose bodies mainly in the posterior compartment in the olecranon fossa plus some chondral lesions in the capitellum. The arthroscopic treatment was chosen with two anteriors portals (medial and lateral) and two posterior portals (standard posterior and posterolateral) for removal loose bodies and osteoplasty of the olecranon fossa. The Visual Analog Scale pain was 9 to 3 and its arc of active motion was 110 degrees to ‐20 degrees of flexion and extension. On a scale of performance from Mayo Clinic patients was 65 points preoperatively to 90 postoperatively with 9 months follow‐up and the patient was satisfied with the treatment outcome. Arthroscopic treatment of synovial osteochondromatosis of the elbow is an effective and safe therapeutic management with low morbidity and early return to activities.

Sternoclavicular dislocations account for less than 5% of all dislocations of the scapular belt. Most cases of anterior dislocation of the sternoclavicular joint do not present symptoms. However, some patients may develop chronic anterior instability and remain symptomatic, and surgical treatment is indicated in these cases. There is a scarcity of reports in the literature relating to reconstruction using the long palmar tendon in cases of traumatic anterior instability. Although rare, these injuries deserve rapid diagnosis and efficient treatment in order to avoid future complications. The aim of this report was to report on a case of a motocross competitor who developed chronic traumatic anterior instability of the sternoclavicular joint and underwent surgical reconstruction using the autogenous long palmar tendon. The patient was a 33-year-old man with a history of anterior dislocation of the sternoclavicular subsequent to a fall during a maneuver in a motocross competition. Conservative treatment was instituted initially, consisting of use of a functional sling to treat the symptoms for 3 weeks, along with physiotherapeutic rehabilitation for 3 months. We chose to use a modification of the "figure of eight" technique based on the studies by Spencer and Kuhn. A longitudinal incision of approximately 10 cm was made at the level of the sternoclavicular joint. The graft from the ipsilateral long palmar tendon was passed through the orifices in the form of a modified "figure of eight" and its ends were sutured together. The patient was immobilized using an American sling for 4 weeks. After 6 months of follow-up, the patient no longer presented pain or instability when movement of the sternoclavicular joint was required. Minor discomfort and slight prominence of the sternoclavicular joint continued to be present but did not affect the patient's activities. Thus, the patient was able to return to racing 6 months after the operation. Our study presented a case of chronic anterior dislocation of the sternoclavicular joint that was successfully treated by using a modification of the "figure of eight" reconstruction technique. This technique was shown to be safe and effective, and it allowed the patient to fully return to his sports activities.

ResumoAs luxações esternoclaviculares representam menos de 5% de todas as luxações da cintura escapular. A maioria dos casos de luxação anterior da articulação esternoclavicular não apresenta sintomas. Entretanto, alguns pacientes podem desenvolver instabilidade anterior crônica e permanecer sintomáticos. Nesses casos é indicado o tratamento cirúrgico. A literatura é escassa em relação à reconstrução com uso do tendão palmar longo nos casos de instabilidade anterior traumática. Embora raras, essas lesões merecem diagnóstico rápido e tratamento eficaz para evitar complicações futuras. O objetivo deste trabalho foi relatar um caso de um atleta de motocross que evoluiu com instabilidade anterior traumática crônica da articulação esternoclavicular e foi submetido a reconstrução cirúrgica com o uso do tendão palmar longo autógeno.Paciente masculino, 33 anos, com história de luxação anterior da articulação esternoclavicular após queda durante manobra em um campeonato de motocross. Inicialmente foi empregado o tratamento conservador, com uso de tipoia funcional por três semanas, e sintomático, além da reabilitação com fisioterapia por três meses. Optamos por usar uma modificação da técnica do “oito”, baseados nos estudos de Spencer e Kuhn. A incisão longitudinal de aproximadamente 10cm foi feita no nível da articulação esternoclavicular. O enxerto do tendão palmar longo ipsilateral foi passado pelos orifícios em forma de “oito” modificado e suas extremidades foram suturadas conjuntamente. O paciente foi imobilizado com tipoia americana por quatro semanas. No fim de seis meses de seguimento não apresentava dor ou instabilidade quando solicitada a articulação esternoclavicular. Um discreto desconforto e ligeira saliência da articulação esternoclavicular permaneceu, mas não afetaram suas atividades, o que permitiu ao paciente voltar às pistas de corrida com seis meses de pós‐operatório. Nosso estudo apresentou um caso de luxação anterior crônica da articulação esternoclavicular tratado com sucesso com o uso de uma modificação da técnica de reconstrução em “oito”. Essa técnica mostrou ser segura e eficaz e permitiu um retorno total às atividades esportivas do paciente.AbstractSternoclavicular dislocations account for less than 5% of all dislocations of the scapular belt. Most cases of anterior dislocation of the sternoclavicular joint do not present symptoms. However, some patients may develop chronic anterior instability and remain symptomatic, and surgical treatment is indicated in these cases. There is a scarcity of reports in the literature relating to reconstruction using the long palmar tendon in cases of traumatic anterior instability. Although rare, these injuries deserve rapid diagnosis and efficient treatment in order to avoid future complications. The aim of this report was to report on a case of a motocross competitor who developed chronic traumatic anterior instability of the sternoclavicular joint and underwent surgical reconstruction using the autogenous long palmar tendon.The patient was a 33‐year‐old man with a history of anterior dislocation of the sternoclavicular subsequent to a fall during a maneuver in a motocross competition. Conservative treatment was instituted initially, consisting of use of a functional sling to treat the symptoms for three weeks, along with physiotherapeutic rehabilitation for three months. We chose to use a modification of the “figure of eight” technique based on the studies by Spencer and Kuhn. A longitudinal incision of approximately 10cm was made at the level of the sternoclavicular joint. The graft from the ipsilateral long palmar tendon was passed through the orifices in the form of a modified “figure of eight” and its ends were sutured together. The patient was immobilized using an American sling for four weeks. After six months of follow‐up, the patient no longer presented pain or instability when movement of the sternoclavicular joint was required. Minor discomfort and slight prominence of the sternoclavicular joint continued to be present but did not affect the patient's activities. Thus, the patient was able to return to racing six months after the operation. Our study presented a case of chronic anterior dislocation of the sternoclavicular joint that was successfully treated by using a modification of the “figure of eight” reconstruction technique. This technique was shown to be safe and effective, and it allowed the patient to fully return to his sports activities.

ResumoObjetivoRelatar os resultados clínicos e funcionais da liberação artroscópica do extensor radial curto do carpo (ECRB) nos pacientes com epicondilite lateral crônica refratária ao tratamento conservador.MétodosNo período compreendido entre janeiro de 2012 e novembro de 2013, 15 pacientes foram submetidos ao tratamento artroscópico. A técnica cirúrgica usada é a descrita por Romeo e Cohen, baseada em estudos anatômicos em cadáver. Os critérios de inclusão foram pacientes com epicondilite lateral nos quais o tratamento conservador (analgésicos, antiinflamatórios, infiltração de corticoides, fisioterapia) falhou por mais de seis meses. Os pacientes foram avaliados com base no escore funcional de cotovelo da Clinica Mayo, Sistema de Estágio de Nirschl e escala visual analógica de dor.ResultadosForam incluídos 15 pacientes, nove homens e seis mulheres. A média do escore funcional de cotovelo de Mayo pós‐operatório foi de 95 (de 90 a 100). A EVS da dor teve uma melhoria média de 9,2 no pré‐operatório para 0,64 no pós‐operatório. Pela escala de Nirschl os pacientes apresentaram uma melhoria média de 6,5 no pré‐operatório para aproximadamente um. Foi observada diferença significante entre pré e pós‐cirúrgico nos três escores funcionais usados (p0,05).ConclusãoO tratamento artroscópico da epicondilite lateral mostra‐se como uma opção terapêutica segura e eficaz quando indicado e feito de forma adequada nos casos refratários de epicondilite lateral crônica e permite ainda uma excelente visualização do espaço articular para diagnóstico e tratamento de patologias associadas com um procedimento minimamente invasivo.AbstractObjectiveTo report the clinical and functional results from arthroscopic release of the short radial extensor of the carpus (SREC) in patients with chronic lateral epicondylitis that was refractory to conservative treatment.MethodsOver the period from January 2012 to November 2013, 15 patients underwent arthroscopic treatment. The surgical technique used was the one described by Romeo and Cohen, based on anatomical studies on cadavers. The inclusion criteria were that the patients needed to present lateral epicondylitis and that conservative treatment (analgesics, anti‐inflammatory agents, corticoid infiltration or physiotherapy) had failed over a period of more than six months. The patients were evaluated based on the elbow functional score of the Mayo Clinic, Nirschl's staging system and a visual analogue scale (VAS) for pain.ResultsA total of 15 patients (nine men and six women) were included. The mean Mayo elbow functional score after the operation was 95 (ranging from 90 to 100). The pain VAS improved from a mean of 9.2 before the operation to 0.64 after the operation. On Nirschl's scale, the patients presented an improvement from a mean of 6.5 before the operation to approximately one. There were significant differences from before to after the surgery for the three functional scores used (p0.05).ConclusionArthroscopic treatment for lateral epicondylitis was shown to be a safe and effective therapeutic option when appropriately indicated and performed, in refractory cases of chronic lateral epicondylitis. It also allowed excellent viewing of the joint space for diagnosing and treating associated pathological conditions, with a minimally invasive procedure.

OBJECTIVE: To present the results from direct tendon repair using EndoButton and interference screws in patients with lesions of the distal biceps that had evolved over a period of more than 28 days. METHODS: Between January 2012 and November 2013, eleven patients (all male) with a torn distal biceps and a time interval between injury and surgery of more than 28 days were evaluated. The patients' mean age was 46 years and the most common mechanism of injury was eccentric loading with the elbow flexed and supinated. RESULTS: A subjective analysis on pain and function was conducted using a visual analog scale of pain (VAS) and the Mayo Elbow Performance Score (MEPS), before and after surgery. The VAS showed a decrease of 5 points to 0.8 points on average. The MEPS improved from 69.3 points before the operation to 97.5 points afterwards. The mean flexion was 133.1° on the operated side, versus 134.3°. The mean extension was -2.5° and 0° (operated side versus non-operated). Supination was 88.2° versus 89.5° and pronation was 82.5° versus 84.1°, comparing the operated side versus the non-operated side. Flexion and supination strengths were evaluated with the aid of a dynamometer, and the mean flexion and supination strengths were found to be respectively 78.57% and 89.65% of the strength of the non-operated limb. CONCLUSION: Use of the technique of direct tendon repair using EndoButton and interference screws was shown to be a safe and effective alternative for repairing chronic lesions of the distal biceps. RESUMO OBJETIVO: Apresentar os resultados do reparo direto do tendão com EndoButton e parafuso de interferência nos pacientes com lesão do bíceps distal com evolução maior do que 28 dias. MÉTODOS: Entre janeiro de 2012 e novembro de 2013, 11 pacientes (todos do sexo masculino) com ruptura do bíceps distal com intervalo da lesão e cirurgia maior do que 28 dias. A idade média foi de 46 anos e o mecanismo de trauma mais comum foi uma carga excêntrica com o cotovelo em flexão e supinação. RESULTADOS: Foi feita uma análise subjetiva da dor e função com a Escala Visual Analógica de Dor (EVA) e o Mayo Elbow Performance Score (MEPS) pré e pós-operatório. Houve uma diminuição da EVA de 5 pontos para 0,8 ponto em média. O MEPS melhorou de 69,3 pontos no pré para 97,5 pontos no pós-operatório. A média de flexão foi de 133,1° do lado operado contra 134,3°. A média de extensão foi de -2,5° e 0° (lado operado × não operado). Supinação foi de 88,2° × 89,5° e pronação 82,5° × 84,1° quando comparado o lado operado versus o lado não operado. A força de flexão e supinação foi avaliada com o auxílio de um dinamômetro e verificamos que a força média de flexão e supinação correspondia, respectivamente, a 78,57% e 89,65% a força do membro não operado. CONCLUSÃO: A técnica do reparo direto do tendão com o uso de EndoButton e parafuso de interferência mostra-se como uma opção segura e eficaz para o reparo direto das lesões crônicas do bíceps distal.