Técnicas de abordagem cirúrgica em rotura proximal do tendão longo do bíceps braquial: uma revisão integrativa

Abstract

Introduction: The biceps brachii, a muscle located in the human arm, has a complex structure composed of two distinct heads: the long head and the short head. The long head originates from the supraglenoid tubercle of the scapula, while the short head originates from the coracoid process. These two heads are controlled by the musculo cutaneous nerve and play crucial roles in elbow flexion and forearm supination. Ob jective: We aim to analyze the main surgical approaches and techniques in the repair of proximal rupture of the long biceps tendon. Methodology: The present study is an integrative review of qualitative literature, which sought, through existing materials, to answer the questions raised regarding the topic “surgical approach techniques for proximal tendon rupture along the biceps brachii.” It aims to provide syntheses of stud ies containing clearly explained objectives, materials and methods and conducted in accordance with an explicit, reproducible, and rigorous method to identify texts, con duct critical evaluation and synthesize relevant studies. The articles will be analyzed regarding the potential for participation in the study, evaluating compliance with the research question, as well as the type of investigation, objectives, sample, method, outcomes, results, and conclusion, resulting in eleven (11) articles. Results: The dis cussion compares the results obtained in this integrative review with the results of other authors on the same topic, contrasting open and arthroscopic approaches. Based on a critical analysis of the literature, this work culminates in the proposal of a detailed clinical protocol for decision-making in the management of proximal LHBT rupture, stratifying therapeutic options based on patient profile, available evidence, and the cli nical practice context. Conclusion: The literature analysis demonstrates the absence of a universal "gold-standard" technique. Studies highlight the importance of innovative techniques, such as the use of grafts and minimally invasive approaches, which have shown promising results, while also recognizing the continued relevance and effecti veness of traditional open techniques. The development of a structured clinical proto col, resulting from this review, offers a tool to assist in personalizing treatment, aiming to optimize clinical outcomes.