Evidence map›Paper›PMID 41179399›Full record

ArticleJSES reviews, reports, and techniques2025

Prevalence of amyloid deposition in distal biceps tendon ruptures: a retrospective review of intraoperative biopsy.

Tessa C Griffin, Blake A Samsill, Lisa M Kruse, Samuel J Mosiman, A Neil Salyapongse, Lauren N Summers, Josef N Tofte, Brian F Grogan

Abstract read
In one paragraph

Article in JSES reviews, reports, and techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Tessa C GriffinUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Blake A SamsillUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Lisa M KruseDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Samuel J MosimanDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
A Neil SalyapongseDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Lauren N SummersDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Josef N TofteDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Brian F GroganDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In a previous study, one-third of patients with heart failure secondary to wild-type transthyretin amyloidosis were found to have distal biceps tendon (DBT) ruptures, and a large proportion of these ruptures were spontaneous or asymptomatic. This rate is higher than the 2.5% incidence of DBT ruptures seen in patients with other causes of heart failure. DBT ruptures can be used as a screening opportunity for early detection of systemic amyloidosis. However, when a subsequent study investigated the rate of amyloid deposition in 30 patients with acute DBT ruptures, only 3% had evidence of amyloid deposition. Although that study was powered to detect a DBT rupture prevalence of 33%, we suspect the real prevalence of amyloid deposition in patients presenting with DBT ruptures is lower, and a higher-powered study would help to better understand the role of intraoperative biopsy of DBT ruptures for systemic amyloidosis screening. Methods: This study is a retrospective review of 53 patients with DBT ruptures who underwent operative repair at a single institution between June 2022 and June 2024. At the time of surgery, a tissue sample was taken from the DBT and sent as a specimen for evaluation. Specimens were reviewed by board-certified pathologists under microscopy, and Congo red staining was performed to evaluate for amyloid deposition. Specimens that stained positive for amyloid were sent to an outside facility for liquid chromatography tandem mass spectrometry for confirmation and subtype identification. Patient demographic data were collected by a retrospective chart review. Results: Of the 53 included patients, 4 (9.43%) were positive for amyloid deposition on Congo red staining and liquid chromatography tandem mass spectrometry. No patients had a diagnosis of amyloidosis or cardiac manifestations of amyloidosis at the time of repair. Conclusion: Intraoperative biopsies of DBT ruptures may be a valuable tool for early detection of amyloid deposition.

Indexed as

AmyloidosisDistal biceps tendon repairDistal biceps tendon ruptureElbowHeart failureUpper extremity

Identifiers

PMID41179399
PMCPMC12573593

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