Archives of Orthopaedic and Trauma Surgery

, Volume 138, Issue 11, pp 1541–1548 | Cite as

Functional outcome in patients who underwent distal biceps tendon repair

  • Jacqueline van der Vis
  • Stein J. JanssenEmail author
  • Robert Haverlag
  • Michel P. J. van den Bekerom
Trauma Surgery



To asses physical function and quality of life after distal biceps tendon repair and compare suture anchor and cortical button fixation. Secondarily, we assessed the impact of other factors: acute repair, graft use, concomitant arm conditions, contralateral rupture, and complications.


We approached all 50 patients that underwent distal biceps tendon rupture repair (2009–2016) to participate in our study and complete a questionnaire including: patient demographics, QuickDASH, Quality of life EQ-5D-5L, pain score, and Mayo Elbow Performance score (MEPS).


In total, 37 (76%) of 49 alive patients participated in our study. All were men, with a median age of 47 years. Median follow-up was 34 months (range 8–100 months). On average, we found perfect upper extremity (QuickDASH, median: 0, IQR 0–7.9; 53% had no [QuickDASH = 0] upper extremity disability) and elbow function (MEPS, median: 100, IQR 100–100; 83% had perfect [MEPS > 90] clinical elbow function), perfect quality of life (EQ-5D-5L, median: 1, IQR 0.85–1; 59% had perfect [EQ-5D-5L = 1] quality of life), and no pain (median 0, IQR 0–0; 68% had no pain). We found no difference in upper extremity (QuickDASH: anchor, median 1.1, IQR 0–6.8; endobutton, median 0, IQR 0–9.1, p = 0.972) and elbow (MEPS: anchor, median 100, IQR 100–100; endobutton, median 100, IQR 100–100, p = 0.895) function, quality of life (EQ-5D-5L: anchor, median 1, IQR 0.85–1; endobutton, median 1, IQR 0.84–1, p = 0.507), and pain score (anchor, median 0, IQR 0–0.5; endobutton, median 0, IQR 0–0, p = 0.742) when comparing the anchor to endobutton fixation technique.


Overall, patients have excellent outcome after distal biceps tendon rupture repair. There was no difference in patient-reported outcome measures between suture anchor and endobutton fixation.

Level of evidence

Level III, retrospective comparative study.


Biceps Rupture Repair Elbow Patient-reported outcome Quality of life 


Compliance with ethical standards

Conflict of interest

Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest related to the submitted article.

Ethical approval

This study was approved by our institutional review and ethics board.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Jacqueline van der Vis
    • 1
  • Stein J. Janssen
    • 1
    Email author
  • Robert Haverlag
    • 1
  • Michel P. J. van den Bekerom
    • 2
  1. 1.Department of SurgeryOnze Lieve Vrouwe GasthuisAmsterdamThe Netherlands
  2. 2.Department of Orthopaedic Surgery, Shoulder and Elbow UnitOnze Lieve Vrouwe GasthuisAmsterdamThe Netherlands

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