Advertisement

Distal Biceps Reconstruction

  • Joideep Phadnis
  • Adam C. Watts
Chapter

Abstract

Distal biceps rupture results in reduced supination and flexion strength of the elbow and, when chronic, can cause cramping or neurologic symptoms. Significant retraction of the tendon may render primary repair impossible. For symptomatic patients, graft reconstruction may be required to improve function. Several techniques with a variety of grafts and fixation methods have been described in the literature. This chapter describes the indications and surgical technique for reconstruction of the distal biceps using an Achilles allograft, Pulvertaft weave, and cortical button fixation.

Keywords

Distal biceps Rupture Reconstruction Chronic Retracted Achilles allograft 

Notes

Conflict of Interest Statement

The authors have no conflicts of interest to declare in relation to this work.

References

  1. 1.
    Baker BE, Bierwagen D. Rupture of the distal tendon of the biceps brachii. Operative versus non-operative treatment. J Bone Joint Surg Am. 1985;67:414–7.CrossRefGoogle Scholar
  2. 2.
    Freeman CR, McCormick KR, Mahoney D, Baratz M, Lubahn JD. Nonoperative treatment of distal biceps tendon ruptures compared with a historical control group. J Bone Joint Surg. 2009;91:2329–34.CrossRefGoogle Scholar
  3. 3.
    Bosman HA, Fincher M, Saw N. Anatomic direct repair of chronic distal biceps brachii tendon rupture without interposition graft. J Shoulder Elb Surg. 2012;21:1342–7.CrossRefGoogle Scholar
  4. 4.
    Morrey ME, Abdel MP, Sanchez-Sotelo J, Morrey BF. Primary repair of retracted distal biceps tendon ruptures in extreme flexion. J Shoulder Elb Surg. 2014;23:679–85.CrossRefGoogle Scholar
  5. 5.
    Phadnis J, Flannery O, Watts AC. Distal biceps reconstruction using an Achilles tendon allograft, transosseous Endobutton, and Pulvertaft weave with tendon wrap technique for retracted, irreparable distal biceps ruptures. J Shoulder Elb Surg. 2016;25:1013–9.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2020

Authors and Affiliations

  • Joideep Phadnis
    • 1
  • Adam C. Watts
    • 2
  1. 1.Brighton and Sussex University HospitalsBrightonUK
  2. 2.Upper Limb Unit, Wrightington HospitalWiganUK

Personalised recommendations