Acute Distal Biceps Tendon Ruptures

Abstract

Surgical reinsertion is the treatment of choice for rupture of the distal biceps tendon. Nonoperative treatments lead to strength loss in flexion and supination of the forearm. Tendon repair can be performed via a two-incision or a single anterior incision approach. To date, clinical evidence reported in literature shows good to excellent results in both procedures and does not support a special approach or a reinsertion device. Both surgical techniques show very few similar complications. Patients can expect an excellent subjective and objective outcome following anatomical reinsertion. Strength and range of motion predictably get back to pre-injury levels. It is clear that anatomical reinsertion of the ruptured tendon is the favorite treatment for active, compliant patients with acute distal biceps disruptions.