Rupture of the distal biceps brachii tendon: isokinetic power analysis and complications after anatomic reinsertion compared with fixation to the brachialis muscle

Endobutton Repair of Distal Biceps Tendon Ruptures

“…4 In addition to this clinical study, numerous papers have shown superior strength and endurance in patients who have had tendon reconstruction. [5][6][7][8][9] Single-incision surgical reconstructions using an isolated anterior approach are possible owing to the development of a variety of suture anchor devices that facilitate the attachment of tendon to bone. These anchors allow the surgeon to approach and reattach the tendon using a single anterior approach.…”

Mini-open incision for distal biceps repair by suture anchors: follow-up of eighteen patients

“…Nonanatomic repair by tenodesis to the brachialis muscle represents an alternative procedure generally indicated in late treatment of elderly patients. Complication rate is low compared to the anatomic repair, but supination power is reduced (\50 %) in most cases [17].…”

“…The fixation of the distal tendon can be anatomic to the radial tuberosity [7] or nonanatomic to the brachialis muscles [8]. Surgical approaches include the Boyd and Anderson's two-incision technique using transosseous tunnels [9] and the single-incision approach using Endobutton [10], interference screw or suture anchors [11,12].…”

Distal biceps reconstruction 13 years post-injury

“…One surgical option in chronic injuries includes nonanatomically attaching the biceps to the underlying brachialis, but this technique is not favored by many due to the failure to restore supination strength by as much as 50% [Klonz et al 2003]. A meta-analysis of 147 patients demonstrated 90% good-excellent outcomes after anatomic reattachment and 60% after nonanatomic reattachment [Rantanen and Orava, 1999].…”