Rupture of the distal biceps brachii tendon: conservative treatment versus anatomic reinsertion—clinical and radiological evaluation after 2 years

Abstract

Our findings confirm the view that anatomic repair of distal biceps tendon rupture provides consistently good results and early anatomic reconstruction can restore strength and endurance for the elbow.

Primary Repair of Traumatic Distal Biceps Ruptures in a Military Population: Clinical Outcomes of Single- Versus 2-Incision Technique

“…1,2 With distal biceps injury, forearm supination and, to a lesser extent, elbow flexion strength and endurance can be compromised by over 40%, [3][4][5][6] and significant pain can result due to persistent traction on the lacertus fibrosus or residual tendon. Consequently, direct primary repair of distal biceps rupture remains the hallmark for treatment, particularly with more acute injuries.…”

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.…”

Single-Incision Technique for Repair of Distal Biceps Tendon Avulsions With Intramedullary Cortical Button

“…This is due in large part to the fact that multiple studies have shown superior functional outcomes after surgical treatment such as increased supination and flexion strength and decreased fatigability. [3][4][5][6] Although operative treatment has shown improved outcomes, the optimal technique for distal biceps tendon repair remains controversial. Anatomic repair can be performed through a 1-incision approach or a 2-incision approach.…”