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Distal biceps brachii tendon rupture: what do we do with these?

Geaney, Lauren E; Mazzocca, Augustus D

doi: 10.1097/BCO.0b013e3181a93d5a
SPECIAL FOCUS: Upper Extremity

Treatment options for distal biceps tendon ruptures are vast, including conservative treatment and many techniques for surgical repair. Surgical repair of distal biceps ruptures is indicated in patients wanting to restore supination strength and endurance. In most cases, direct anatomic repair is indicated, with the two-incision technique modified by Morrey considered the standard. Superior outcomes of surgical repair compared with conservative treatment have been well established. Most contemporary techniques focus on the single-incision approach with types of fixation including suture anchors, cortical buttons and interference screws. Recent literature has focused on descriptions of new techniques along with biomechanical comparisons of these options. Of the one-incision approaches, it is not yet clear which technique is superior. This review provides a discussion of all the most recent data and gives our algorithm for treatment of this injury.

University of Connecticut School of Medicine, Farmington, CT, USA

Correspondence to Augustus D. Mazzocca, University of Connecticut Department of Orthopaedics, Medical Arts and Research Building, 263 Farmington Ave, Farmington, CT 06034-4038, USA Tel: +860 679 6621; fax: +860 679 6649; e-mail:

Financial Support Disclaimer: One or more of these authors are provided funding by an unrestricted educational grant from Arthrex, Inc. (Naples, FL).

© 2009 Lippincott Williams & Wilkins, Inc.