Video TechniquesDistal Biceps Endoscopy at the ElbowCaekebeke, Pieter MD*; Verstreken, Frederik MD†; van Riet, Roger MD, PhD†Author Information *Department of Orthopaedic, Ziekenhuis Oost-Limburg, Genk, Belgium †Department of Orthopaedic, AZ Monica, Antwerpen The authors declare no conflict of interest. Reprints: Pieter Caekebeke, MD, Department of Orthopaedic, Ziekenhuis Oost-Limburg, Schiepse bos 6, 3600 Genk, Belgium (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: June 2018 - Volume 19 - Issue 2 - p 93-94 doi: 10.1097/BTE.0000000000000136 Buy SDC Metrics Abstract Biceps tendon ruptures can be classified as acute or chronic and can be partial or complete. The diagnosis of a complete rupture is a clinical one and early surgical reinsertion is usually recommended. Diagnosing and treating a partial tear is often more complex. Ultrasound and magnetic resonance imaging offer additional information, but it may still be difficult to quantify the extent of the tear. Conservative treatment is generally recommended for a period of at least 6 months. Surgery may be indicated if symptoms persist after this period. As most partial tears occur at the interface between the radial tuberosity and the tendon, it is impossible to visualize the tear, without retracting and potentially further damaging the diseased tendon. Biceps tendonoscopy has been described as an option to protect the tendon while increasing the view of the insertion. This paper and video (Supplemental Digital Content 1, http://links.lww.com/TSES/A32) will describe the technique to safely evaluate and treat the tendon using an endoscopically assisted method. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.