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Distal biceps tendon ruptures: a historical perspective and current concepts.
A D Bernstein1, M J Breslow, L M Jazrawi
1Department of Orthopaedic Surgery, New York University-Hospital for Joint Diseases, New York, USA.
Distal biceps tendon ruptures are rare injuries in middle-aged men, often caused by eccentric forces on a contracting muscle. Prompt surgical repair is recommended for optimal recovery and return to activity.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Injuries
Background:
- Distal biceps tendon rupture is an uncommon injury.
- Typically affects dominant arms of men aged 40-60.
- Caused by eccentric extension force on a contracting biceps.
Purpose of the Study:
- To summarize the injury characteristics.
- To outline diagnostic findings.
- To describe optimal management and rehabilitation.
Main Methods:
- Clinical presentation review.
- Diagnostic criteria identification.
- Surgical techniques and rehabilitation protocols.
Main Results:
- Hallmark finding: palpable defect, accentuated by elbow flexion.
- Radiographic evaluation often unnecessary.
- Acute surgical repair recommended for function restoration.
Conclusions:
- Surgical repair (one or two-incision) is advocated.
- Post-operative protection for 6-8 weeks.
- Return to unrestricted activity by 5 months.
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