Simultaneous bilateral distal biceps tendon rupture during a preacher curl exercise: a case report

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Traumatology

Background:

• Distal biceps tendon rupture is uncommon, typically affecting middle-aged males in their dominant arm.
• Simultaneous bilateral distal biceps tendon ruptures are exceedingly rare, with minimal case reports in medical literature.

Observation:

• An unusual case of simultaneous bilateral distal biceps tendon rupture occurred in a recreational weightlifter during a preacher curl exercise.
• A significant 6-week delay in seeking medical attention complicated the treatment approach.

Findings:

• A staged surgical procedure was necessary due to the delayed presentation.
• Primary repair was successful in one elbow, while the contralateral elbow required reconstruction with allograft tissue.
• Both elbows achieved satisfactory outcomes with functional recovery.

Implications:

• This case expands the understanding of managing extremely rare bilateral tendon injuries.
• It demonstrates the feasibility of staged surgical interventions for delayed distal biceps tendon ruptures.
• Successful reconstruction and repair allowed the patient to return to their previous level of athletic activity, including weightlifting.