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Updated: Apr 10, 2026

Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions

Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions

Published on: October 27, 2023

Distal Biceps Tendon Ruptures: An Epidemiological Analysis Using a Large Population Database.

Mick P Kelly¹, Scott G Perkinson², Robert H Ablove³

¹Department of Orthopedics and Rehabilitation, University of Wisconsin, Madison, Wisconsin, USA mpkelly3@wisc.edu.

The American Journal of Sports Medicine

|June 12, 2015

Summary

The incidence of distal biceps tendon ruptures is higher than previously reported, with national rates at 2.55 per 100,000 patient-years. Smoking and obesity are associated risk factors for this injury.

Keywords:

distal biceps tendon elbow epidemiology upper extremity

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Area of Science:

Orthopedic surgery
Epidemiology
Sports medicine

Background:

Distal biceps tendon ruptures are rare injuries.
Previous incidence data is over a decade old.
Diagnostic advancements may improve detection.

Purpose of the Study:

To determine the current incidence of distal biceps tendon ruptures.
To identify demographic groups and risk factors associated with these ruptures.

Main Methods:

Descriptive epidemiologic study utilizing the PearlDiver Technologies national database.
Retrospective chart review of a local patient population.
Analysis of public and private insurance data.

Main Results:

The estimated national incidence was 2.55 per 100,000 patient-years.
Local incidence was higher at 5.35 per 100,000 patient-years.
Injury predominantly affects males (95% national, 96% local) around age 46; smoking and high BMI are risk factors.

Conclusions:

The incidence of distal biceps tendon ruptures is higher than previously documented.
Current data provides updated epidemiological insights into this injury.
Smoking and elevated BMI are identified risk factors.