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Updated: Feb 20, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
Published on: January 23, 2026
Complications of Distal Biceps Repair.
Mark Tyson Garon1, Jeffrey A Greenberg1
1Indiana Hand to Shoulder Center, 8501 Harcourt Road, Indianapolis, IN 46260, USA.
Modern distal biceps tendon repair techniques offer strong results, improving function compared to nonoperative care. While complications like nerve injury can occur, patient satisfaction remains high after surgical repair.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Research
Background:
- Distal biceps tendon ruptures often require surgical intervention for optimal functional recovery.
- Traditional nonoperative management yields inferior functional outcomes compared to surgical repair.
Purpose of the Study:
- To review modern surgical techniques for distal biceps tendon repair.
- To evaluate the efficacy and complication profile of current operative methods.
Main Methods:
- Analysis of one- and two-incision surgical techniques for distal biceps brachii repair.
- Review of fixation methods including transosseous sutures, suture anchors, interference screws, and cortical buttons.
Main Results:
- Surgical repair techniques demonstrate improved functional outcomes over nonoperative treatment.
- Common complications include neuropraxic injuries (lateral antebrachial cutaneous nerve, posterior interosseous nerve), stiffness, weakness, heterotopic ossification, and infection.
Conclusions:
- Modern distal biceps tendon repair techniques provide strong fixation and enhanced functional outcomes.
- Despite potential complications, patient satisfaction rates following surgical repair are generally high.
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