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Distal Biceps Tendon Repair and Reconstruction
Ramesh C Srinivasan1, William C Pederson2, Bernard F Morrey3
1The Hand Center of San Antonio, San Antonio, TX; Department of Orthopedic Surgery, UT Health San Antonio, San Antonio, TX.
The Journal of Hand Surgery
|January 6, 2020
Summary
Distal biceps tendon ruptures cause significant loss of arm strength. This review covers the latest evidence on diagnosis, surgical techniques, and fixation options for optimal outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Research
Background:
- Distal biceps tendon ruptures lead to substantial loss of supination and flexion strength.
- Diagnosis is typically straightforward, but surgical management remains debated.
Purpose of the Study:
- To review current evidence-based literature on distal biceps tendon repair and reconstruction.
- To discuss surgical indications, anatomy, techniques, fixation, and chronic tear management.
Main Methods:
- Comprehensive literature review of evidence-based studies on distal biceps tendon ruptures.
- Analysis of surgical techniques, fixation methods, and outcomes.
Main Results:
- The review covers various aspects including tear types, demographics, diagnostic clues, and surgical anatomy.
- It details single- versus double-incision techniques, fixation options (bone tunnels, buttons, screws), and pearls for surgical technique.
Conclusions:
- Optimal surgical indications, techniques, and fixation methods for distal biceps tendon repair are still under discussion.
- Management of chronic tears involves specialized reconstruction techniques.
