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Related Experiment Video

Updated: Dec 27, 2025

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft

Published on: June 6, 2025

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Complications After Distal Biceps Tendon Repair: A Systematic Review.

Melanie Amarasooriya1,2, Gregory Ian Bain3, Tom Roper4

  • 1Base Hospital Diyatalawa, Diyatalawa, Sri Lanka.

The American Journal of Sports Medicine
|February 25, 2020
PubMed
Summary

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Surgical repair of distal biceps ruptures has a 4.6% major complication rate. This review analyzes complications by surgical approach and fixation, aiding in technique selection for better patient outcomes.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Musculoskeletal Research

Background:

  • Distal biceps tendon injuries commonly affect dominant arms in men aged 30-39.
  • Surgical repair is crucial for restoring arm function, but complication profiles vary.
  • Limited data exists on complications associated with different surgical techniques.

Purpose of the Study:

  • To determine complication rates following distal biceps rupture repair.
  • To classify complications by surgical approach and fixation method.
  • To analyze risk factors and outcomes for specific complications.

Main Methods:

  • Systematic review of English-language studies on primary distal biceps repair (1998-2019).
  • Data extraction and classification of complications into major and minor categories.
Keywords:
biceps tendoncomplicationheterotopic ossificationneurovascularretear

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  • Quantitative synthesis comparing complication rates across different surgical incisions and fixation techniques.

    • Main Results:

    • 3091 repairs analyzed; overall complication rate was 25%, with a 4.6% major complication rate.
    • Posterior interosseous nerve injury (1.6%) and rerupture (1.4%) were the most frequent major complications.
    • Extensile single incision linked to higher superficial radial nerve injury; double incision associated with synostosis.

    Conclusions:

    • This study represents the largest analysis of distal biceps repair complications.
    • A 4.6% major complication rate highlights the importance of technique selection.
    • Findings are vital for surgical planning, patient consent, and optimizing treatment strategies.