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Related Experiment Video

Updated: Nov 2, 2025

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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Distal biceps rupture: Evaluation and management.

Karthik Vishwanathan1, Krishna Soni2

  • 1Professor and Head, Department of Orthopaedics, Parul Institute of Medical Sciences and Research, Parul University, Vadodara, India.

Journal of Clinical Orthopaedics and Trauma
|June 8, 2021
PubMed
Summary

Distal biceps tendon tears are diagnosed using clinical tests like the Hook test and imaging like MRI. Complete tears typically require surgery for optimal outcomes.

Keywords:
Distal bicepsReconstructionRepairRuptureTear

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Musculoskeletal Imaging

Background:

  • Distal biceps tendon injuries affect specific high-risk populations.
  • The integrity of the lacertus fibrosus influences tendon retraction after injury.
  • Accurate diagnosis is crucial for appropriate management of distal biceps tendon pathology.

Purpose of the Study:

  • To differentiate between tendinosis, partial tears, and acute or chronic complete tears of the distal biceps tendon.
  • To evaluate the utility of clinical examination and imaging modalities in diagnosing distal biceps tendon injuries.
  • To outline current treatment strategies for distal biceps tendon tears.

Main Methods:

  • Clinical assessment including the traditional and resisted Hook tests.
  • Imaging evaluation, with Magnetic Resonance Imaging (MRI) as the preferred modality.
  • Review of non-operative and operative treatment options based on tear severity and patient factors.

Main Results:

  • The Hook test is a reliable clinical diagnostic tool for complete distal biceps tendon tears.
  • MRI is the gold standard for imaging diagnosis, surpassing plain radiography.
  • Non-operative management is considered for partial tears or complete tears in low-demand individuals.

Conclusions:

  • Complete distal biceps tendon tears generally necessitate surgical intervention for favorable functional results.
  • Operative treatment leads to high patient satisfaction and good functional recovery.
  • Early and accurate diagnosis through clinical and imaging assessments guides effective treatment decisions.