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Outcomes and Patient Satisfaction of Delayed Distal Biceps Repairs without Graft Augmentation: A Systematic Review
Serge Tzeuton1, William Johns2, Benjamin Campbell2
1The University of Maryland Medical Center, Baltimore, Maryland.
JBJS Reviews
|May 4, 2023
Summary
Direct surgical repair of chronic distal biceps tendon ruptures offers good outcomes and patient satisfaction. While transient nerve palsy rates may be slightly elevated, primary repair is a viable option when sufficient tendon quality exists.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Research
Background:
- Distal biceps tendon tears account for 3-10% of all biceps ruptures.
- Nonoperative treatment leads to significant loss of strength and endurance.
- Chronic tears may require graft reconstruction or primary repair.
Conclusions:
- Direct repair of chronic distal biceps tears is a viable option with acceptable outcomes when adequate tendon quality is present.
- Transient LABCN palsy rates may be slightly higher with direct repair.
- Further prospective studies comparing primary repair versus reconstruction for chronic tears are warranted.
