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Distal Biceps Brachii Rupture.
Ahmad Almigdad1, Saharish Saleem2, Amar Malhas2
1Department of Orthopedics, Royal Medical Services, Amman, Jordan.
Clinics in Orthopedic Surgery
|April 2, 2025
Summary
Distal biceps tendon ruptures are rare, affecting middle-aged men. Surgical repair offers positive functional outcomes, though complications like heterotopic ossification can occur.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Distal biceps tendon ruptures are uncommon injuries, primarily seen in active men aged 36-55.
- Weightlifters and bodybuilders have a higher incidence of these injuries.
Purpose of the Study:
- To review distal biceps tendon rupture cases.
- Focus on sociodemographic factors, injury mechanisms, surgical outcomes, and complications.
Main Methods:
- Retrospective review of distal biceps injuries from 2017-2023.
- Data collected on demographics, injury causes, clinical findings, and complications.
- Outcomes assessed via range of motion and Elbow Oxford Score.
Main Results:
- 73 patients (72 men, 1 woman, average age 45.6) studied; 75.3% aged 36-55.
- Manual labor (46.6%) and sports (13.7%) were common causes; heavy lifting predominated (43.8%).
- Complications included heterotopic ossification (23.3%) and neurological injury (16.4%); 75.7% achieved comparable range of motion post-surgery.
Conclusions:
- Distal biceps injuries cause significant functional loss if untreated; surgery provides good outcomes.
- Findings confirm predominance in middle-aged men and manual workers.
- Highlights impact of corticosteroids and smoking; advocates for prevention research.
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