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Surgical Approach and Re-tear Rates in Distal Biceps Tendon Repairs: A Single-Centre Study.

Zain Sadozai1, Samir Asmar1, Dillan Mistry1,2

  • 1Trauma and Orthopaedics, Mid Yorkshire Teaching NHS Trust, Wakefield, GBR.

Cureus
|December 31, 2025
PubMed
Summary
This summary is machine-generated.

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Surgical approach does not impact re-rupture rates for distal biceps tendon repair. Both single- and dual-incision techniques show exceptionally low re-rupture rates, supporting their biomechanical integrity.

Area of Science:

  • Orthopaedic Surgery
  • Sports Medicine
  • Tendon Repair

Background:

  • Distal biceps tendon rupture is a rare but functionally significant injury.
  • Surgical repair is often necessary to restore strength and movement.
  • Common surgical approaches include single-incision and dual-incision techniques.

Purpose of the Study:

  • To evaluate if the surgical approach (single vs. dual incision) influences re-rupture rates after distal biceps tendon repair.
  • To compare post-operative complications and functional outcomes between the two surgical techniques.

Main Methods:

  • Retrospective review of 259 consecutive distal biceps tendon repairs (January 2015 - July 2023).
  • Patients categorized into single-incision (n=183) and dual-incision (n=76) groups.
Keywords:
distal biceps tendondual incisionprocedural complicationsre-rupturesingle incisionsurgical approach

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  • Analysis of re-rupture rates, complications, and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores.

    • Main Results:

    • Overall re-rupture rate was 0.38% (one case in the single-incision group).
    • No significant difference in re-rupture rates between single- and dual-incision approaches (p=1.00).
    • High functional recovery: 90% had no functional deficits, 56% reported no disability via QuickDASH.

    Conclusions:

    • Distal biceps tendon repair demonstrates exceptionally low re-rupture rates with both single- and dual-incision techniques.
    • Both surgical approaches are biomechanically sound for distal biceps tendon repair.
    • Further multi-center studies are recommended to investigate other risk factors for re-rupture.