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Updated: Mar 29, 2026

Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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Restoration of Muscle Function Following Distal Biceps Tendon Reinsertion: A Narrative Review.

Michał Harasymczuk1, Ewa Bręborowicz1, Aleksandra Bartkowiak-Graczyk1,2

  • 1Traumatology, Orthopedics and Hand Surgery Department, Dega Orthopedics Institute, Poznań University of Medical Sciences, PL-61-545 Poznan, Poland.

Journal of Clinical Medicine
|March 28, 2026
PubMed
Summary

Distal biceps tendon rupture (DBTR) repair offers favorable long-term outcomes, with most patients returning to full activity within 5.4 months. Early, progressive rehabilitation is key for optimal functional recovery after surgical repair.

Keywords:
comparative analysisdistal biceps tendon ruptureevidence-based practicefunctional outcomesmuscle function restorationsupination and flexion strengthsurgical approaches

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Distal biceps tendon rupture (DBTR) significantly impacts upper-limb function, necessitating effective treatment strategies.
  • Clinical interest is high due to complex biomechanics and evolving surgical and rehabilitation approaches.
  • A multidisciplinary approach combining surgery and physiotherapy is crucial for optimal outcomes.

Purpose of the Study:

  • To review current evidence on surgical techniques and rehabilitation protocols for distal biceps tendon rupture.
  • To synthesize findings on functional recovery, return to activity, and complication rates.

Main Methods:

  • A comprehensive literature search was conducted using PubMed/MEDLINE.
  • A narrative review format was employed to synthesize the evidence.

Main Results:

  • Both single- and double-incision techniques yield excellent outcomes, with technique choice dependent on patient and surgeon factors.
  • Restoring tendon integrity is vital for strength and supination.
  • Early mobilization protocols (within the first postoperative week) lead to faster, more complete functional recovery compared to prolonged immobilization.

Conclusions:

  • Long-term outcomes following DBTR repair are consistently favorable, with high rates of return to pre-injury activity levels.
  • Most patients return to full activity or sport around 5.4 months post-surgery.
  • 93-100% of patients regain their pre-injury activity level, including competitive sports participation.