Surgical Management of Acute Distal Biceps Tendon Ruptures

➤ Acute distal biceps tendon ruptures are uncommon injuries that often affect young active males and typically result from an eccentric load on the dominant upper extremity.➤ Surgical treatment may be indicated to prevent substantial weakness in supination and flexion that can occur with nonoperative treatment.➤ Nonoperative management should be reserved for elderly or less active patients with multiple comorbidities, especially when the injury involves the nondominant arm.➤ Operative management can be performed using a single-incision or dual-incision technique, with multiple surgical options for tendon-to-bone fixation.➤ Single-incision repair techniques are more likely to be complicated by a transient neurapraxia, most often involving the lateral antebrachial cutaneous nerve, while dual-incision repair techniques are more likely to be complicated by heterotopic ossification and stiffness.