Endoscopic Distal Biceps Repair

Lucas H B Walschot, Joideep Phadnis, Gregory Bain

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Distal biceps tendon rupture results in significant flexion, supination strength, and endurance deficit. It occurs almost exclusively in men, typically older than 40 years or involved in weight training. There is an association with anabolic steroid use. The distal biceps has short and long heads. Their footprint is on the ulnar surface of the radial tuberosity where they attach to the periosteum of the radial tuberosity. Hence, in full supination, the tendon drapes around the radial tuberosity. Distal biceps repair reliably restores function regardless of technique and approach, although debate remains regarding whether to use a single-or double-incision technique and which technique is most effective. Cortical EndoButtons (Smith & Nephew), suture anchors, transosseous tunnels, and interference screws have all been used with satisfactory results. Partial distal biceps tears are less common and cause considerable anterior elbow pain during activity. They may go undiagnosed for some time.1 There is a paucity of evidence regarding their optimal treatment; however, endoscopy is especially useful for these tears as an accurate diagnosis of the degree of tearing, tendinosis, and footprint coverage can be made. Chronic tears pose a surgical challenge due to tendon retraction but have been successfully treated with grafts and by fixation in extreme flexion. The authors have found endoscopy valuable in treating all varieties of distal biceps pathology, and it has improved their understanding and refined their management of these conditions.

Original languageEnglish
Title of host publicationThe Elbow and Wrist
Subtitle of host publicationAANA Advanced Arthroscopic Surgical Techniques
EditorsFelix H. Savoie III, Larry D. Field, Scott P. Steinmann
Place of PublicationBoca Raton, FL
PublisherSlack, Inc.
Chapter17
Pages167-175
Number of pages9
ISBN (Electronic)9781040140826, 9781003523963
ISBN (Print)9781630910013
DOIs
Publication statusPublished - 2016

Publication series

NameAANA Advanced Arthroscopic Surgical Techniques

Bibliographical note

First published 2016 by Slack Inc. Digitised in 2024 and published by CRC Press.

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