Repair of distal biceps tendon ruptures using a suture anchor and an anterior approach. J Hand Surg Br

In a prospective study, eight consecutive patients with nine ruptures of the distal biceps tendon underwent repair through a single incision. All patients were satisfied with their clinical results and had full ranges of elbow and forearm motion. There were no radial nerve injuries and no radio-ulnar synostoses. Isokinetic testing, after correction for dominance, demonstrated a 6 % strength deficit, but 7 % higher endurance in the repaired extremity for the flexion-concentric test, and no strength deficit and 13 % higher endurance for supination. The improved endurance is probably explained by initial reduced effort due to apprehension which minimized subsequent fatigue