Endoscopic Repair of the Distal Biceps Tendon

Distal biceps ruptures are common orthopaedic injuries that may result in cosmetic deformity, loss of subjective flexion strength, and loss of objective supination strength if treated nonoperatively. To combat this, both single- and dual-incision techniques have been developed to repair the distal b...

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Main Author: Steven Bokshan, M.D.
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724003141
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author Steven Bokshan, M.D.
author_facet Steven Bokshan, M.D.
author_sort Steven Bokshan, M.D.
collection DOAJ
description Distal biceps ruptures are common orthopaedic injuries that may result in cosmetic deformity, loss of subjective flexion strength, and loss of objective supination strength if treated nonoperatively. To combat this, both single- and dual-incision techniques have been developed to repair the distal biceps. Although each of these procedures has unique complications, both procedures are at risk of posterior interosseous nerve palsies, with up to 21% of surgeons reporting nerve palsies. This article proposes an endoscopically assisted biceps tendon repair that uses minimal retraction of the muscles in the forearm, which may lower the risk of traction-related nerve palsy. In addition, direct visualization of the radial tuberosity with a small-joint arthroscope allows for ideal placement of suture anchors on the native footprints of the short head and long head insertions of the biceps tendon.
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series Arthroscopy Techniques
spelling doaj-art-a25c13457e304d149e8dfe211279b7702025-01-30T05:14:10ZengElsevierArthroscopy Techniques2212-62872025-01-01141103181Endoscopic Repair of the Distal Biceps TendonSteven Bokshan, M.D.0Address correspondence to Steven Bokshan, M.D., Division of Orthopedics, Cone Health, 3518 Drawbridge Pkwy, Ste 220, Greensboro, NC 27410, U.S.A.; Division of Orthopedics, Cone Health, Greensboro, North Carolina, U.S.A.Distal biceps ruptures are common orthopaedic injuries that may result in cosmetic deformity, loss of subjective flexion strength, and loss of objective supination strength if treated nonoperatively. To combat this, both single- and dual-incision techniques have been developed to repair the distal biceps. Although each of these procedures has unique complications, both procedures are at risk of posterior interosseous nerve palsies, with up to 21% of surgeons reporting nerve palsies. This article proposes an endoscopically assisted biceps tendon repair that uses minimal retraction of the muscles in the forearm, which may lower the risk of traction-related nerve palsy. In addition, direct visualization of the radial tuberosity with a small-joint arthroscope allows for ideal placement of suture anchors on the native footprints of the short head and long head insertions of the biceps tendon.http://www.sciencedirect.com/science/article/pii/S2212628724003141
spellingShingle Steven Bokshan, M.D.
Endoscopic Repair of the Distal Biceps Tendon
Arthroscopy Techniques
title Endoscopic Repair of the Distal Biceps Tendon
title_full Endoscopic Repair of the Distal Biceps Tendon
title_fullStr Endoscopic Repair of the Distal Biceps Tendon
title_full_unstemmed Endoscopic Repair of the Distal Biceps Tendon
title_short Endoscopic Repair of the Distal Biceps Tendon
title_sort endoscopic repair of the distal biceps tendon
url http://www.sciencedirect.com/science/article/pii/S2212628724003141
work_keys_str_mv AT stevenbokshanmd endoscopicrepairofthedistalbicepstendon