Distal biceps tendon rupture repair using an endobutton technique

  • Jan Dauwe Department of Trauma Surgery, University Hospitals Leuven, Leuven, Belgium
  • Karen Verhulst Department of Medicine, Catholic University of Leuven, Leuven, Belgium
  • Astrid Heeren Department of Trauma Surgery, University Hospitals Leuven, Leuven, Belgium
  • Stefaan Nijs Department of Trauma Surgery, University Hospitals Leuven, Leuven, Belgium
Keywords: Tendon injury, Tendon rupture, Biceps tendon, Endobutton, Repair


Distal biceps brachii tendon ruptures are relatively uncommon. These lesions typically occur in a male population aged between the fourth and fifth decade and result from eccentric contraction of the biceps muscle in a 90 degrees flexion position. Treatment options for distal biceps tendon ruptures include operative and non-operative management. Operative approach with early anatomical reattachment to the radial tuberosity is considered as the gold standard, whereas non-operative treatment is reserved for older and low-demanding patients. We present a straightforward case of a 48-year-old Caucasian male patient, without further objectified risk factors, clinically diagnosed with a distal biceps tendon rupture. The patient was treated with a minimal invasive endobutton fixation technique. Postoperatively a removable soft case was given to prevent full extension of the elbow. Six weeks after surgery the patient showed a pain free and full range of motion of the elbow. Strengthening exercises were allowed ten weeks postoperatively.


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How to Cite
Dauwe, J., Verhulst, K., Heeren, A., & Nijs, S. (2017, September 30). Distal biceps tendon rupture repair using an endobutton technique. BioMedicine and Surgery, 1(3), 117-120. https://doi.org/https://doi.org/10.5281/zenodo.1044001