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




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). Distal biceps tendon rupture repair using an endobutton technique. BioMedicine and Surgery, 1(3), 117–120. https://doi.org/10.5281/zenodo.1044001