Distal biceps tendon ruptures are rare injuries that may have significant functional sequelae. Debate continues regarding optimal treatment as historical reports comparing operative and conservative treatment outcomes suggest acceptable function following non-operative treatment.
As knowledge of native anatomy and fixation methods have progressed, results following operative fixation have improved when compared to non-operative fixation, particularly in the high-demand patient population.
Currently, operative fixation is recommended in the majority of cases, and operative management of distal biceps pathology mandates a working knowledge of native anatomy and biomechanical factors for appropriate repair and rehabilitation.
The purpose of this clinical commentary in IJSPT is to provide a concise review of distal biceps tendon injury, including relevant anatomy, etiology, diagnosis, and operative intervention as well as post-operative factors influencing the pursuit of safe and effective rehabilitation after distal biceps tendon repair.