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Distal Biceps Tendon Repair and Reconstruction
An improved understanding of the anatomy, mechanics, and surgical and nonsurgical management options has enhanced the ability to optimize function after complete avulsion of the distal biceps tendon. Distal biceps tendon rupture typically occurs in men between 20 and 50 years of age. Nonsurgical treatment results in diminished supination strength that is unsatisfying to some patients. Patient satisfaction is optimized with timely diagnosis, patient education, and shared decision making. If surgical treatment is chosen, reattachment of the torn tendon to its native footprint is recommended. This chapter reviews the indications, contraindications, and outcomes of distal biceps tendon repair and reconstruction in patients with acute and chronic ruptures. Anatomic considerations regarding reattachment sites, and outcomes associated with either an anterior or posterior approach are discussed. Surgical strategies for repair and reconstruction of the distal biceps tendon, and tips for avoiding complications are also presented.