Journal of Clinical and Investigative Surgery
Cristina N. Cozma1, Laura Raducu1,2, Carmen F. Caramitru2, Razvan I. Olaru3, Cristian R. Jecan1,2
1Carol Davila University, Department of Plastic and Reconstructive Surgery, Bucharest, Romania
2Prof. Dr. Agrippa Ionescu Emergency Clinical Hospital, Department of Plastic and Reconstructive Surgery, Bucharest, Romania
3Prof. Dr. Agrippa Ionescu Emergency Clinical Hospital, Department of Orthopedics, Bucharest, Romania
Objectives. Distal biceps tendon rupture affects the functional upper-extremity movement, impairing supination and flexion strength. According to age, profession and additional risks treatment might be nonoperative or surgical.
Methods. We describe the case of a 43 years old male patient who sustained an injury to his right distal biceps and was diagnosed with acute right distal biceps rupture. Surgical treatment was decided and biceps tendon was reinserted to the radius tuberosity using a combination of a cortical button fixation associated with an interference screw.
Results. Postoperative functional result was favorable with no complications and with no movement limitation after one month.
Conclusions. When possible, distal biceps tendon repair should be realized surgically because this permits restoring of the muscle strength to near normal levels with no loss of motion. Nerve complications are common; therefore the surgery should be realized by experienced upper extremity surgeons.