Single-Incision Distal Biceps Tendon Repair

Distal biceps ruptures are relatively uncommon injuries. Tears of the distal biceps tendon occur primarily in middle-aged males. Surgical repair can be performed by a single- or double-incision technique. The single-incision technique offers advantages of simple technique, reliable results, low complications, and cosmetic incision. The repair is performed through a small, transverse incision using a variety of fixation devices. We describe the technique using suture anchors. Operative concerns include identification and protection of the lateral antebrachial cutaneous nerve, safe exposure of the bicipital tuberosity, avoiding injury to the radial recurrent vessels, and secure fixation of the tendon at the repair site. Repair typically restores excellent function and pain relief, allowing return to full activity within 3-4 months. This review describes the technique and includes tips and pearls for navigating the procedure and avoiding common complications.