Distal Biceps Avulsion

Question 1

Nonoperative

Answer 1

supportive treatment followed by physical therapy

indications

• older, low-demand or sedentary patients who are willing to sacrifice function
• if the lacertus fibrosis is intact, the functional deficits of biceps rupture may be minimized in a low-demand patient.

Question 2

Noneoperative outcomes

Answer 2

• will lose 50% sustained supination strength
• will lose 40% supination strength
• will lose 30% flexion strength
• will lose 15% grip strength

Question 3

Operative

Answer 3

surgical repair of tendon to tuberosity

Anterior Single-Incision Technique

Dual Incision Technique

Question 4

Distal Biceps Fixation Techniques

Answer 4

1. comparison
2. bone tunnel
3. suture anchors
4. intraosseous screw fixation
5. suspensory cortical button