B2B: A technical note and case report on long head of biceps tendon autograft for chronic distal biceps tendon reconstruction

Abstract

Abstract Chronic distal biceps tendon rupture presents a challenging surgical problem due to tendon quality and retraction. This case report presents a technique to use a free autograft from the proximal long head of biceps tendon in treatment of a patient with a chronic distal biceps tendon rupture, where primary fixation was not feasible. Distalization of the biceps long head muscle belly by long head tenotomy and resultant autograft for distal reconstruction has surgical advantages showing excellent results at short-term follow-up with good strength and a full range of motion. This technique can be an addition to existing grafting options in the treatment of distal biceps tendon ruptures, especially where shoulder arthroscopy to manage concomitant shoulder pathology, such as a rotator cuff tear, is also required. Level of Evidence Level V; Case Report;