Modified Two-Incision Approach for Repair of Distal Biceps Tendon Rupture

Abstract

Rupture of the distal biceps tendon is an uncommon injury that usually results from an excessive eccentric load across the biceps tendon. Various operative techniques have been described but anatomical repair is preferred to restore near native function in patients for whom such deficits would be debilitating. Boyd and Anderson originally described a 2-incision technique that minimizes the incidence of surgical complications while restoring anatomical function. This technique was further modified by Morrey to reduce the rate of ectopic bone formation that has been observed in the original Boyd-Anderson approach. With Morrey’s modification, the 2-incision approach is a safe and effective method for repair of a distal biceps tendon rupture. We describe the modified procedure in full and report on recovery, complications, and comparative outcomes.