Abstract

Introduction: The course of the distal biceps tendon externally rotates from proximal-to-distal before inserting onto the radial tuberosity (Fig. 1, A). 1 Athwal G.S. et al. JHS. 2007; 32: 1225-1229 Abstract Full Text Full Text PDF PubMed Scopus (151) Google Scholar The importance of biceps external rotation in supination and flexion strength is currently not known; yet, it could be an important surgeon-controlled repair step that influences patient outcomes. Our hypothesis is that an externally rotated biceps (anatomic) repair would recreate the native supination moment arm and flexion force, while an internally rotated (non-anatomic) repair would result in reduced force transmission.

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