Single incision, transosseous suture repair technique for acute distal biceps tendon rupture

Abstract

We describe a technique for repair of the distal biceps tendon using a single anterior incision, limited volardissection, and transosseous sutures through the radial tuberosity. This technique is simple, safe, and strong, allowing for prompt rehabilitation and recovery. Unlike the two-incision technique, there is no risk for heterotopic ossification or proximal radioulnar synostosis. Careful and limited dissection results in a low risk for iatrogenic neurovascular injury. Transosseous sutures have been shown to be stronger than suture anchors, allowing for more aggressive early motion and an early return to full motion. In addition, there is no additional cost for using transosseous sutures, as opposed to suture anchors or Endobutton (Arthrex Inc., Naples, FL), which may be quite expensive