Distal Biceps Tendon Rupture
Andreas Leonidou
Andreas Leonidou
- Symptoms
- Conservative Treatment
- Surgical Treatment
- Costs
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What is a Distal Biceps Tendon Rupture?
A distal biceps tendon rupture is the traumatic detachment of the tendon from its insertion at the elbow (on the radius). The function of the tendon is flexion and supination of the forearm.
This injury is usually seen in men aged 30–60 years when a sudden pull causes elbow extension while the biceps brachii muscle is contracting. This often occurs when lifting or carrying a heavy object.
What are the causes? Is there a predisposition?
Distal biceps tendon rupture is an injury that occurs more frequently in:
Tendons subjected to chronic strain (manual work)
Smokers
Patients who use cortisone or anabolic steroids
What are the symptoms of a Distal Biceps Tendon Rupture?
Patients report acute pain at the front of the elbow followed by weakness in flexion and supination. At the time of injury, a characteristic popping sound from the tendon rupture is usually reported. This is followed by bruising (ecchymosis) and swelling at the front and inner side of the elbow. Finally, a deformity of the biceps anatomy appears as the muscle retracts upwards (Popeye deformity).
How is the diagnosis made?
A patient with a distal biceps tendon rupture requires assessment by a specialized Upper Limb Orthopaedic Surgeon. Mr Leonidou will take a detailed medical history and examine you. The doctor will perform an ultrasound examination to confirm the diagnosis and will discuss the recommended treatment options with you. Occasionally, further investigations such as plain X-rays or an MRI scan may be required.
Conservative Treatment
Conservative treatment is possible, but the patient should be informed that they will lose 70% of supination strength and 30% of flexion strength. Conservative treatment is usually recommended for older individuals without high functional demands or for patients with a significant medical history who are unable to undergo surgery. Surgical repair is recommended for all other patients.
Surgical Treatment: How is the Tendon Repaired?
Surgical repair should ideally be performed as soon as possible after the tendon rupture. Over time, the tendon tends to retract upwards, which is why repair of the rupture should not be delayed. During surgery, the tendon is reattached to the anatomical site from which it was torn using sutures and a special button. The technique is minimally invasive and is performed through an incision of approximately 3 centimetres. There are usually no external sutures (plastic closure). Hospitalization is not required and patients return home a few hours after surgery with a simple dressing (without a cast) for 48 hours. Postoperatively, an individualized rehabilitation protocol is followed to achieve a full return to work, daily activities and sports.
What is the cost of the surgery?
The cost is quite affordable. For more information regarding the procedure and the cost of the surgery, please contact us. If you have sustained a biceps tendon rupture, visit the specialized orthopaedic surgeon Mr Andreas Leonidou for immediate and definitive treatment. The doctor has 14 years of continuous professional experience in the United Kingdom and specializes in upper limb conditions.
Book your appointment for immediate diagnosis, specialized care and targeted treatment in just one visit.