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Background <p>Ruptures of the distal biceps tendon are rare but are of major clinical relevance. Nonoperative treatment is associated with substantial strength deficits, including up to a&#xa0;30% reduction in flexion power and a&#xa0;40% reduction in supination power and chronic pain.</p> Objective <p>Evaluation of the recent guidelines concerning the diagnostics and treatment of distal biceps tendon ruptures.</p> Results <p>The acute distal biceps tendon rupture is a&#xa0;clinical diagnosis. Magnetic resonance imaging ( MRI) with reconstruction of the sagittal plane is recommended in chronic ruptures. Complete ruptures should be surgically treated due to better outcomes. In acute cases refixation is increasingly being carried out using a&#xa0;mini-open technique with titanium anchors. In chronic injuries this is sometimes not possible due to retraction of the tendon, fibrosis and muscle atrophy. In these cases, reconstruction procedures using tendon autografts are used. Postoperatively, an immediate mobilization without loadbearing should be conducted for 6&#xa0;weeks.</p>

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Rupturen der distalen Bizepssehne

  • 期刊论文

  • 发表日期：

    2026年2月26日

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  • Sophie Müller,
  • Helmut Lill,
  • Alexander Ellwein

摘要

Background

Ruptures of the distal biceps tendon are rare but are of major clinical relevance. Nonoperative treatment is associated with substantial strength deficits, including up to a 30% reduction in flexion power and a 40% reduction in supination power and chronic pain.

Objective

Evaluation of the recent guidelines concerning the diagnostics and treatment of distal biceps tendon ruptures.

Results

The acute distal biceps tendon rupture is a clinical diagnosis. Magnetic resonance imaging ( MRI) with reconstruction of the sagittal plane is recommended in chronic ruptures. Complete ruptures should be surgically treated due to better outcomes. In acute cases refixation is increasingly being carried out using a mini-open technique with titanium anchors. In chronic injuries this is sometimes not possible due to retraction of the tendon, fibrosis and muscle atrophy. In these cases, reconstruction procedures using tendon autografts are used. Postoperatively, an immediate mobilization without loadbearing should be conducted for 6 weeks.