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Purpose <p>To review the epidemiology, mechanisms, diagnosis, and management of distal biceps tendon ruptures (DBT) in athletes. We aim to evaluate how treatment strategies influence strength recovery, performance, return-to-sport, and long-term functional outcomes.</p> Recent Findings <p>DBT ruptures significantly affect athletes. Injuries typically occur in the dominant arm during forceful eccentric loading with the forearm supinated. The diagnosis is primarily clinical, but MRI is useful when diagnosis is uncertain clinically. Current evidence strongly favors timely surgical repair to optimize strength recovery, return to sport, and long-term function.</p> Summary <p>Distal biceps ruptures have a significant influence on performance in athletes if not treated appropriately. Timely surgical repair provides durable outcomes in strength, return-to-sport and long-term prognosis when compared to nonoperative management. Understanding mechanisms of injury, refining surgical techniques, and optimizing rehabilitation protocols is essential to improving sport-specific outcomes and preserving athletic performance after injury.</p>

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Distal Biceps Tendon Injuries in Athletes: Management Strategies, Return-to-Sport Predictors, and Performance Outcomes

  • 期刊论文

  • 发表日期：

    2026年6月29日

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  • David Phrathep,
  • Dennis Colon,
  • Bradley S. Schoch,
  • Robert D. Pagan-Rosado

摘要

Purpose

To review the epidemiology, mechanisms, diagnosis, and management of distal biceps tendon ruptures (DBT) in athletes. We aim to evaluate how treatment strategies influence strength recovery, performance, return-to-sport, and long-term functional outcomes.

Recent Findings

DBT ruptures significantly affect athletes. Injuries typically occur in the dominant arm during forceful eccentric loading with the forearm supinated. The diagnosis is primarily clinical, but MRI is useful when diagnosis is uncertain clinically. Current evidence strongly favors timely surgical repair to optimize strength recovery, return to sport, and long-term function.

Summary

Distal biceps ruptures have a significant influence on performance in athletes if not treated appropriately. Timely surgical repair provides durable outcomes in strength, return-to-sport and long-term prognosis when compared to nonoperative management. Understanding mechanisms of injury, refining surgical techniques, and optimizing rehabilitation protocols is essential to improving sport-specific outcomes and preserving athletic performance after injury.