Surgical reattachment of an acutely avulsed distal biceps tendon has been proven effective at restoring strength and endurance to the injured arm. Recent controversies relate to the exposure, because some complications are related to surgical approach. The authors describe a modification of the two-incision technique using a small anterior incision to identify and retrieve the torn and retracted distal tendon stump with the addition of a second posterior incision to expose the radial tuberosity for tendon reinsertion. The use of the two incisions limits the anterior dissection and minimizes the risk of complications while providing for a stable repair.
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