Traditional repair of distal biceps tendon tears has been through a single anterior incision or a two-incision technique. The authors describe a novel technique for repair of partial distal biceps tendon ruptures using a single posterior incision, which avoids the problems associated with the anterior incision. Surgical confirmation and repair of symptomatic partial distal biceps tendon ruptures can be performed through a single posterior incision technique. The authors think the morbidity of the anterior exposure can be avoided and the tendon readily explored and reattached. The authors report use of the technique on eight patients with partial distal biceps tendon ruptures, who had no response to conservative therapy. Because of the inherent strength of this repair technique, the patients were permitted immediate active and passive motion without protection or immobilization.
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