title: Distal biceps tendon ruptures: a historical perspective and current concepts.
abstract: Distal biceps tendon rupture is a relatively rare injury most commonly seen in the dominant extremity of men between 40 and 60 years of age. It occurs when an eccentric extension force is applied to a contracting biceps muscle. The hallmark finding is a palpable defect in the distal biceps, which is accentuated by elbow flexion. Radiographic evaluation is usually not necessary. Acute surgical repair is advocated for optimal return of function by either a one-incision or a modified two-incision muscle-splitting technique. The arm is protected for 6 to 8 eight weeks after surgery. Unrestricted range of motion and gentle strengthening may begin after the 6 - 8 week protection period. Return to unrestricted activity is usually allowed by 5 months after surgery.
authors: Department of Orthopaedic Surgery, New York University-Hospital for Joint Diseases, New York, USA.
authors: A D
authors: AD
authors: Bernstein
authors: M J
authors: MJ
authors: Breslow
authors: L M
authors: LM
authors: Jazrawi
mesh_terms: D001134:Arm Injuries / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D012421:Rupture; D013708:Tendon Injuries / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*