Case Report: Transosseous Two-Incision Repair for Distal Biceps Tendon Avulsion. | ||
| The Egyptian Orthopaedic Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 22 August 2025 | ||
| Document Type: Case Report | ||
| DOI: 10.21608/eoj.2025.398606.1057 | ||
| Authors | ||
| Mahmoud T almekoud* 1; ahmed saleh2; diaa elsayed3 | ||
| 1Manzala alzahraa street | ||
| 2mansoura university | ||
| 3mansoura general hospital | ||
| Abstract | ||
| Ruptures of the distal biceps tendon (DBT) are uncommon musculoskeletal injuries, typically affecting middle-aged men and caused by excessive eccentric loading, such as during weightlifting [1,2]. Surgical repair is generally advised for active individuals to restore supination and flexion strength and prevent long-term functional loss [3,4]. This case report describes a 42-year-old male who sustained a complete DBT avulsion during weightlifting. The modified two-incision transosseous technique was employed for repair—a method originally described by Boyd and Anderson [5], later refined by Morrey to reduce complications like ectopic ossification [6,7]. The anterior incision allowed retrieval and whipstitch preparation of the tendon while protecting the lateral antebrachial cutaneous nerve (LABCN) [9]. A second dorsal incision was made after full forearm supination to avoid injury to the posterior interosseous nerve [10], allowing access to the radial tuberosity. A cavity and transosseous tunnels were created for suture passage and bone fixation [11,12]. Early postoperative rehabilitation focused on controlled motion, leveraging the robust fixation provided by the technique [14]. At six-week follow-up, the patient demonstrated a near-normal range of motion and functional recovery with minimal discomfort. This case highlights the reliability of the two-incision technique for DBT repair, combining anatomical safety with strong fixation and favorable early outcomes in appropriately selected patients [15]. | ||
| Keywords | ||
| Distal biceps tendon; transosseous repair; two-incision technique; tendon avulsion; elbow surgery | ||
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