Single-incision anatomic technique yields good outcomes in acute and chronic distal biceps avulsions alike

Abstract

Background

Distal biceps tendon ruptures can be treated with a single incision intervention, fixed with a combination of devices. Shorter time to surgery is expected to yield better results. Our hypothesis was that the timing of surgery whether within 4 weeks or beyond does not affect return to full work, post-operative range of motion or outcome scores.

Methods

The retrospective cohort consisted of consecutive adult patients referred to a U.K. hospital from 2012 to 2019 and received single incision anatomic repair for distal biceps rupture. Patients were stratified into two groups: an acute group, that received operation within 4 weeks and chronic group, beyond 4 weeks.

Results

52 patients were included, with 37 acute and 15 chronic. All participants were male, with a mean age of 43.5 (±8.01 SD). Patients underwent surgery at median of 6 days (Range 0–26) in acute group compared to median of 47 days (Range 29–147) in chronic group (p < 0.00001). No significant differences were found as regards post-operative range of motion, QuickDASH scores and return to full work.

Conclusion

The timing of surgery whether within 4 weeks or beyond does not affect return to full work, functional outcome or post-operative range of motion.

Level of evidence

Level II.