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Chronic Distal Biceps Rupture in Military Personnel

Author

Listed:
  • Alexander Habashy
  • Damon Greene

    (Ochsner Clinic Foundation, USA)

  • Tara Saxena
  • Scott Montgomery

    (Shore Orthopedic University Associates, USA)

  • Misty Suri

    (University of Queensland, Australia)

Abstract

The treatment of distal biceps tendon rupture is dependent on a variety of factors, including time from injury to presentation as well as desired level of activity. High demand patients as well as patients presenting within days of rupture typically undergo operative treatment, whereas those with a delayed presentation and/or elderly patients are typically treated conservatively. We present a case of a 37-year-old male who sustained bilateral distal biceps tendon ruptures during military training. He was initially treated conservatively, but was referred to us several months post-injury due to persistent pain and reduced strength bilaterally. His desire to return to active military duty posed an additional unique challenge. He underwent a staged, bilateral distal biceps reconstruction with Achilles allograft due to extensive tendon scarring and myostatic contracture. Postoperatively, the patient had reduced pain, improved motion and markedly improved supination and flexion strength bilaterally. In this paper, we present a review of the literature, challenges unique to chronic distal biceps rupture, as well as novel surgical techniques that aided in our success.

Suggested Citation

  • Alexander Habashy & Damon Greene & Tara Saxena & Scott Montgomery & Misty Suri, 2018. "Chronic Distal Biceps Rupture in Military Personnel," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 11(1), pages 1-3, March.
    • Handle: RePEc:adp:joroaj:v:11:y:2018:i:1:p:1-3
    DOI: 10.19080/OROAJ.2018.11.555801
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