Elbow procedure information

Distal biceps tendon injury

Distal biceps tendon injuries may occur suddenly during lifting or forceful activity and can lead to pain, bruising, weakness and reduced arm function. Some patients notice a sudden tearing sensation around the elbow followed by difficulty with lifting, turning the forearm or bending the elbow.

Assessment and diagnosis

Assessment begins with a detailed discussion of symptoms, how the injury occurred, arm function and treatment goals, followed by examination of elbow movement, strength and tendon function. Imaging such as ultrasound or MRI scanning may be recommended to confirm the diagnosis and assess the extent of the tendon injury.

Non-surgical options

Non-operative treatment may be considered in selected cases depending on the severity of the injury, symptoms and functional requirements. Conservative management may include physiotherapy, rehabilitation exercises and activity modification aimed at improving arm function and reducing discomfort. There can be some weakness that can persist and maybe noticeable in some patients.

Surgical treatment options

Surgical treatment may be considered when there is significant loss of strength or function, particularly in more active patients or following complete tendon rupture. Distal biceps repair aims to restore tendon attachment and improve elbow strength and forearm function. Surgical techniques and treatment recommendations vary depending on the nature and timing of the injury.

Recovery after treatment

Recovery varies between patients and depends on the severity of the injury and the procedure performed. Physiotherapy and rehabilitation are commonly recommended following treatment to help restore movement, strength and arm function. Return to heavier lifting and sport may take several months depending on recovery progress.

Risks and considerations

All procedures carry risks. Potential risks associated with distal biceps treatment may include infection, bleeding, stiffness, nerve irritation, weakness, re-rupture or the need for further treatment. Specific risks and expected outcomes are discussed during consultation.

Frequently asked questions