Treatments for a Distal Biceps Tear
Treatment for torn biceps muscles varies. While nonsurgical treatment can be used, most active individuals who experience a distal biceps rupture will opt to have surgery in order to preserve full muscle strength. Non-surgical treatment for torn biceps muscles is best suited for those who have only a partial tear or those who do not participate in physically demanding upper-body activities. Non-surgical treatment consists of protecting the arm, resting the arm in a sling, physical therapy exercises, and managing pain with common over-the-counter medications for inflammation and pain.
This fluoroscopic image shows the cortical fixation button (yellow arrow) used to fix the distal biceps tendon back to the radial tuberosity after traumatic rupture.
If the biceps tendon tears completely, surgical repair can be a good option to restore function and to decrease pain. Dr. Millett uses a minimally invasive surgical technique to repair a distal biceps tendon tear. This is usually done right after the injury occurs and is done to reconnect the tendon to the correct location on the bone from which it has torn. For more chronic injuries, where the tendon has retracted or become severely scarred, a graft may be needed to reconstruct the torn tendon and connect it back to bone. Dr. Millett has recently written a comprehensive scientific review paper for the Journal of Bone and Joint Surgery on this topic and is highly experienced at repairing biceps injuries.