There are many different techniques for repairing the ruptured biceps tendon. Our prefered method is to use the Endobutton Technique described by Assoc. Prof. Greg Bain, but other methods are equally successful. Please discuss with your surgeon.
The biceps tendon ruptures off the forearm bone (radius) and retracts up the upper arm, causing a deformity (known as the ‘Popeye sign’)
A small incision is made over the upper forearm, where the biceps should attach onto the radius bone.
The retracted biceps tendon is retrieved through the incision. Sometimes another incision higher up the arm may be required to find the tendon.
The radius is prepared to encourage healing. With the Endobutton technique the tendon end is actually buried inside the bone to create a strong repair.
Strong sutures are threaded through the tendon in a specific interlocking way to ensure a strong repair of the tendon to the bone. The tendon is then fixed to bone with the Endobutton, suture anchors, an interference fit screw or bone tunnels. In laboratory tests the Endobutton technique has been shown to be the strongest.
After the surgery a sling is applied for comfort. At two weeks the sling is discarded and active movement encouraged. Strengthening is started at around six weeks and by twelve weeks you should be able to return to normal activity including sports.
Physiotherapy should be arranged after your surgery. Click here for details of the Physiotherapy programme .
It can take up to 6-12 months to regain the full strength of your biceps.