Distal Biceps Tendon Repair
The distal biceps tendon connects the biceps muscle to the radius bone near the elbow. This tendon plays a crucial role in both bending the elbow and rotating the forearm from palm-down to palm-up - a motion called supination. Without it, simple daily tasks like turning a doorknob or using a screwdriver can become difficult or weak.
Experience complete mobility restoration
This injury often occurs during activities involving heavy lifting or a sudden, forceful extension of the elbow — such as lifting a heavy box or catching a falling object. Patients may feel a “pop” in the front of the elbow, followed by pain, bruising, and weakness. Over time, the biceps muscle may appear to bunch up higher in the arm, a sign often referred to as a “Popeye deformity.”
In most cases, Dr. Romanelli can diagnose a distal biceps tendon tear through a physical examination. The tendon may no longer be felt at the front of the elbow. In certain cases, imaging studies like an MRI may be ordered to confirm the diagnosis or evaluate the extent of the tear.
Because the biceps tendon plays such a key role in arm strength — especially in supination — surgical repair is often recommended for active individuals. Without surgery, patients may experience permanent loss of strength in the arm.
In most cases, Dr. Romanelli can diagnose a distal biceps tendon tear through a physical examination. The tendon may no longer be felt at the front of the elbow. In certain cases, imaging studies like an MRI may be ordered to confirm the diagnosis or evaluate the extent of the tear.
Distal biceps tendon repair is typically performed as an outpatient procedure. During surgery, Dr. Romanelli reattaches the torn tendon to the radius bone using a small incision near the elbow. A strong fixation device — such as a titanium button or suture anchor — is used to secure the tendon in place while it heals.
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Procedure time: About 1 hour
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Anesthesia: General or regional
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Incision location: Front of the forearm near the elbow
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First 2 weeks: The elbow is immobilized in a brace or splint.
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Weeks 2–6: Gentle range of motion exercises begin under guidance.
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6+ weeks: Gradual strengthening exercises start.
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Full activity: Most patients return to full use of their arm around 3–4 months after surgery.
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