Distal Biceps Tendon Repair
Anatomic cortical button reattachment of torn biceps tendons to restore elbow flexion strength and forearm twisting power.
Understanding the Procedure
The distal biceps tendon connects the biceps muscle to the radius bone in the forearm. A complete rupture typically occurs when a heavy load is unexpectedly applied to a bent arm (e.g. lifting furniture, heavy boxes, or gym deadlifts).
Patients feel a painful pop in the elbow crease followed by bruising, swelling, and upward retraction of the biceps muscle ('Popeye muscle'). Without surgical repair, patients lose up to 40% to 50% of their forearm twisting (supination) power. Anatomic repair re-anchors the tendon to the radial tuberosity using a titanium cortical button and interference screw.
Download Rehabilitation Protocol
Official post-operative physical therapy guidelines, range of motion envelopes, and milestone criteria:
Download Distal Biceps Repair Protocol (PDF) ↓Phased Rehabilitation Milestones
Hinged Brace Protection
Brace worn 24/7. Locked at 90° initially, with weekly 30° extension unlocks until full extension at week 6. No active elbow flexion.
Discontinue Brace & Active Motion
Full unassisted active flexion, extension, pronation, and supination. Gentle terminal extension stretching.
Progressive Biceps Strengthening
Light resistance bands and dumbbell curls starting at 1-2 lbs. Progressive forearm supination strengthening.
Unrestricted Heavy Lifting & Sports
Full clearance for heavy manual labor, deadlifts, pullups, and athletic competition.
Frequently Asked Questions
Distal biceps repair (reattaching the torn tendon at the elbow) is an outpatient procedure allowing you to go home the same day.
You will be placed in a protective splint or hinged brace for the first few weeks to protect the repair while the tendon heals to the bone.
Supervised therapy starts around 2 weeks to restore range of motion. Progressive strengthening begins at 6 to 8 weeks.
Driving is typically safe after 4 to 6 weeks once the brace is removed. Light desk work can resume in 1 to 2 weeks, but heavy labor requires several months.
Unrestricted heavy gym lifting or manual trades are typically cleared between 5 and 6 months post-operatively after progressive tendon conditioning.
While the arm can still bend using other muscles, you will experience persistent fatigue and lose nearly half of your rotational twisting strength (such as using a screwdriver).
Specialized Elbow Reconstruction & Care
Don't let complex elbow conditions limit your daily function. Contact Dr. Veillette's clinic to explore evidence-based surgical solutions for restoring strength, stability, and pain-free motion.