Anatomic direct repair of chronic distal biceps brachii tendon rupture without interposition graft.

Background: Rupture of the biceps brachii insertion is relatively uncommon and may present late. Chronic ruptures pose a management dilemma, with higher reported complication rates when surgery is delayed, whilst conservatively treated injuries may do badly in active patients.

Materials And Methods: Six consecutive male patients with delayed presentation of biceps rupture were treated operatively using a limited standard anterior approach, a secondary proximal "retrieval" incision, and EndoButton fixation.