Abstract
The technique of endoscopic repair of an acute rupture of the distal biceps tendon
with a single anterior portal incision (1.5 cm) and fixation with an EndoButton (Acufex,
Smith & Nephew, Andover, MA) is described. The ruptured biceps tendon is delivered
through the portal wound and sutured to the EndoButton with a No. 5 Ethibond suture
(Ethicon, Somerville, NJ). Endoscopic visualization of the tract of the avulsed biceps
tendon guides the endoscopy cannula to the radial tuberosity. The endoscopy cannula
serves to protect the adjacent neural structures while using the guidewire and drills
for the EndoButton. The EndoButton delivers and locks the tendon into the hole in
the radial tuberosity. This technique has been used in 2 patients who were allowed
early active mobilization. All were satisfied, having regained a full range of elbow
movement and flexion and supination strength. There have been no neurovascular complications
with this technique. This report shows the utility of endoscopy in repair of the biceps
tendon.
Key Words
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Article info
Footnotes
Cite this article as: Sharma S, MacKay G. Endoscopic repair of distal biceps tendon using an EndoButton. Arthroscopy 2005;21:897.e1–897.e4 [doi:10.1016/j.arthro.2005.04.001].
Identification
Copyright
© 2005 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
