Single Versus Double - Incision Technique for the Repair of Acute Distal Biceps Tendon Ruptures : No Major Differences in a Randomized

The authors of this clinical trial evaluated outcomes of the single versus double-incision techniques for acute distal biceps tendon repair. Patients who had an acute distal biceps rupture were randomly assigned to one of two groups: single-incision repair with two suture anchors (forty-seven) or double-incision repair with transosseous drill holes (forty-four). Follow-up evaluations were performed at three, six, twelve, and twentyfour months after the operation. The primary outcome was the American Shoulder and Elbow Surgeons (ASES) elbow score, whereas secondary outcomes were muscle strength; complication rates; and Disabilities of the Arm, Shoulder and Hand (DASH) and Patient-Rated Elbow Evaluation (PREE) scores. The groups did not differ significantly with regard to mean age, percentages of dominant arms affected, or Workers’ Compensation cases.