Permanent posterior interosseous nerve palsy following a two-incision distal biceps tendon repair.

account for approximately 3% of all biceps tendon ruptures. The two-incision repair techniques, as described by Boyd and Anderson1 in 1961, were developed to lower the risk of injury to the radial nerve and posterior interosseous nerve. Reports of posterior interosseous nerve palsy following this approach are rare.2-3 Transient posterior interosseous nerve palsies following a repair with the twoincision technique has been reported; however, permanent posterior interosseous nerve palsy following this procedure has not been reported previously.