Distal Bicep Tendon Avulsion

Posted in the Orthopaedic Surgery Forum

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Patrick

Washougal, WA

#1 Jul 25, 2007
On June 17, 2007 I injured myself at work loading an item. A piece of the pallet broke off into my hand and all of the weight fell agaist mt arm. At the time I did not know what I hand done to my tendon. The next day I went to an orthopedic surgeon who confirmed the diagnosis (dital bicep tendon avulsion). Surgery was done 4 days later and here I sit today still in a full arm cast. Oh, by the way I am 38 years old.

Probably the most frustrating thing is trying to get a clearer picture of how it will heal, and will I have to worry about future problems (tearing off again). I had the single incision suture anchor procedure.

Some conerns are that I am a volunteer firefighter, as well as, am on the list for the next potential career process. This has been a dream of mine for quite some time and I hope that this injury doesn't affect the outcome. The physical agility test will be sometime in January, 2008 and the academy will start around March/April.

At this time I have not started any physical therapy, but will so in September.

If anyone has some good info or recomendations on physical therapy that can help me get into shape before my timeline that would be great!

Also if anyone has heard about the long term
repairs ands how they have help up. I would hate to be in a burning building someday and have it re-injued by using equipment or moving something that might endanger my life and those around me.

Thank you, and I wish all of you well on your recovery.

Patrick
MikeP

Farmingdale, NJ

#2 Jul 30, 2007
I have a distal bicep tendon rupture. I've been looking for surgeons in the NJ area. Does anyone recommend anyone? Also, which procedure is preferred the single or dual insertion?
eileen

New York, NY

#3 Aug 13, 2007
Probably too late now, but my husband had Dr. Catalano of Premier Orthopaedics in Elmer, NJ repair his on 4/20/07. He really likes Dr. Catalano because he's a regular guy and very down to earth. Don't know if he had the single or dual insertion. He has 2 scars on his arm. One around the crease on the iside of the elbow and the other on the back of his forearm.
Best of luck. Let us know if you have any questions, this injury has pretty much ruled our lives for the last 4 months. eileen0862@yahoo.com
MikeP wrote:
I have a distal bicep tendon rupture. I've been looking for surgeons in the NJ area. Does anyone recommend anyone? Also, which procedure is preferred the single or dual insertion?
Eric

Herndon, VA

#4 Sep 16, 2007
I had a complete rupture of my distal bicep tendon with emergency surgery on June 28, 2007. Approximately 2 months in cast with the cast removed two weeks ago. I had the S surgical cut on inside of elbow with two suture anchor method. My arm is healing well with full extension and rotation obtained. The arm is very weak and I am informed by my surgeon that I will return to full recovery after 6 to 8 months. It could also take a year to regain full recovery.
This is a very invasive surgery with slow recovery. My advise is do not rush it; any reinjury could be devastating to your recovery.
Good Luck.
John Hugill

Greer, SC

#5 Jul 7, 2008
I just had mine done three weeks ago, and was in a splint for 10 days only. I now can bend my elbow from 90 degrees to about 160 (20 to 30 degrees shy of full extension. I have a little pain in the elbow, but most of my pain, which is quite troublesome, is down the forearm, along the line from the elbow to the thumb. I don't know what type of repair was done, but I have one incision in the crease, and one on the back of the elbow. Questions or comments to jvhugill@bellsouth.net. Thanks. So far glad I did it.
Six

Miami, FL

#6 Jul 7, 2008
John:
Post your questions on the other site "Distal Biceps Surgery" there are a fair amount of people who are going through what you are at right now. I had the single incision endobutton procedure on Jan. 14, 08. Post your questions/concerns. The site I referenced has approximately 1423 comments with about an active audience of about 25 posters.

Good luck.
CLRKCAMP

AOL

#7 Jul 28, 2008
I HAD SURGERY ALMOST 2 YRS AGO TO REPAIR A RUPTURED DISTAL BICEP TENDON. I NOW HAVE HETEROTROFIC OSSIFICATION AND AM GETTING READY TO HAVE SURGERY TO REMOVE THE BONE GROWTH. HAS ANYONE ELSE HAD THIS PROBLEM AND WHAT AM I LOOKING AT AFTER THE SURGERY? I HAD THE 2 INCISION SURGERY. MY DR ALSO IS RECOMMENDING RADIATION AFTER THE SURGERY TO KEEP THIS FROM HAPPENING AGAIN.
Six

Miami, FL

#8 Jul 29, 2008
CLRKCAMP wrote:
I HAD SURGERY ALMOST 2 YRS AGO TO REPAIR A RUPTURED DISTAL BICEP TENDON. I NOW HAVE HETEROTROFIC OSSIFICATION AND AM GETTING READY TO HAVE SURGERY TO REMOVE THE BONE GROWTH. HAS ANYONE ELSE HAD THIS PROBLEM AND WHAT AM I LOOKING AT AFTER THE SURGERY? I HAD THE 2 INCISION SURGERY. MY DR ALSO IS RECOMMENDING RADIATION AFTER THE SURGERY TO KEEP THIS FROM HAPPENING AGAIN.
CLRKCAMP:
Try the site Distal Biceps Surgery post website. You can access by clicking the bottom of this website. It has over 1635 Posts from fellow persons who have the surgery. It is quite informative.
cory

Alden, NY

#9 Aug 3, 2008
I tore my Bicep tendon 3 weeks ago. Will be having the two incision surgery this week also using the endo button. I work at a desk job is it possible to be back at work in 4 weeks? Mt surgeon says I should be fine.
Cory
Six

Boca Raton, FL

#10 Aug 3, 2008
cory wrote:
I tore my Bicep tendon 3 weeks ago. Will be having the two incision surgery this week also using the endo button. I work at a desk job is it possible to be back at work in 4 weeks? Mt surgeon says I should be fine.
Cory
Cory:
Check out the distal bicep surgery thread it has over 1650 posts with many people that have had this type of surgery.
wayne elzey

Napa, CA

#11 Sep 14, 2008
John Hugill wrote:
I just had mine done three weeks ago, and was in a splint for 10 days only. I now can bend my elbow from 90 degrees to about 160 (20 to 30 degrees shy of full extension. I have a little pain in the elbow, but most of my pain, which is quite troublesome, is down the forearm, along the line from the elbow to the thumb. I don't know what type of repair was done, but I have one incision in the crease, and one on the back of the elbow. Questions or comments to jvhugill@bellsouth.net. Thanks. So far glad I did it.
Anything new on what the source of the pain from the elbow to the thumb as I am experiencing the same thing after three weeks
Johnny K Baton Rouge La

Baton Rouge, LA

#12 Sep 15, 2008
Mike , From what I can gather so far. The 2 incision method is most widely used. There is now another technique using whats called the endobutton. I had this procedure 5 days ago so far so good. Whatever you do get a very experienced surgeon preferably an orthopedic microvascular specialist in arm and hand surgery. Good luck. J K
MikeP wrote:
I have a distal bicep tendon rupture. I've been looking for surgeons in the NJ area. Does anyone recommend anyone? Also, which procedure is preferred the single or dual insertion?
Brian J

Browns Valley, CA

#13 Sep 17, 2008
Wayne, Johnny -- Check out this new site: http://tendonsurgeryinfo.com/distalbiceps/ind... . We have many people posting here about this injury each day.
jeff l

Altona, Canada

#14 Feb 17, 2009
I HAD SURGERY ON DISTAL BICEP TENDON APPROX 8 WEEKS AGO STILL IN PAIN BUT MY CONCERN IS FOREARM NUMB ALL THE WAY TO THUMB AND SOMETIMES PAINFUL.STILL CAN'T STRAIGHTEN ELBOW.I'VE BEEN TOLD IT MAY NEVER GET BETTER,I AM ONLY 45 YRS OLD.IF I HAD A SECOND CHANCE I WOULD NOT HAVE GOTTEN SURGERY.
Brian J

Rancho Cordova, CA

#15 Feb 17, 2009
jeff l -- Come on over to this website:

http://tendonsurgeryinfo.com/distalbiceps/ind...

A lot of people post over there. Some people have had similar problems as you and may have some insight on your problem. Don't give up hope for your arm yet -- sometimes nerve damage can take a few months to heal.
Jack

United States

#16 Apr 12, 2009
I had distal bicep tendon repair on my right arm two years ago [Sept,2006].It is now april 2009. I have full flexation and extention but have never regained full rotation. I had the two incission surgery method. I still have A lot of pain and soreness when I do work that requires A lot of hand rotation. sitting at the computer working the mouse just kills me after about fifteen minutes. The surgon took x-rays about four months after the procedure and said I had some build up bone or scaring of some kind right at the reattachment point. I had hoped this would get better with time, but it doesent seem to be. He said that he could go back in an clean up the bone or scaring but I might have the same or worse problems afterwards. H also said he may have to start at ground zero agan. I really dont want to go through all of that again just to find out I still have the same or worse complications. Anyone have any good advice with experience behind it?
Brian J

Nevada City, CA

#17 Apr 12, 2009
Jack -- Please join us over at this site:

http://www.tendonsurgeryinfo.com/distalbiceps...

We have had some discussions there recently about heterotopic ossification, and one of our members underwent surgery to correct it.

If I were you, I would talk to another surgeon.
rob

Middletown, NY

#18 May 19, 2009
i'm 43 yrs old and suffered a complete distal bicep rupture, left arm(4/29/09). Two weeks later (5/14/09) i had surgery. After surgery, surgeon says all went well. I will see surgeon again in one weeek for first follow-up. Everything i've read suggests a long recovery time. Does anyone think i will be able to ride my motorcycle while i recover? If not, please shoot me now... lol
Brian J

Davis, CA

#19 May 19, 2009
Rob -- We've all moved over here:

http://www.tendonsurgeryinfo.com/distalbiceps...

Please join us there. Plenty of people will have input for you on this.
Xavier

United States

#20 Jun 1, 2009
I had surgery for repair/reattachment of my left distal bicep tendon in June 2008 about 15 days after sustaining the injury. I had the endobutton method used and the results have been nothing short of amazing. I was in a cast for 2 weeks and was allowed to begin light exercise at the 6 week mark. At the 5 month mark I was cleared for full physical activity. At the 8 months mark I went to the Border Patrol Academy and completed their rigorous physical training requirements with no problems. Dr. Gidumal from NYU Medical Center is definitely the person you want to see if you have a problem of this type.

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