Distal Biceps Tendon Anatomical All-Suture Anchor Repair.

Hasan, Afsana; Alder-Price, Angela; Woodmass, Jarret; Brandariz, Rodrigo; Honoki, Keigo; Leiter, Jeff; Hart, Darren · Arthrosc Tech · 2026

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Abstract

This technical note describes a single-incision, onlay, double all-suture anchor technique for distal biceps tendon repair. The method enables anatomic reattachment of the tendon onto the ulnar aspect of the radial tuberosity, optimizing footprint restoration and tendon-bone contact area compared with conventional single-incision techniques. This configuration provides secure fixation that permits immediate postoperative motion and offers a secondary anchor for added stability should one anchor fail.