Tendon injuries around the elbow

Jeremy Granville-Chapman*, Adam C. Watts

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


The authors describe a technique with a single anterior incision and fixation with an internal button, the Endobutton. The procedure is performed through a 5-cm transverse skin incision, and the tendon is sutured to the Endobutton with 2 number 5 Ethibond sutures. Surgical repair in the depths of the muscular forearm is not required, because the tendon is simply sutured external to the wound. The Endobutton delivers and locks the tendon into a hole in the radial tuberosity. The Endobutton technique was used in 12 patients who were allowed early active mobilization. All were satisfied, returned to activities, and regained grade 5 strength. Average flexion was from 5° to 146° with 81° supination and 80° pronation. No neurovascular complications or synostosis occurred. In cadaveric studies the average distance from the biceps tendon were ulnar artery 6 mm, median nerve 12 mm, and posterior interosseous nerve 18 mm. The average distance from the posterior interosseous nerve to a Steinman pin advanced through the proximal radius was 14 mm. This technique is a safe and effective method of repair of distal biceps tendon avulsion that allows active mobilization with minimal risk of complication (J Shoulder Elbow Surg 2000;9:120-6).

Original languageEnglish
Title of host publicationSports Injuries of the Elbow
PublisherSpringer International Publishing Switzerland
Number of pages15
ISBN (Electronic)9783030523794
ISBN (Print)9783030523787
Publication statusPublished - 23 Nov 2020

Publication series

NameSports Injuries of the Elbow


  • Biceps rupture
  • Epicondylitis of the elbow
  • Golfers elbow
  • Tendinopathy
  • Tennis elbow


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