We report a case of a partial rupture of the distal biceps tendon that was surgically treated using apalmaris longus tendon graft. A 58-year-old man complained of increasing pain with resisted elbowflexion and supination in the antecubital fossa. Magnetic resonance imaging revealed the irregularity of adistal attachment of the biceps brachii and peripheral signal changes. We diagnosed a partial rupture ofthe distal biceps tendon. Because conservative treatment failed, surgical treatment was performedthrough a single anterior approach. The insertion of the tendon was partially ruptured at the radialtuberosity. After the involved site was debrided, the palmaris longus tendon was grafted with sutureanchors to reinforce the remaining tendon. Postoperative immobilization was not performed, and allmoves were freed after 3 weeks. At the 6-year postoperative follow-up, the patient no longer experiencedpain and returned to his original job without any limitations.
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