A looping operation to restore the distally ruptured tendon of the bicipital muscle

Surgical Principles The ruptured end of the tendon is bisected. An oval bone trough is made through the proximal radius and one of the tendon halves is pulled through it from the ulnar side. The other half is looped around the radius and the ends are then sutured together. Thus an anatomical reinsertion of the distal tendon of the biceps brachii muscle is achieved. The transosseous fixation of the distal biceps tendon was described in 1927 by Bunnel [1] and 1931 by Platt [5]. Modifications were established in 1928 by Kerschner [3], in 1938 by Thomsen [6], and in 1962 by Lange [4]. These techniques also attempt to reinsert the tendon anatomically.