All-Endoscopic Management of Partial Tears of Distal Biceps Tendon

Partial tears of the distal biceps tendon (DBT) are overuse injuries and surgical intervention may be necessary for symptomatic relief. The two-portal “all-endoscopic” approach is a safe and minimally invasive procedure for diagnosis, classification, and definitive treatment of partial DBT tears and avoids the necessity of a more extensive open procedure. The “endoscopic probe test” is described for evaluation of severity (low vs high grade) of partial DBT tears. Technical steps for endoscopic debridement and DBT repair are presented.