ArticleJournal of surgical case reports2026
Two-year delayed reconstruction of chronic distal biceps tendon rupture with allograft: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Chronic distal biceps tendon ruptures present significant reconstructive challenges due to tendon retraction, scarring, and muscle atrophy. Allograft-based reconstruction is a viable option for delayed presentations, particularly in high-demand individuals. We report the case of a 33-year-old male bodybuilder who presented 2 years after sustaining a distal biceps rupture. Examination revealed a reverse Popeye deformity, marked weakness, and magnetic resonance imaging evidence of complete tendon rupture with substantial retraction and muscle atrophy. Surgical reconstruction was performed using an Achilles tendon allograft secured proximally with a Pulvertaft weave and distally with a cortical button fixation device (EndoButton™, Smith & Nephew, Memphis, TN, USA) following preparation and tensioning of the graft. Rehabilitation progressed from immobilization to full return to lifting by 6 months. Preoperatively, the patient reported a QuickDASH score of 54.54, indicating substantial upper-extremity disability. At 7 months postoperatively, the patient demonstrated full, pain-free elbow motion; symmetric flexion and supination strength; and restored biceps contour. The QuickDASH improved to 25.0, and the Oxford Elbow Score reached 48/48, reflecting marked functional recovery. Radiographs confirmed absence of heterotopic ossification or fixation-related complications. This case highlights the feasibility and favorable short-term functional outcomes of Achilles allograft reconstruction for chronic distal biceps ruptures, even in patients presenting more than a year after injury. These findings support Achilles allograft reconstruction as a viable option in selected high-demand individuals with neglected injuries.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.