Abstract
Rupture of the distal biceps tendon typically occurs after an eccentric extension load is applied to the elbow. Chronic distal biceps ruptures are uncommon and are complicated by tendon, muscle retraction, and tissue atrophy. Here, we present the case of a 26-year-old male soldier. The patient was a smoker on steroids and growth hormones. He had a distal biceps tendon rupture for two months following weightlifting. He had a positive hook test, and the tendon could not be palpated in his antecubital fossa. Despite trying conservative treatment earlier, he complained of weakness and was unhappy with the cosmetic appearance of his arm. He underwent a successful distal biceps tendon reconstruction with an allograft. At the three-month follow-up after the surgery, the patient reported a full range of motion and strength and was able to return to his daily life activities. In addition, the aesthetic appearance of the biceps muscle was restored.