MRI findings of chronic distal tendon biceps reconstruction and associated post-operative findings

Dylan N. Greif, Samuel H. Huntley, Sameer Alidina, Julianne Muñoz, Joseph H. Huntley, Harry G. Greditzer, Jean Jose

Research output: Contribution to journalReview articlepeer-review


Rupture of the distal biceps tendon is becoming increasingly diagnosed due to an active aging population and an increase in diagnostic imaging opportunities. While physical exam may help in diagnosis, magnetic resonance imaging (MRI) is particularly useful in evaluating chronic rupture. Although partial tears can be managed conservatively, the gold standard treatment for a chronic distal biceps tear is anatomic reinsertion with additional use of an allograft or autograft. No study has highlighted the normal appearance and postsurgical complications seen on MRI associated with allograft or autograft usage. Clinicians and radiologists may be unaware of the normal and abnormal post-operative imaging findings and their clinical relevance. The purpose of this manuscript is to discuss the epidemiology, clinical presentation, and preoperative MRI findings of distal biceps ruptures necessitating reconstruction, to explain distal biceps tendon surgical reconstruction technique with allograft or autograft usage, to display the normal and abnormal post-operative MRI findings, and to review the clinical outcomes associated with the procedure.

Original languageEnglish (US)
Pages (from-to)1095-1109
Number of pages15
JournalSkeletal Radiology
Issue number6
StatePublished - Jun 2021
Externally publishedYes


  • Allograft
  • Autograft
  • Chronic distal biceps tendon
  • Distal biceps tendon
  • MRI study of chronic distal biceps tear
  • Reconstruction
  • Tear

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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