Case: A 57-year-old man presented with paleness and coolness of the hand with elbow flexion 4 months after primary distal biceps repair. Diagnosis of dynamic brachial artery entrapment was confirmed with ultrasound and Magnetic Resonance Angiography. During revision surgery, the brachial artery was identified traveling underneath the repaired distal biceps tendon. After revision surgery, the patient made a full recovery with no residual symptoms.
Conclusion: Adverse vascular events have been rarely reported in distal biceps repairs. Before and immediately after repair, the path of the tendon should be critically evaluated to ensure neurovascular structures were not placed under the repaired tendon.
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