Image: AI-generated<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
Distal Biceps Tendon Rupture: Diagnosis and Surgery in Vienna<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\tBiceps tendon rupture at the elbow \u2013 treated by Associate Professor Dr. Gustav Timmel, Director of the Sports Medicine Clinic at the Floridsdorf Hospital<\/h6>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\tA distal biceps tendon tear is the tearing of the biceps tendon<\/strong> from its attachment to the radius near the elbow. Those affected typically feel a sudden, often audible tearing sensation during a jerky movement, followed by a noticeable loss of strength when bending the elbow and rotating the forearm. Often, the muscle belly visibly slips toward the shoulder. Unlike a tear of the long biceps tendon at the shoulder, a distal tear generally requires surgery\u2014and time is of the essence. In Vienna, Orthopedic Surgeon Dr. Gustav Timmel treats this injury surgically using the tension-slide technique. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\tOVERVIEW\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t<\/i><\/div>\n\t\t\t\t<\/i><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\n\t\t\t\t<\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\n\t\t\t\t\t\n\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t![\"\"](\"https:\/\/www.sportortho-wien.at\/wp-content\/uploads\/2026\/09\/gustav-timmel-1024x576.png\")
\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n\t\t\t\t\n\t\t\t\t\tWho performs surgery for distal biceps tendon tears in Vienna?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\tDistal biceps tendon tears are treated surgically in Vienna by OA Dr. Gustav Timmel, a specialist in orthopedics and traumatology with a focus on sports injuries and the director of the Sports Outpatient Clinic at the Floridsdorf Clinic. The initial examination, diagnostic testing, and all follow-up visits take place at the practice located in the MSV Medical Center at Invalidenstra\u00dfe 11\/2a, 1030 Vienna. Upon request, the surgery can also be performed at a private hospital of your choice. <\/p>
Prompt surgical care can be ensured.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
Biceps tendon rupture at the elbow \u2013 treated by Associate Professor Dr. Gustav Timmel, Director of the Sports Medicine Clinic at the Floridsdorf Hospital<\/h6>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\tA distal biceps tendon tear is the tearing of the biceps tendon<\/strong> from its attachment to the radius near the elbow. Those affected typically feel a sudden, often audible tearing sensation during a jerky movement, followed by a noticeable loss of strength when bending the elbow and rotating the forearm. Often, the muscle belly visibly slips toward the shoulder. Unlike a tear of the long biceps tendon at the shoulder, a distal tear generally requires surgery\u2014and time is of the essence. In Vienna, Orthopedic Surgeon Dr. Gustav Timmel treats this injury surgically using the tension-slide technique. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\tOVERVIEW\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t<\/i><\/div>\n\t\t\t\t<\/i><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\n\t\t\t\t<\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\n\t\t\t\t\t\n\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n\t\t\t\t\n\t\t\t\t\tWho performs surgery for distal biceps tendon tears in Vienna?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\tDistal biceps tendon tears are treated surgically in Vienna by OA Dr. Gustav Timmel, a specialist in orthopedics and traumatology with a focus on sports injuries and the director of the Sports Outpatient Clinic at the Floridsdorf Clinic. The initial examination, diagnostic testing, and all follow-up visits take place at the practice located in the MSV Medical Center at Invalidenstra\u00dfe 11\/2a, 1030 Vienna. Upon request, the surgery can also be performed at a private hospital of your choice. <\/p>
Prompt surgical care can be ensured.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
A distal biceps tendon tear is the tearing of the biceps tendon<\/strong> from its attachment to the radius near the elbow. Those affected typically feel a sudden, often audible tearing sensation during a jerky movement, followed by a noticeable loss of strength when bending the elbow and rotating the forearm. Often, the muscle belly visibly slips toward the shoulder. Unlike a tear of the long biceps tendon at the shoulder, a distal tear generally requires surgery\u2014and time is of the essence. In Vienna, Orthopedic Surgeon Dr. Gustav Timmel treats this injury surgically using the tension-slide technique. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t Distal biceps tendon tears are treated surgically in Vienna by OA Dr. Gustav Timmel, a specialist in orthopedics and traumatology with a focus on sports injuries and the director of the Sports Outpatient Clinic at the Floridsdorf Clinic. The initial examination, diagnostic testing, and all follow-up visits take place at the practice located in the MSV Medical Center at Invalidenstra\u00dfe 11\/2a, 1030 Vienna. Upon request, the surgery can also be performed at a private hospital of your choice. <\/p> Prompt surgical care can be ensured.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\tOVERVIEW\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t
\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\tWho performs surgery for distal biceps tendon tears in Vienna?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
![\"Bild](\"https:\/\/www.sportortho-wien.at\/wp-content\/uploads\/2026\/09\/nach-oben-zurueckgezogenen-Bizeps-1024x886.jpeg\")
\t\t\t\t\t\t\t\t\t\t\t![\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\tPostoperative Care: The Timeline<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\tAfter refixation, the tendon must heal back to the bone. For this reason, the arm is initially rested, and the load is gradually increased. An overview of the process: <\/p>\n\n\n\n\tZeitraum<\/th>Was in dieser Phase gilt<\/th>\n<\/tr>\n<\/thead>\n\n\n\tWoche 0 bis 2<\/td>Gipsschiene bis zur Nahtentfernung<\/td>\n<\/tr>\n\n\tWoche 2 bis 8<\/td>Der Arm darf frei bewegt werden, aber ohne Belastung<\/td>\n<\/tr>\n\n\tAb Woche 8<\/td>Beginn des Belastungsaufbaus<\/td>\n<\/tr>\n\n\tAb Woche 12<\/td>Gewichtstraining<\/td>\n<\/tr>\n\n\tAb dem 3. Monat<\/td>Schwere k\u00f6rperliche T\u00e4tigkeit<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\tWhat \"without stress\" actually means<\/h3>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\tIn the six weeks after the cast is removed, the rule of thumb is: don\u2019t lift anything heavier than a coffee cup. And don\u2019t turn a key in a lock. That may sound like a minor thing, but it\u2019s exactly the movement that matters: The biceps is the forearm\u2019s primary external rotator, the supinator. When turning a key or a doorknob, it pulls with full force on the recently reattached tendon. <\/p>Dr. Timmel determines the specific treatment plan during follow-up visits and adjusts it based on the healing process.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\tDistal and proximal biceps tendon tears\u2014what's the difference?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\n\n\n\t–<\/th>Distaler Riss (Ellenbogen)<\/th>Proximaler Riss (Schulter, lange Bizepssehne)<\/th>\n<\/tr>\n<\/thead>\n\n\n\tOrt des Risses<\/td>Ansatz am Speichenknochen<\/td>Ursprung im Schultergelenk<\/td>\n<\/tr>\n\n\tH\u00e4ufigkeit<\/td>Seltener<\/td>Deutlich h\u00e4ufiger<\/td>\n<\/tr>\n\n\tTypische Ursache<\/td>Pl\u00f6tzliche Zugbelastung am gebeugten Arm<\/td>Meist degenerative Vorsch\u00e4digung<\/td>\n<\/tr>\n\n\tTypisches Alter<\/td>Mittleres Lebensalter, oft k\u00f6rperlich aktiv<\/td>H\u00f6heres Lebensalter<\/td>\n<\/tr>\n\n\tMuskelverformung<\/td>Muskel rutscht nach oben Richtung Schulter<\/td>Muskel rutscht nach unten Richtung Ellenbogen<\/td>\n<\/tr>\n\n\tKraftverlust<\/td>Ausgepr\u00e4gt, besonders beim Ausw\u00e4rtsdrehen des Unterarms<\/td>Meist moderat, da die kurze Sehne die Funktion mittr\u00e4gt<\/td>\n<\/tr>\n\n\tBehandlung<\/td>Meist operative Refixation<\/td>H\u00e4ufig konservativ; operativ vor allem bei anhaltenden Beschwerden<\/td>\n<\/tr>\n\n\tZeitkritisch<\/td>Ja<\/td>In der Regel nein<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\tYour Journey from the Initial Consultation to the Follow-up Visit<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\tTo schedule an appointment<\/strong> \u2014online or by phone. If you have a strong suspicion of a distal biceps tendon tear, please call the office and specifically mention your suspicion. <\/li>Initial examination<\/strong> at the MSV Medical Center, 1030 Vienna: medical history, physical examination, ultrasound<\/li>Further imaging<\/strong>, if necessary\u2014usually an MRI<\/li>Discussion of Findings<\/strong> with Dr. Timmel: Treatment Options, Realistically Achievable Outcomes, Joint Decision<\/li>Surgery,<\/strong> if the decision is made to proceed with it<\/li>Follow-up visits<\/strong> back at the office in the MSV Medical Center, in conjunction with physical therapy<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\n\t\t\t\n\t\t\t\tCosts & Coverage: <\/b>We would be happy to provide you with personalized information regarding <\/b>fees, reimbursement from your health insurance provider, and the process for scheduling a surgical procedure. Please contact the office. \t\t\t<\/p>\n\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t](\"https:\/\/www.sportortho-wien.at\/wp-content\/uploads\/2026\/09\/abgerissene-Bizepssehne-scaled-e1788943761854.jpeg\"){kind=link}
![\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\tPostoperative Care: The Timeline<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\tAfter refixation, the tendon must heal back to the bone. For this reason, the arm is initially rested, and the load is gradually increased. An overview of the process: <\/p>\n\n\n\n\tZeitraum<\/th>Was in dieser Phase gilt<\/th>\n<\/tr>\n<\/thead>\n\n\n\tWoche 0 bis 2<\/td>Gipsschiene bis zur Nahtentfernung<\/td>\n<\/tr>\n\n\tWoche 2 bis 8<\/td>Der Arm darf frei bewegt werden, aber ohne Belastung<\/td>\n<\/tr>\n\n\tAb Woche 8<\/td>Beginn des Belastungsaufbaus<\/td>\n<\/tr>\n\n\tAb Woche 12<\/td>Gewichtstraining<\/td>\n<\/tr>\n\n\tAb dem 3. Monat<\/td>Schwere k\u00f6rperliche T\u00e4tigkeit<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\tWhat \"without stress\" actually means<\/h3>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\tIn the six weeks after the cast is removed, the rule of thumb is: don\u2019t lift anything heavier than a coffee cup. And don\u2019t turn a key in a lock. That may sound like a minor thing, but it\u2019s exactly the movement that matters: The biceps is the forearm\u2019s primary external rotator, the supinator. When turning a key or a doorknob, it pulls with full force on the recently reattached tendon. <\/p>Dr. Timmel determines the specific treatment plan during follow-up visits and adjusts it based on the healing process.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\tDistal and proximal biceps tendon tears\u2014what's the difference?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\n\n\n\t–<\/th>Distaler Riss (Ellenbogen)<\/th>Proximaler Riss (Schulter, lange Bizepssehne)<\/th>\n<\/tr>\n<\/thead>\n\n\n\tOrt des Risses<\/td>Ansatz am Speichenknochen<\/td>Ursprung im Schultergelenk<\/td>\n<\/tr>\n\n\tH\u00e4ufigkeit<\/td>Seltener<\/td>Deutlich h\u00e4ufiger<\/td>\n<\/tr>\n\n\tTypische Ursache<\/td>Pl\u00f6tzliche Zugbelastung am gebeugten Arm<\/td>Meist degenerative Vorsch\u00e4digung<\/td>\n<\/tr>\n\n\tTypisches Alter<\/td>Mittleres Lebensalter, oft k\u00f6rperlich aktiv<\/td>H\u00f6heres Lebensalter<\/td>\n<\/tr>\n\n\tMuskelverformung<\/td>Muskel rutscht nach oben Richtung Schulter<\/td>Muskel rutscht nach unten Richtung Ellenbogen<\/td>\n<\/tr>\n\n\tKraftverlust<\/td>Ausgepr\u00e4gt, besonders beim Ausw\u00e4rtsdrehen des Unterarms<\/td>Meist moderat, da die kurze Sehne die Funktion mittr\u00e4gt<\/td>\n<\/tr>\n\n\tBehandlung<\/td>Meist operative Refixation<\/td>H\u00e4ufig konservativ; operativ vor allem bei anhaltenden Beschwerden<\/td>\n<\/tr>\n\n\tZeitkritisch<\/td>Ja<\/td>In der Regel nein<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\tYour Journey from the Initial Consultation to the Follow-up Visit<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\tTo schedule an appointment<\/strong> \u2014online or by phone. If you have a strong suspicion of a distal biceps tendon tear, please call the office and specifically mention your suspicion. <\/li>Initial examination<\/strong> at the MSV Medical Center, 1030 Vienna: medical history, physical examination, ultrasound<\/li>Further imaging<\/strong>, if necessary\u2014usually an MRI<\/li>Discussion of Findings<\/strong> with Dr. Timmel: Treatment Options, Realistically Achievable Outcomes, Joint Decision<\/li>Surgery,<\/strong> if the decision is made to proceed with it<\/li>Follow-up visits<\/strong> back at the office in the MSV Medical Center, in conjunction with physical therapy<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\n\t\t\t\n\t\t\t\tCosts & Coverage: <\/b>We would be happy to provide you with personalized information regarding <\/b>fees, reimbursement from your health insurance provider, and the process for scheduling a surgical procedure. Please contact the office. \t\t\t<\/p>\n\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t](\"https:\/\/www.sportortho-wien.at\/wp-content\/uploads\/2026\/09\/Refixierte-distale-Bizepssehne-mit-Endobutton-in-Tension-Slide-Technik-scaled.jpeg\"){kind=link}