A tear of the distal biceps usually occurs in a man in his 50's or 60's. The patient might feel a pop or tear. Usually the injury occurs while lifting or lowering a heavy object. A "popeye" deformity of the biceps muscle can sometimes be obvious, where the muscle "balls up" in the arm. If a biceps tear has occurred, surgery is one option to regain strength and restore the normal contour of the biceps muscle. Repair of the tendon should be considered in active patients. The technique demonstrated here has the advantage of early motion, which begins the day after surgery. Early motion allows for early healing and a faster, more complete recovery.