{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:52:32Z","timestamp":1791276752224,"version":"4.1.0"},"reference-count":6,"publisher":"World Scientific Pub Co Pte Ltd","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>Distal biceps tendon repair carries a recognised risk of posterior interosseous nerve (PIN) injury, particularly when anatomical planes and tuberosity landmarks are not precisely identified. This case report describes an acute PIN palsy in a young labourer following single-incision cortical button fixation for a distal biceps rupture. Postoperative imaging revealed proximal malposition of the Endobutton, prompting urgent re-exploration. Intraoperatively, the biceps tendon was found to have been passed radially over the PIN, resulting in stretch and compression, and fixation was non-anatomical. The tendon was re-routed ulnar to the nerve and secured to the correct radial tuberosity footprint, with full neurological recovery achieved by 3 months. This case highlights the critical importance of full forearm supination, accurate development of the brachioradialis\u2013pronator teres interval and precise identification of the tuberosity to avoid iatrogenic nerve injury during distal biceps repair.<\/jats:p>\n                  <jats:p>Level of Evidence: Level V (Therapeutic)<\/jats:p>","DOI":"10.1142\/s2424835526720148","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T08:29:27Z","timestamp":1788424167000},"page":"548-552","source":"Crossref","is-referenced-by-count":0,"title":["Posterior Interosseous Nerve Palsy Following Non-Anatomic Distal Biceps Repair"],"prefix":"10.1142","volume":"31","author":[{"given":"Kiran","family":"KANCHERLA","sequence":"first","affiliation":[{"name":"Nepean Orthopaedic Department, Nepean Hospital, Kingswood, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haren","family":"NANDAPALAN B","sequence":"additional","affiliation":[{"name":"Nepean Orthopaedic Department, Nepean Hospital, Kingswood, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"GUPTA","sequence":"additional","affiliation":[{"name":"Nepean Orthopaedic Department, Nepean Hospital, Kingswood, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brahman","family":"SIVAKUMAR","sequence":"additional","affiliation":[{"name":"Nepean Orthopaedic Department, Nepean Hospital, Kingswood, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"219","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"S2424835526720148BIB001","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.01.002"},{"key":"S2424835526720148BIB002","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2023.07.028"},{"key":"S2424835526720148BIB003","unstructured":"Services Australia.\n                      Repair of distal biceps brachii tendon\n                      . Published 2024. Medicare Benefits Schedule Data, Item 47953."},{"key":"S2424835526720148BIB004","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200211000-00042"},{"key":"S2424835526720148BIB005","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2018.07.015"},{"key":"S2424835526720148BIB006","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2022.04.001"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835526720148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:21:01Z","timestamp":1791274861000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/10.1142\/S2424835526720148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":6,"journal-issue":{"issue":"05","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1142\/S2424835526720148"],"URL":"https:\/\/doi.org\/10.1142\/s2424835526720148","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]}}}