There are two ways to treat Distal Biceps Tendon Rupture. Nonsurgical and surgical, there are three different types of surgeries that can preformed to treat Distal Biceps Tendon Rupture. For treating Distal Biceps Tendon Rupture nonsurgical treatments are usually only used for people who do minimal activities and require minimal arm strength. Nonsurgical treatments are only used if the person is experiencing arm weakness, fatigue, and mild deformity that aren't a big issue. Not having surgery often results in significant loss of strength, flexion of the elbow is partially affected, but supination (which is the motion of twisting the forearm, such as when you use a screwdriver) can be very affected. Nonsurgical measures may include a sling