Distal biceps ruptures are relatively uncommon, but should be diagnosed and treated promptly to have good outcome. In this review article we will briefly summarize the anatomy and mechanism of injury, but the focus of this article will be on diagnosis and treatment. The most up to date techniques for clinical examination are described. For the treatment, the most common surgical approach and fixation methods are explained. Throughout the article, the author shares his experience (inlcuding the author's preferred technique) in treating this pathology.