The annual incidence of distal biceps tendon ruptures is 1.5 per 10,000 per year. In 93% of cases, men aged 30–59 are involved, mainly in the dominant extremity. Distal biceps tendon ruptures can result in loss of supination and elbow flexion strength, for which surgical repair is often indicated to restore preinjury level of functionality. The distal biceps tendon can be repaired via single- or double-incision techniques using several associated implants, including endobuttons, suture anchors, or interference screws. Here, we present the case of a middle-aged male presenting with an acute distal biceps tendon rupture. The tendon was repaired via a single-incision technique using an endobutton and an interference screw.