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Well, I think it's worthwhile to make the right diagnosis, first. Better to see a physician (preferably an orthopedist). Physical exam is still worth a lot, despite all our fancy tests. An MRI might or might not be needed. But if he's truly got a distal biceps rupture and he's 26 years-old, I think most guys with those two criteria are going to go on to want surgery.
In the end, your buddy's dealing with pain and strength. If he has no pain and has adequate strength to his arm, surgery's not needed. But we don't have that crystal ball to see how he is several months from now. And surgery is a lot easier to do within the first couple weeks than it is down the line.
edit: CV joints/boots got replaced, today, with the help of slodave. Thanks, slodave.
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1987 Venetian Blue (looks like grey) 930 Coupe
1990 Black 964 C2 Targa
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