http://www.fpnotebook.com/
Biceps Tendon Rupture
- Definition
- Distal Rupture Biceps Tendon
- Etiology
- Degenerative Change at Insertion into Radial Tuberosity
- Similar to changes at long head biceps at shoulder
- Sudden forceful elbow flexion
- Results in rupture at radius insertion
- Symptoms
- Painful snap at elbow following forceful elbow flexion
- Swelling and Tenderness occur proximal to elbow
- Sudden onset with sharp snapping sensation
- Pain and weakness of shoulder and arm
- Signs
- Weak flexion at elbow
- Some flexion may be maintained
- Requires intact overlying deep fascia of antecubital
- Weak supination at forearm
- Bulbous swelling in upper arm on flexion
- Localized bulge at distal biceps when elbow flexed
- Bulge represents retracted biceps muscle belly
- Images
- Management: Surgery Indications
- Rarely indicated due to minimal pain and dysfunction
- Elective repair may be indicated in young athlete
- Indicated if significant motor strength loss
Navigation Tree
