II. Definition

  1. Distal Rupture Biceps Tendon

III. Etiology

  1. Degenerative Change at Insertion into Radial Tuberosity
    1. Similar to changes at long head biceps at Shoulder
  2. Sudden forceful elbow flexion
    1. Results in rupture at radius insertion

IV. Risk Factors

V. Symptoms

  1. Audible, painful snap at elbow following forceful elbow flexion
  2. Swelling, tenderness, and Bruising occurs at anterior upper arm, proximal to elbow
  3. Sudden onset with sharp snapping sensation
  4. Pain and weakness of Shoulder and arm

VI. Signs

  1. Weak flexion at elbow
    1. Some flexion may be maintained
    2. Requires intact overlying deep fascia of antecubital
  2. Weak supination at Forearm
  3. Bulbous swelling in upper arm on flexion
    1. Localized bulge at distal biceps when elbow flexed
    2. Bulge represents retracted biceps muscle belly
  4. Images
    1. ArmBicepsRupture.jpg

VII. Management: Surgery Indications

  1. Rarely indicated due to minimal pain and dysfunction
  2. Elective repair may be indicated in young athlete
  3. Indicated if significant Motor Strength loss

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Ontology: Biceps tendon rupture (C0347952)

Concepts Injury or Poisoning (T037)
SnomedCT 209756003, 428883008, 202960009
Dutch bicepspeesruptuur
French Rupture du tendon du biceps
German Bizepssehnenriss
Italian Rottura del tendine del bicipite
Portuguese Ruptura do tendão do bicípete
Spanish Rotura del tendón del biceps, ruptura de tendón del bíceps (trastorno), ruptura de tendón del bíceps, ruptura del tendón del bíceps (trastorno), ruptura del tendón del bíceps
Japanese 二頭腱断裂, ニトウケンダンレツ
English Biceps tendon rupture, Rupture of tendon of biceps (disorder), Rupture of tendon of biceps, Rupture of biceps tendon, bicep tendon rupture, biceps ruptures tendon, bicep rupture tendon, biceps rupture tendon, biceps tendon rupture, Rupture biceps tendon, Rupture biceps tendon (disorder)
Czech Ruptura šlachy bicepsu
Hungarian Biceps ín szakadása