Biceps tendon rupture: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Snap or pop is described | *Snap or pop is described | ||
*Flexion of elbow elicits pain | *Flexion of elbow elicits pain | ||
*May produce mid-arm "ball" but difficult in obese patients | |||
*Loss of strength is minimal | *Loss of strength is minimal | ||
*Proximal | *Proximal | ||
Revision as of 18:35, 29 December 2014
Background
- Vast majority are proximal
- Occurs w/ sudden or prolonged contraction in pt w/ chronic bicipital tenosynovitis
Clinical Features
- Snap or pop is described
- Flexion of elbow elicits pain
- May produce mid-arm "ball" but difficult in obese patients
- Loss of strength is minimal
- Proximal
- Swelling and tenderness over bicipital groove
- Distal
- Swelling and tenderness over antecubital fossa
- Inability to palpate distal biceps tendon in antecubital fossa
Diagnosis
- Obtain radiographs to rule-out avulsion fracture
Management
- Sling, ice, and referral to ortho
- Surgical repair is usual for young, active pts