Biceps tendon rupture
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 and may produce mid-arm "ball"
- 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