Biceps Brachii Rupture In An Elderly Male

Authors

  • Farooq Azam Rathore
  • Sahibzada Nasir Mansoor

DOI:

https://doi.org/10.51985/JBUMDC2018013

Keywords:

Proximal biceps; Tendon rupture; Shoulder pain; Conservative management

Abstract

The biceps is the supinator and secondary flexor muscle of the forearm. Injury to the long head of the biceps occurs
in the middle aged and elderly; most commonly due to trauma and sudden eccentric contraction of the biceps whilst
lifting a weight. It can be diagnosed clinically and further confirmed by sonography and Magnetic Resonance Imaging
(MRI). Treatment is conservative in the majority of cases and involves activity modification, pain relief, range of
motion and strengthening exercises, physical therapy and weight lifting precautions. Surgical management, which
includes tenodesis and tendon transfer, is reserved for individuals who are active, involved in sport and for those
preferring cosmesis. Conservative management has good results with little loss in supination and flexion power,
complete independence in activities of daily living and complete resolution of symptoms. Clinical suspicion, early
clinical diagnosis and conservative management can prevent morbidity/complications and assist in early recovery

References

Stevens K, Kwak A, Poplawski S. The biceps muscle from

shoulder to elbow. Seminars in musculoskeletal radiology.

;16(4):296-315.

Galer M, Heiner J. Arm weakness and deformity. West J

Emerg Med. 2014;15(4):351.

Geaney LE, Mazzocca AD. Biceps brachii tendon ruptures:

a review of diagnosis and treatment of proximal and distal

biceps tendon ruptures. The Physician and sportsmedicine.

;38(2):117-25.

Mansoor S N, Rathore F A. The popeye sign. IJPMR March

; Vol 24 (1): 29.

Pugach S, Pugach IZ. When is a conservative approach best

for proximal biceps tendon rupture? J Fam Pract.

;62(3):134-6.

Elser F, Braun S, Dewing CB, Giphart JE, Millett PJ. Anatomy,

function, injuries, and treatment of the long head of the

biceps brachii tendon. Arthroscopy2011;27:581-92.

American Academy of Orthopedic Surgeons. Biceps Tendon

Tear at the ShoulderAvailable from http://orthoinfo.aaos.

org/topic.cfm?topic=a00031

Proximal Biceps Tendon Rupture in Online Wheeless'

Textbook of Orthopaedics. Available from http://www.

wheelessonline.com/ortho/proximal_biceps_tendon_rup

ture

Pantazis K, Roupas ND, Panagopoulos A, Theodoraki S,

Tsintoni A, Kyriazopoulou V. Spontaneous rupture of the

long head of the biceps tendon in a woman with

hypothyroidism: a case report. J Med Case Rep. 2016;10:2.

Carpenito G, Gutierrez M, Ravagnani V, Raffeiner B, Grassi

W, Advanced Rheumatology Sonography G. Complete

rupture of biceps tendons after corticosteroid injection in

psoriatic arthritis "Popeye sign": role of ultrasound. J Clin

Rheumatol. 2011;17(2):108.

Kelly MP, Perkinson SG, Ablove RH, Tueting JL. Distal Biceps

Tendon Ruptures: An Epidemiological Analysis Using a

Large Population Database. Am J Sports Med.

;43(8):2012-7.

Grandizio LC, Suk M, Feltham GT. Distal biceps brachii

tendon rupture resulting in acute compartment syndrome.

Orthopedics. 2013;36(11):1479-81.

Babaei-Ghazani A, Eftekhar-Sadat B, Ghabili K. Simultaneous

Bilateral Biceps Tendon Rupture: A Case Report with

Practical Sonographic Diagnosis. Am J Phys Med Rehabil.

;94(2):13-18

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Published

2018-03-05

How to Cite

Farooq Azam Rathore, & Sahibzada Nasir Mansoor. (2018). Biceps Brachii Rupture In An Elderly Male. Journal of Bahria University Medical and Dental College, 8(1), 51–53. https://doi.org/10.51985/JBUMDC2018013

Issue

Section

Case Report