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SHOULDER | CONDITIONS AND MANAGEMENT
BICEPS TENDON RUPTURE
What is biceps tendon rupture?
A biceps tendon tear occurs as a result of a sudden injury. The biceps muscle can be found at the front of the upper portion of the arm. The muscle is secured to the shoulder and elbow bones by strong, sturdy cords referred to as tendons. Whenever the bicep tendon ruptures, it can’t reattach to the bone of the elbow. Additional arm muscles exist to help move and bend the elbow without the assistance of the biceps tendon spontaneously. These muscles cannot fulfil the elbow function completely since supination, a movement responsible for turning the wrist, is not made possible.
What causes a biceps tendon rupture?
A biceps tendon rupture is typically associated with a sudden injury that happens unexpectedly. A biceps tendon tear occurs when you force the elbow in a direction where resistance is applied. For example, lifting a heavy object can cause an injury of this kind.
How does Dr van Niekerk check for biceps tendon rupture?
Dr van Niekerk first conducts a physical assessment, checking the elbow for signs of a tear. For example, he feels the elbow checking for a space within the tendon. In addition, he will ask you to move your forearm against the natural force of resistance. Then he compares the supination strength of the affected forearm with the healthier one.
He may also carry out an X-ray to check for other underlying causes of elbow pain. However, an ultrasound or MRI is the most effective test in identifying partial or full tears of the bicep tendon.
How do you treat distal biceps tendon rupture?
Dr van Niekerk needs to reconnect the torn tendon to help you regain the function of your arm. However, non-surgical intervention is still a possibility, depending on your diagnosis.
FAQ
Many people are still able to function despite a biceps tendon tear. However, if conservative treatments do not relieve pain, you may need to consider surgical options.
Common signs include the following:
- Pain that may dissipate after several days
- Bruising and swelling over the affected arm
- Arm weakness
Complete tears can lead to sudden, sharp pain because the biceps tendon is split into two portions.