Biceps brachii long head tendon rupture

Case contributed by Dr Roberto Schubert

Presentation

The patient complained of a mass in the distal third of the medial upper arm.

Patient Data

Age: 70
Gender: Female
Modality: MRI

Retraction of the long head of the biceps brachii towards the elbow. The ruptured tendon forms a convolute at the proximal end of the muscle belly. There is also some minor haemorrhage.

Case Discussion

 A neoplasm can be excluded by following the distal biceps tendon from its insertion into the muscle belly.

Normally this should be a clinical diagnosis, but it can be missed in obese people with weak musculature. A history of trauma is rather the exception.

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Case Information

rID: 15112
Case created: 23rd Sep 2011
Last edited: 7th Oct 2015
Inclusion in quiz mode: Included

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