Presentation
The patient complained of a mass in the distal third of the medial upper arm.
Patient Data
Age: 70
Gender: Female
From the case:
Biceps brachii long head tendon rupture
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Sagittal T2 fat sat
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 hemorrhage.
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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