Biceps muscle tear

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Direct blunt trauma to mid-arm a few hours prior. Local pain and swelling. No fracture on an external radiograph of the humerus.

Patient Data

Age: 35 years
Gender: Male
ultrasound
  • intact proximal end long head biceps tendon in the bicipital groove
  • intact distal end of biceps tendon attached to the radial tuberosity
  • intact musculotendinous junction of biceps is noted in the distal forearm
  • defect filled with echoes in the biceps muscle belly (anterior mid-arm)
  • intact central echogenic tendon
  • torn muscle fibers retracted on both proximal and distal sites

Case Discussion

Findings favor biceps muscle tear in mid-arm due to blunt direct trauma.

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