Distal biceps tendon rupture

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Anterior elbow pain. Ultrasound for distal biceps tendon.

Patient Data

Age: 30 years
Gender: Male
ultrasound

Complete rupture of the distal biceps tendon from its insertion at the radius. The torn end is located cranial to the elbow joint line. The tendon retraction is about 80 mm.

The long head of the biceps tendon is normal.

Axial plane cine-loop runs from the proximal to the distal direction.

Photo

Surgery revealed a complete rupture of the distal biceps tendon. The tendon was repaired using the tension slide technique.

Case Discussion

A young male with a right dominant arm tried to play a cricket shot. There was an audible snap followed by severe pain in the anterior right elbow. Clinical examination suggested distal biceps tendon injury. The ultrasound shows a distal biceps tendon complete rupture. Surgical repair was done.

Intraoperative photo courtesy: operating surgeon Dr. Ritesh Patel.

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