BETÜL TİRYAKİ BAŞTUĞ, Berkay SUBAŞI, Pakize Gözde GÖK, Kübra PARPUCU, Eşref GENÇ

Biceps tendon rupture diagnosed by physical examination and ultrasonography in the emergency department

A biceps brachii rupture can occur at either superior or inferior end but most commonly involves the long head at its proximal attachment to superior glenoid labrum. We report a 48-year-old male with a proximal long-head biceps rupture because of trauma diagnosed by ultrasonography and physical examination in the emergency department. On physical examination, there was a severe pain over the anterior aspect of the shoulder, proximal part of the biceps muscle, and distally located biceps muscle mass. In ultrasonographic study, there were no tendon fibers in the right shoulder bicipital groove. The evaluation of both the physical examination and sonographic findings revealed a proximal long-head biceps rupture.

Keywords:

Biceps tendon, rupture, ultrasound,

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[1] Elser F, Braun S, Dewing CB, Giphart JE, Millett PJ. Anatomy, function, injuries, and treatment of the long head of the biceps brachii tendon. Arthroscopy 2011;27:581-92.
[2] Carter AM, Erickson SM. Proximal biceps tendon rupture: primarily an injury of middle age. Phys Sportsmed 1999;27:95-102.
[3] Marx JA, Hockberger RS, Walls RM. Rosen's Emergency Medicine - Concepts and Clinical Practice, 2 Volume Set, 8th edition, Elsevier: Sanders 2014.
[4] O’Driscoll SW, Goncalves LB, Dietz P. The hook test for distal biceps tendon avulsion. Am J Sports Med 2007;35:1865-9.
[5] Skendzel JG, Jacobson JA, Carpenter JE, Miller BS. Long head of biceps brachii tendon evaluation: accuracy of preoperative ultrasound. AJR Am J Roentgenol 2011;197:942-8.
[6] Lobo Lda G, Fessell DP, Miller BS, Kelly A, Lee JY, Brandon C, et al. The role of sonography in differentiating full versus partial distal biceps tendon tears: correlation with surgical findings. AJR Am J Roentgenol 2013;200:158-62.
[7] Mariani EM, Cofield RH, Askew LJ, Li GP, Chao EY. Rupture of the tendon of the long head of the biceps brachii. Surgical versus nonsurgical treatment. Clin Orthop Relat Res 1988;228:233-9.