Paralabral Rupture of the Proximal Biceps Tendon from Light Weightlifting

Authors: Miller, Kyle E.1; Solomon, Daniel J.2

Source: Military Medicine, Volume 173, Number 12, December 2008 , pp. 1238-1240(3)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

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Abstract:

Rupture of the long head of the biceps is usually seen in older adults, in conjunction with rotator cuff tears or tenosynovitis secondary to chronic subacromial impingement; it is rarely seen as a result of trauma. We present the case of a young active patient who denied prodromal symptoms but ruptured the long head of the biceps brachii tendon (LHB) while performing 25-pound biceps curls. Upon examination, the patient was noted to have a readily apparent biceps defect and decreased strength. He was brought to the operating room, where open subpectoral tenodesis of the LHB was performed. At the 6-week follow-up evaluation, the patient had regained full range of motion. By 6 months, he had regained his previous strength. This case demonstrates an unusual presentation of a LHB rupture in a young healthy man with no prodromal symptoms.

Document Type: Research article

Affiliations: 1: Graduate Medical Education, Naval Medical Center Portsmouth, Portsmouth, VA 23708. 2: Sports Medicine and Shoulder Service, Department of Orthopaedic Surgery, Naval Medical Center San Diego, San Diego, CA 92134-1112.

Publication date: 2008-12-01

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