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Factors Influencing DurationType of treatment used, extent of condition, work requirements, and individual's compliance with treatment may affect length of disability. Overview © Reed GroupA ruptured biceps tendon involves the tearing of the fibrous attachment (tendon) for the biceps muscle.
Biceps tendon rupture most often affects people between 40 and 60 years of age, with men affected significantly more often than women (Branch).
Most biceps tendon ruptures are caused by a single traumatic incident that usually involves lifting a heavy weight while the elbow is bent at a 90-degree angle. Individuals with distal biceps tendon tears may report weakness in flexion of the elbow along with decreased grip strength. Conservative, nonsurgical treatment of biceps tendon rupture consists of rest, strengthening and range of motion exercises, and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Surgical treatment involves either reattaching the torn section of the tendon to bone (tenodesis) or cutting the tendon to produce a complete tear and treating as for an avulsion. Rupture of the musculotendinous junction or rupture within the body of the tendon is treated surgically (tendinoplasty) by a ligament augmentation device or a simple folding or tucking (plication) method. The bicep muscle is located in your upper arm and aids in your ability to bend your arm at the elbow, to move your forearm, and to stabilize your shoulder.
Other muscles of the arm can compensate for an injured tendon so that the majority of function is in tact. Distal bicep tendon ruptures occur as frequently in dominant arms as non-dominant arms, but rupture of the bicep does not occur frequently. When the bicep tendon tears, elderly, unhealthy, or inactive patients may want to consider nonsurgical treatment options. A sudden sharp pain at the elbows and shoulders is the main symptom of a torn bicep muscle. Our body is our temple, and we have to worship it – this means you need to stay fit and healthy at all times.
The symptoms are usually noticed at the front of the shoulder or the outer side of it, especially when you try lifting up your arm.
The first thing you have to do if you experience pain as described above is visiting your doctor. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. These job classifications are based on the amount of physical effort required to perform the work. Comorbid conditions, associated injuries, individual’s age, and time elapsed from rupture to treatment may all affect duration and eventual functional outcomes.
The biceps tendon has two attachments at the shoulder (the long head and short head of the proximal biceps tendon) and one at the elbow (distal biceps tendon). Distal biceps tendon ruptures are more disabling because they result in the complete loss of biceps muscle function.
Risk is increased in middle-aged male athletes and workers whose activities place repetitive strain on the upper arm. Rupture can also result from activities such as falling forcefully on an outstretched arm or pitching a baseball.


Bending the elbow (elbow flexion) may reveal a lump sometimes called a "Popeye muscle" that is in an abnormal position too close to the elbow (distal position). As with proximal tears, flexing the elbow may also reveal a lump that is in an abnormal position too close to the shoulder (proximal position). Avulsion of the long head of the biceps tendon usually is treated conservatively because the injury causes only minor functional changes.
Therefore, if your bicep tendon is torn, your arm strength will be reduced, and you won’t be able to successfully complete relevant movements.
Though other muscles allow the elbow to bend some, they cannot compensate for loss of function of the bicep.
Bruising also often occurs at the elbow when the distal bicep tendon tears and is accompanied by a “pop” during rupture. Samimi is able re-attach tendon and bone after tears using a minimally invasive single incision approach for which he has had significant training. You may be advised to participate in exercises to rehabilitate your arm, but you should be able to rely on a brace. It commonly occurs in weightlifters when they have already injured the muscles while lifting. Partial bicep ruptures are difficult to identify while complete ruptures cause muscle distortion on the arms. If we overuse our body, there are problems that will arise, and one of them can be a tendon tear. With a few simple tests he will determine the best course of action, and he will probably say that you will need some more testing to determine if a supraspinatus tendon tear is the cause of your pain, or if there’s some other problem at hand.
Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.
The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. Nearly 90% of biceps tendon ruptures occur in the proximal biceps and involve the long head of the biceps tendon (Branch). A rupture that occurs at the junction between tendon and bone is called an avulsion and is the most common type of biceps tendon rupture.
If a lump is not readily apparent, the physician may perform Ludington's test, in which both arms are placed on the head and the contours of the upper arms compared. However, athletes or other particularly active individuals may not tolerate any loss of function and will request that a tenodesis be performed. If your bicep tendon was torn outside of this recommended treatment window, there are still surgical options for you.
Using this technique, in addition to being minimally invasive and therefore less painful and risky than many other traditional procedures, this approach is also associated with reduced scarring. One tendon attaches the muscle to the shoulder bones while the other connects it to the elbow. One of them is age – the tendon will weaken as we become older, and it will be more and more prone to tears.
After you got your results back, you will either undergo simple physical therapy to increase your shoulder motion range, or you will go to surgery.


The remaining ruptures occur in the distal biceps tendon and very few in the short head of the biceps tendon. Avulsion of the distal biceps tendon is treated with tenodesis using a metal stitch (suture) anchor. Other results of the tear may include: swelling (due to the recoiled bicep muscle), physical deformity (due to lack of tendon), and arm weakness. You can expect to be fully recovered in 2-3 months, provided that you comply with our protective strategies during your recovery. Also one who fails to warm up prior to exercise may develop the risk of tendon rupture on biceps. The supraspinatus is a triangular and thick muscle that is one of four rotator cuff muscles. This is especially important for people who are doing jobs that require a lot of shoulder movement, or sports like tennis and swimming. The sensation and subsequent pain may have occurred while lifting a heavy object or weight, falling, or participating in a sports activity such as football or snowboarding. The excess wear and tear that is caused with repetitive sports like tennis and swimming may increase the occurrence of torn tendons. Its function is to stabilize your shoulder joint and rotates the arm in the external direction.
As this will hinder your actions if you don’t treat it, you should get this fixed as soon as possible.
This will take some time, but you will be satisfied with the results, as you will get the full range of your shoulder motion back after several months of the therapy.
Individuals with degenerative changes of the biceps tendon or who have shoulder impingement syndrome are at risk of developing the condition. Sometimes, this can also lead to shoulder disorders such as rotator cuff injury, shoulder impingement and Tendonitis.
There are some specific shapes of bone structures that could cause impingement of the tendon, and it’s no longer able to move freely because of it, which makes it unable to move your arm. Weight lifters who use anabolic steroids are at an increased risk of sustaining a rupture at the musculotendinous junction or within the tendon.
Following the episode of severe pain, the individual may feel upper arm discomfort or some improvement in pain.
In the early stages of muscle rupture, the tendon will fray and it should be checked immediately.
The integrity of this tendon can also be threatened if any of the four rotator cuff muscles are providing inadequate stability.
Recent studies have suggested that use of certain statin medications may predispose individuals to tendon rupture (Pullatt). Difficulty using the arm and arm weakness may be reported, especially when trying to lift with the palms up.



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Author: admin | 13.11.2013

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