Biceps brachii long head tendon rupture

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Mass sensation along with anterior mid-arm after heavy lifting.

Patient Data

Age: 45 years
Gender: Male

Empty bicipital groove

Retraction of the long head of the biceps brachii towards the elbow

The ruptured tendon forms a convolute at the proximal end of the muscle belly

Some minor hemorrhage at the site of tearing.

Case Discussion

The proximal long head of the biceps brachii tendon rupture with substantial retraction/separation associated with the popeye sign at midarm level on clinical examination.

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