
Distal Biceps Tendon Tears
Causes
- Most commonly due to a a middle-aged man lifting a box or other heavy item with his elbows bent.
- Often the load is heavier than expected, or the load may shift unexpectedly during the lift.
- This forces the elbow to straighten, even though the biceps muscle is working hard to keep the elbow bent.
- The biceps muscle contracts extra hard to help handle the load.
- As tension on the muscle and tendon increases, the distal biceps tendon snaps or tears where it connects to the radius.
Symptoms
- When it occurs, it usually sounds and feels like a pop directly in front of the elbow.
- The immediate pain is intense.
- The pain often subsides quickly after a complete rupture because tension is immediately taken off the pain sensors in the tendon.
- Swelling and bruising in front of the elbow usually develop shortly after the pop.
- The biceps may appear to have balled up near the elbow forming a Popeye sign.
- The arm often feels weak with attempts to bend the elbow, lift the shoulder, or twist the forearm into supination (palm up).
Problem
- Weakness in elbow flexion
- Weakness in forearm supination e.g. Turning a door knob

Treatment
- Repair the Tendon

If you have any specific medical condition or queries, please consult your medical doctor.
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