A rupture of the distal biceps tendon is a significant injury that can seriously affect the strength and function of the arm and often requires surgery for a full recovery.
The biceps muscle, located in the front of the upper arm, plays a critical role in forearm rotation and elbow flexion. A rupture of the distal biceps tendon occurs when the tendon connecting the biceps muscle to the radius bone in the forearm tears. This injury usually affects the dominant arm and is most common in middle-aged people.
Causes of a distal biceps tendon rupture
A rupture of the distal biceps tendon is usually the result of a sudden injury or overuse. Common causes include:
- Lifting a heavy object: Trying to lift an excessively heavy object can overload the biceps tendon, leading to a tear.
- Overloading with a heavy weight can cause excessive stress: A direct blow to the elbow or a sudden, forceful movement can cause a rupture of the tendon.
- Degeneration: over time, the tendon can weaken due to wear and tear, making it more vulnerable to injury.
Symptoms of rupture of the distal biceps tendon
The symptoms of a rupture of the distal biceps tendon are often immediate and severe, such as:
- Sudden, sharp pain, usually felt in the front of the elbow.
- Swelling and bruising, usually visible around the elbow and forearm.
- Weakness or difficulty in turning the forearm or bending the elbow.
- A 'popping' sensation, especially at the time of injury.
- Ορατή παραμόρφωση, με τη μορφή ενός εξογκώματος στο άνω μέρος του βραχίονα(γνωστό ως μυς Popeye) λόγω της υποχώρησης του δικεφάλου μυός.
Diagnosis of a rupture of the distal biceps tendon
Early diagnosis is essential for optimal rehabilitation. The diagnostic process includes an examination to assess pain, swelling and arm function, taking a medical history and imaging tests, usually ultrasound or MRI, which can confirm the extent of the tear and help plan the treatment plan.
Methods of treatment
Non-surgical treatment
Non-surgical treatment may be an option for people with low physical demands or significant health risks. This approach usually includes:
- Rest and ice to reduce swelling and pain.
- Physical therapy to maintain strength and flexibility of the arm.
However, non-surgical treatment often results in some loss of strength, particularly in forearm rotation.
Surgical treatment
Surgical rehabilitation is generally recommended for active individuals and those seeking optimal strength restoration. The operation involves reconnecting the ruptured tendon to the bone, usually through small incisions in the arm. The surgery is performed under general anaesthesia or with a regional block and a small incision is made near the elbow. The tendon is then reattached to its original attachment point to the radius bone.
Recovery
Recovery from surgery for a ruptured distal biceps tendon rupture usually involves:
- Immobilisation, during which the arm is kept in a splint for a few weeks.
- Physiotherapy with gradual exercises to restore range of motion, followed by strength training.
- Regular appointments to monitor healing and adjust rehabilitation as needed.
Full rehabilitation can take several months, but most patients can return to their normal activities fully.
Prevention tips for arthritis
Although not all cases of distal biceps tendon rupture can be avoided, certain measures can reduce the risk. These may include strength training (as strengthening the muscles and tendons can help them withstand the strain), proper technique when lifting objects or performing repetitive arm movements, avoiding lifting objects too heavy, and regular and proper warm-up before physical activity.
A rupture of the distal biceps tendon is a serious injury that can significantly affect a person's strength and quality of life. With early and appropriate treatment, including surgical repair when necessary, individuals can achieve excellent results and return to normal activities.
To learn more about the repair of the rupture of the distal biceps tendon contact us at 6943903343 (secretary) or 6949196061 (physician) and orthopedikos-papagiannopoulos.gr and make your appointment.
