Distal Biceps Tendon Disorders: Difference between revisions

Latest revision as of 09:34, 3 March 2022

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The distal biceps tendon insertions on the radial tubercle just distal to the raidal head. It supinates the forearm and is a secondary flexor of the elbow.

Distal Biceps Tendinopathy

Distal Biceps Tendon Rupture

Assessment

Injury can occur from forceful lifting or supination, and causes a sudden pain, which is felt in the antecubital fossa. It is the proximal ruptures that result in the Popeye sign, while distal ruptures cause swelling and bruising. There is usually tenderness over the radial tubercle, in the deep antecubital fossa, and the patient may have pain and weakness on resisted elbow flexion and forearm supination.

Perform the hook test. A positive finding is the absence of the distal biceps tendon

Management

Arrange for orthopaedic assessment for operative repair to restore supination strength.

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-The diagnosis of distal (i.e. insertional) biceps tendonitis has received scant attention in the literature. A search using MESH search terms including “tendonitis” and “biceps” or “arm” or “elbow” failed to capture any primary references from the MEDLINE database in mid March 1998. The entity is mentioned in discussions of elbow problems, but these annotations are unreferenced 1. Therefore, it is impossible to advocate specific therapy for distal biceps tendonitis based on anything but anecdote.
+{{stub}}
-Treatment would be along the lines suggested for tendonitis in general, with rest followed by stretching and graded increase in load. The role of local injection of corticosteroid, or other anti-inflammatory treatments remains intuitively appealing but unsupported by evidence either positive or negative.
+The distal biceps tendon insertions on the radial tubercle just distal to the raidal head. It supinates the forearm and is a secondary flexor of the elbow.
-==Recommendation==
+==Distal Biceps Tendinopathy==
-In the absence of an evidence-base for either the diagnosis or the treatment of distal biceps tendonitis or triceps tendonitis,
-Treatment should be guided by avoiding investigation and expensive unproven modalities.
+==Distal Biceps Tendon Rupture==
+===Assessment===
+Injury can occur from forceful lifting or supination, and causes a sudden pain, which is felt in the antecubital fossa. It is the proximal ruptures that result in the Popeye sign, while distal ruptures cause swelling and bruising. There is usually tenderness over the radial tubercle, in the deep antecubital fossa, and the patient may have pain and weakness on resisted elbow flexion and forearm supination.
-An initial period of two weeks rest followed by gradual return to full activity is reasonable and falls within generally accepted principles of treatment of painful tendons.
+Perform the hook test. A positive finding is the absence of the distal biceps tendon
-[[Category:Elbow & Forearm]]
+<youtube>m_yYapK53rc</youtube>
+===Management===
+Arrange for orthopaedic assessment for operative repair to restore supination strength.
+==See Also==
+[[Proximal Biceps Tendon Disorders]]
+[[Category:Elbow and Forearm Conditions]]
 [[Category:Tendinopathies]]