Biceps tendon rupture: Difference between revisions
Neil.m.young (talk | contribs) No edit summary |
Neil.m.young (talk | contribs) (ultrasound added) |
||
| Line 16: | Line 16: | ||
==Diagnosis== | ==Diagnosis== | ||
*Obtain radiographs to rule-out avulsion fracture | *Obtain radiographs to rule-out avulsion fracture | ||
*[[Ultrasound: Tendons|Ultrasound can help with diagnosis]] | |||
==Management== | ==Management== | ||
Revision as of 16:21, 30 January 2015
Background
- Vast majority are proximal
- Occurs w/ sudden or prolonged contraction in pt w/ chronic bicipital tenosynovitis
Clinical Features
- Snap or pop is described
- Flexion of elbow elicits pain
- May produce mid-arm "ball" but difficult in obese patients
- Loss of strength is minimal
- Proximal
- Swelling and tenderness over bicipital groove
- Distal
- Swelling and tenderness over antecubital fossa
- Inability to palpate distal biceps tendon in antecubital fossa
Diagnosis
- Obtain radiographs to rule-out avulsion fracture
- Ultrasound can help with diagnosis
Management
- Sling, ice, NSAIDS, and referral to ortho
- Surgical repair is usual for young, active pts