Distal Biceps Tendon Tear
A rupture of the tendon attaching the biceps muscle to the elbow, often caused by lifting heavy objects.

Symptoms
- Sudden, sharp pain in the elbow
- Weakness in bending the elbow or turning the palm upward
- Bruising in the elbow or forearm
- A bulge in the upper arm
- Difficulty lifting or carrying objects
Causes & Risk Factors
- Lifting heavy weights abruptly
- Overuse during repetitive pulling activities
- Middle-aged men are more commonly affected
- Degenerative tendon changes
- Steroid use or smoking
Diagnosis
- Clinical examination (hook test)
- MRI to confirm the tear
- Ultrasound imaging
- Strength and range-of-motion assessment
Effective Treatment Options
- Surgical reattachment for complete tears
- Physical therapy after surgery
- Pain management and inflammation control
- Gradual strengthening of elbow and forearm
- Bracing temporarily in partial tears
Frequently Asked Questions
Is surgery necessary for a distal biceps tendon tear?
Surgery is recommended for active individuals to restore full strength and function.
How long is recovery after distal biceps repair?
Recovery typically takes 3–6 months with structured physiotherapy.