Condition guide

Distal Biceps Tendon Tear - Overview

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

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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.

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Learn about assessment, rehabilitation and consultation preparation in these treatment guides.

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