BICEPS TENDON INJURY

Question 1

Biceps tendon injuries usually occurs where

Answer 1

along long head of biceps tendon

Question 2

What demographic of people endure a bicep tendon injury

Answer 2

More common in people who pull, lift, reach, or throw for work/recreation

(1) Rock climbers, weight lifters
(2) Degenerative tendinopathy of the tendon in older patients

Question 3

(bicep tendon injury) If your patient heard a pop and it’s accompanied with ecchymosis and swelling, what should be suspected

Answer 3

Tendon rupture

Question 4

Physical exam of a patient with a bicep tendon injury

Answer 4

(1) Visual
(a) Shoulder will appear normal on inspection typically
(2) Neurovascular status
(a) Neurovascular intact
(3) Palpation
(a) Tender to palpation in the bicipital groove of the humerus
(4) Special tests
(a) Yergason
(b) Speeds

Question 5

Treatment of a patient with a bicep tendon injury

Answer 5

(1) Mainstay of treatment:
(a) NSAIDs
(b) Ice
(c) Duty/activity modification
(d) Physical therapy/HEP
(2) If rupture is suspected then ortho consult