Biceps tendon disorder may be an inflammation or tendon rupture. Tendons are strong bands of tissue that connect bones to muscles. The rupture of the biceps tendon can be acute or chronic .
Injury can cause a partial or complete rupture of the tendon. The biceps tendon usually ruptures near where it attaches to the bone, either in the shoulder joint or in the elbow joint. If the tendon rupture occurs in the elbow, the change is called a biceps distal tendon rupture . If, on the other hand, the shoulder tendon ruptures, it will be called a rupture of the proximal biceps tendon of the shoulder.
What causes biceps pain?
Biceps pain is most often caused by inflammation of the biceps tendon or tendon rupture. Throwing athletes or those who perform heavy physical work are prone to the appearance of pain and injury of the biceps muscle.
Abuse can cause micro-ruptures in the tendon and can progress over time to a complete rupture. In some situations, rupture of the rotator cuff or inflammation of these tendons can lead to pain radiating along the biceps.
How do we know if we have a biceps tendon rupture?
In case of rupture of the biceps tendon, the symptoms may be:
- a bang heard during trauma.
- immediate and intense pain.
- swelling and bruising on the elbow and arm.
- reduced ability to turn the hand outward, supination .
- reduction of elbow flexion force.
- palpable loss in front of the elbow in case of complete rupture of the distal biceps.
The sign of Popey with the body of the biceps fell on the shoulder in the event of a complete rupture of the proximal biceps. difficulty raising the arm above the shoulder. pain when touching the front of the shoulder or elbow.
How is biceps tendon rupture treated?
It is important that the patient is examined first by an orthopedic surgeon. During the clinical examination, it will be observed whether there is a deformity in the elbow or shoulder area. Mobility and strength of the shoulder and elbow will be assessed, especially the ability to rotate the forearm with resistance, which will be compared with the healthy part.
An X-ray of the shoulder or elbow is usually performed to rule out a related fracture. An MRI scan will also be indicated to determine whether the tendon rupture is complete or partial, or whether there are other related changes, such as a rupture of the rotator cuff in the arm.
In case of inflammation or partial rupture of the tendon, non-surgical treatment is usually recommended. Includes: Rest, Local ice, Avoid overloading, Pain control, Physiotherapy and physiotherapy, occasional injections (with a corticosteroid or PRP), Surgical treatment will be considered in patients with partial biceps rupture who do not notice improvement in symptoms after such conservative treatment.
A biceps tendon rupture requires surgery?
R uptura proximal biceps tendon may not require surgery, but it depends on age, activity level and severity of symptoms. Older, more sedentary patients can be treated without surgery for a rupture of the proximal biceps tendon of the shoulder, with very good results. However, a rupture of the proximal biceps tendon of the shoulder in elderly patients is often associated with a rupture of the rotator cuff, and this rupture usually requires surgery because it does not heal and worsens over time.
Young patients with an isolated rupture of the proximal biceps tendonitis usually require surgery to regain muscle strength and prevent the onset of chronic pain.The operation is called Biceps tenodesis and involves fixing the biceps tendon in the groove or at the top of the humerus where it is normally located.
A rupture of the biceps distal tendon almost always requires surgery because it does not heal, and most patients still experience weakness and pain in the biceps if they are not operated on. Moreover, the longer the wait for surgery, the more difficult the intervention will be and the poorer the functional results.