Abstract
Abstract Distal biceps tendon ruptures are relatively rare injuries in the female population, especially complete ruptures. As a result, the literature is limited on the subject. We report a case of a 55 year-old female, bus driver,
Highlights
Complete distal biceps tears are relatively rare injuries, with a reported incidence of 1.2/100,000 [1] and account for 3-10% of all biceps injuries [2,3]
No specific studies discuss the relationship of distal biceps tears and rheumatoid arthritis, it is well known that the disease process predisposes patients to tendon ruptures by the process described above
Distal biceps tendon tears rarely occur in women and usually present as partial tears
Summary
Complete distal biceps tears are relatively rare injuries, with a reported incidence of 1.2/100,000 [1] and account for 3-10% of all biceps injuries [2,3] These tears predominantly occur in men (93%) aged 40-60 [4] and classically present after eccentric load application with the arm forced into extension from flexion [1,4]. Diagnosis occurs with advanced imaging coupled with the following physical exam findings: the hook test, biceps squeeze test, ecchymosis, and reverse Popeye sign [5] These tears occur rarely in the female population, and the literature is limited on this subject. On one occasion operating the brake, she experienced a pop in her dominant arm as she moved her elbow from a flexed to an extended position She subsequently experienced pain in the antecubital fossa. She returned to work after her 7 month follow up for light duty and was released to full duty without restriction at 8 months post operatively
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