II. History
- Repetitive motion injury
- Repeated elbow flexion AND
- Supination or pronation
III. Symptoms
- Vague, anterior Elbow Pain developing gradually with overuse
IV. Signs: Distal Biceps Tendinopathy
- Anterior Elbow Pain (in antecubital fossa) exacerbating factors
V. Signs: Distal Biceps Tendon Rupture
- Distal biceps tendon fails to demonstrate typical movement
- Elbow flexed to 90 degrees
- Passive supination and pronation
- Hook Test
- Examiner hooks the distal biceps tendon by pinching underneath the tendon, between the index finger and thumb
- A failed Hook Test suggests a Distal Biceps Tendon Rupture
VI. Imaging
- Elbow MRI
- Elbow Musculoskeletal Ultrasound (MSK)
VII. Differential Diagnosis
- See Elbow Pain
VIII. Management
- RICE-M
- NSAIDs
- Physicial Therapy for directed Stretching and strengthening
IX. Complications
- Biceps Tendon Rupture (rare)