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Distal Biceps Tendinopathy
Aka: Distal Biceps Tendinopathy, Distal Biceps Tendon Rupture, Biceps Tendonitis at the Elbow
- See Also
- Biceps Tendinopathy
- Elbow Pain
- History
- Repetitive motion injury
- Repeated elbow flexion AND
- Supination or pronation
- Symptoms
- Vague, anterior Elbow Pain developing gradually with overuse
- Signs: Distal Biceps Tendinopathy
- Anterior Elbow Pain (in antecubital fossa) exacerbating factors
- Elbow flexion against resistance
- Forearm supination against resistance
- 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
- Imaging
- Elbow MRI
- Elbow Musculoskeletal Ultrasound (MSK)
- Differential Diagnosis
- See Elbow Pain
- Management
- RICE-M
- NSAIDs
- Physicial Therapy for directed Stretching and strengthening
- Complications
- Biceps Tendon Rupture (rare)
- References
- Kane (2014) Am Fam Physician 89(8): 649-57 [PubMed]