Chronic Rupture of the Proximal Biceps Tendon in a 63-Year-Old Male with Popeye Deformity and Persistent Cramping View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2017

AUTHORS

J. Christoph Katthagen , Dimitri S. Tahal , Peter J. Millett

ABSTRACT

Chronic rupture of the long head of the biceps (LHB) tendon usually occurs due to ongoing degeneration of the tendon with tendinopathy leading first to partial and finally to complete ruptures, usually in the context of degenerative rotator cuff tears. Less commonly, traumatic proximal biceps rupture without underlying degeneration may occur in young athletes. Iatrogenic LHB tenotomy may become symptomatic, and postsurgical rupture of a prior LHB tenodesis can lead to recurrent symptoms that may require revision tenodesis. The vast majority of LHB ruptures are asymptomatic and can be treated nonoperatively. However, up to 25% of the patients develop long-term cramping, cosmetically-disturbing Popeye deformity, and discomfort with repetitive biceps activities. In these cases, a LHB tenodesis can be beneficial, usually resulting in good to excellent clinical outcomes with low complication rates. The case of a patient with persistent symptoms deriving from a chronic LHB rupture and the surgical technique for an open subpectoral biceps tenodesis are described. More... »

PAGES

9-28

Book

TITLE

The Biceps and Superior Labrum Complex

ISBN

978-3-319-54932-3
978-3-319-54934-7

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-319-54934-7_2

DOI

http://dx.doi.org/10.1007/978-3-319-54934-7_2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1092555371


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