Proximal Biceps Tendon Rupture
The biceps muscle is found on the front of your upper arm and bulges when you flex your elbow. This muscle is key in bending the elbow and rotating the forearm inwards, and plays an additional role in maintaining the stability of the shoulder joint.
The biceps tendon connects the muscle to the bone. There is a biceps tendon at the shoulder joint ('proximal'), and a biceps tendon at the elbow ('distal').
What is a biceps tendon rupture?
A tendon rupture or tear results in the separation of the muscle from its attachment at the bone. It can rupture at either end, proximal (near the shoulder) or distal (near the elbow)
A proximal biceps tendon rupture is the most common type, and usually affects patients over 60 years of age, and will often cause minimal symptoms. In fact, one of the treatments for particular types of shoulder pain is to release the biceps tendon in an operation called a biceps tenotomy.
In other cases, the rupture causes severe pain and difficult using the elbow and shoulder. In these cases, pain-relief, phyiostherapy and even surgery can be used as treatment.