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Imaging
Diagnosis
Rupture of biceps tendon
Discussion
Common in men, it occurs in the dominant arm in 80%, and is commonly seen
in body builders & weight lifters at younger age. It is accentuated
by steroid abuse
Complete rupture of tendon from its radial insertion is most common, besides,
can also rupture at:
- Rupture of long head
- Rupture of muscle
belly or myotendinous junction rare, sec to direct trauma.
- Distal biceps
tendon injury- attempt to lift heavy object
- Tearing of lacertus
fibrosus- prox retraction of biceps
MRI FEATURES:
- Biceps tendinosis
precedes rupture
- Hypovascular
zone 1 cm proximal to insertion
- Gets impinged
between radius & ulna on pronation
- MRI differentiates
between complete , partial tears and tendinosis
MANAGEMENT
- Prompt surgical
repair and reattachment
- Surgical outcome
improves when treated in first several weeks
MRI
Centre, Nanavati Hospital, Mumbai
DR DEEPAK PATKAR, DR MALINI LAWANDE, DR SONA PUNGAVKAR,
DR SHILPA SANKHE, DR ANKIT TANDON & DR NISHA SAINANI
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