Distal Biceps Tendon Rupture

A distal biceps tendon rupture can cause sudden pain and weakness in the arm. The orthopedic specialists at Premier Podiatry and Orthopedics are here to help you understand your injury and guide you toward a strong, confident recovery.

Office Hours

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Introduction

The distal biceps tendon connects the biceps muscle to the forearm bone near the elbow. A rupture occurs when this tendon tears, often during heavy lifting or a sudden, forceful motion. This injury can significantly affect arm strength, especially when bending the elbow or rotating the forearm. Early evaluation is important to determine the best treatment and to restore function.

What is a Biceps Tendon Rupture?

A distal biceps tendon rupture happens when the tendon detaches from its attachment site on the radius bone in the forearm. It may be a partial tear or a complete tear. When the tendon tears, the biceps muscle can no longer work normally, which leads to noticeable weakness and changes in the appearance of the arm.

How Do I Know if I’ve Injured My Biceps Tendon?

Common signs of a distal biceps tendon rupture include:

A sudden, sharp pain in the front of the elbow
A popping sensation at the moment of injury
Bruising or swelling around the elbow
Weakness when bending the elbow or rotating the forearm (such as turning a doorknob or using a screwdriver)
A visible change in the shape of the biceps

A physical exam and imaging, such as an MRI or ultrasound, help confirm the diagnosis.

Treatments for Biceps Tendon Rupture

Treatment depends on whether the tendon is partially or completely torn, as well as your activity level and goals. Options include:

Non-surgical treatment for partial tears or for individuals with low activity demands. This may include rest, ice, anti-inflammatory medications, and physical therapy.
Surgical repair for complete tears or for patients who need full strength for work, sports, or daily activities. Surgery reattaches the tendon to the bone to restore arm function.

Your provider will help determine the best approach based on your needs.

Do I Need Surgery?

Surgery is usually recommended for complete distal biceps tendon ruptures, especially in active individuals. Without surgery, significant and permanent weakness may remain in the arm, particularly with lifting or twisting motions. Surgery is most effective when performed shortly after the injury.

Recovery and Rehabilitation

Recovery depends on the type of treatment received. After surgery, patients typically wear a brace or sling while the tendon heals. Physical therapy plays an essential role in gradually restoring motion, strength, and flexibility.

The orthopedic specialists at Premier Podiatry and Orthopedics will guide your rehabilitation and tailor your recovery plan so you can safely regain strength and return to your normal activities with confidence.

References

Miyamoto RG, Elser F, Millett PJ. Distal Biceps Tendon Injuries. J Bone Joint Surg Am. 2010;92(11):2128-2138. doi:10.2106/JBJS.I.01213.

Ramsey ML. Distal Biceps Tendon Injuries: Diagnosis and Management. J Am Acad Orthop Surg. 1999;7(3):199-207. doi:10.5435/00124635-199905000-00006.

Devereaux MW, ElMaraghy AW. Improving the Rapid and Reliable Diagnosis of Complete Distal Biceps Tendon Rupture: A Nuanced Approach to the Clinical Examination. Am J Sports Med. 2013;41(9):1998-2004. doi:10.1177/0363546513493383.