Complete Distal Biceps Rupture in a 55 year-old female

Zubair S Chaudry, Eric J Yakish, Corey R Wells, Jacob J Bingham, Carl Y Seon
2019 Journal of Rheumatology and Orthopedics  
Distal biceps tendon ruptures are relatively rare injuries in the female population, especially complete ruptures. As a result, the literature is limited on the subject. We report a case of a 55 year-old female, bus driver, with a complete distal biceps tear. She experienced a pop in her dominant arm while operating a compression hand brake. Surgical repair was performed for the distal biceps tendon through a single transverse incision approach using the BicepsButton (Arthrex, Naples, FL)
more » ... , Naples, FL) technique. Reasons for biceps ruptures are multifactorial including: degenerative/age-related changes, mechanical stresses, ischemia, tobacco use, steroid use, and concomitant inflammatory arthropathies. This patient's history of rheumatoid arthritis and high-dosage steroid use coupled with her occupation likely contributed to her pathology. Given that these are rare injuries, it is important to understand and identify the clinical presentation as well as the risk factors that predispose patients to develop such injuries. distal biceps tendon in a woman: case report. J Hand Surg Am. 2006; 31:798-800. | Article | PubMed 7. Toczylowski HM, Balint CR, Steiner ME, Boardman M and Scheller AD, Jr. Complete rupture of the distal biceps brachii tendon in female patients: a report of 2 cases. J Shoulder Elbow Surg. 2002; 11:516-8. | Article | PubMed 8. Amin NH, Volpi A, Lynch TS, Patel RM, Cerynik DL, Schickendantz MS and Jones MH. Complications of Distal Biceps Tendon Repair: A Metaanalysis of Single-Incision Versus Double-Incision Surgical Technique. Orthop J Sports Med. 2016; 4:2325967116668137. | Article | PubMed Abstract | PubMed FullText 9. Williams BD, Schweitzer ME, Weishaupt D, Lerman J, Rubenstein DL, Miller LS and Rosenberg ZS. Partial tears of the distal biceps tendon: MR appearance and associated clinical findings. Skeletal Radiol. 2001; 30:560-4. | Article | PubMed 10. Seiler JG, 3rd, Parker LM, Chamberland PD, Sherbourne GM and Carpenter WA. The distal biceps tendon. Two potential mechanisms involved in its rupture: arterial supply and mechanical impingement. J Shoulder Elbow Surg. 1995; 4:149-56. | Article | PubMed 11. Blanco I, Krahenbuhl S and Schlienger RG. Corticosteroid-associated tendinopathies: an analysis of the published literature and spontaneous pharmacovigilance data. Drug Saf. 2005; 28:633-43. | Article | PubMed 12. Spoendlin J, Meier C, Jick SS and Meier CR. Oral and inhaled glucocorticoid use and risk of Achilles or biceps tendon rupture: a population-based case-control study. Ann Med. 2015; 47:492-8. | Article | PubMed 13. Feldman M, Brennan FM and Maini RN. Rheumatoid Arthritis. Cell. 1996, 85:307-10. 14. Strunk J, Lange U, Kurten B, Schmidt KL and Neeck G. Doppler sonographic findings in the long bicipital tendon sheath in patients with rheumatoid arthritis as compared with patients with degenerative diseases of the shoulder. Arthritis Rheum. 2003; 48:1828-32. | Article | PubMed 15. Sivakumar B, Akhavani MA, Winlove CP, Taylor PC, Paleolog EM and Kang N. Synovial hypoxia as a cause of tendon rupture in rheumatoid arthritis. J Hand Surg Am. 2008; 33:49-58. | Article | PubMed Citation: Chaudry ZS, Yakish EJ, Wells CR, Bingham JJ and Seon CY. Complete Distal Biceps Rupture in a 55 year-old female. J Rheumatol Orthop. 2019; 6:1. http://dx.
doi:10.7243/2055-7000-6-1 fatcat:6nq623ehynar7lcvjxxjxzlahi