What it is
The biceps tendon can pull off its attachment at the elbow, usually when a heavy weight is caught unexpectedly. This is a time-critical injury: repair within a few weeks is much simpler and restores more strength, particularly for turning the palm upwards.
How it usually presents
- A painful pop at the front of the elbow with bruising
- The muscle bunching upwards in the arm
- Marked weakness twisting a screwdriver or turning a door handle
How it is assessed
Clinical examination and ultrasound or MRI, arranged promptly.
Treatment options
- Early surgical repair for most active patients
- Non-surgical management where surgery is not appropriate, accepting some loss of strength
Non-surgical treatment is considered first wherever it is reasonable. Which option suits you depends on your symptoms, your goals and what you want from treatment, which is exactly what we discuss in clinic.
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