SlideShare a Scribd company logo
BICEPS
(LONG HEAD
TENDON)
RUPTURE
BICEP
DEFINITION
• The tendon where attached to supraglenoid
tubercle are ruptured or tear due to sudden
contraction with resisted forearm flexion and
supination
PATHOPHYSIOLOGY
Wear and tear Tendon fray
Long head
tendon bicep
weakens
Degeneration
of tissue fiber
Rupture of
long head
tendon
TYPES
PARTIAL TEAR
• Not complete
• Still intact
COMPLETE TEAR
• Completely loss contact from supraglenoid tubercle
• Will split tendon into two
CAUSES
• Overused
• Fall on outstretched arm
• Lift too heavy object
• Wear and tear
SIGN AND SYMPTOM
• Sudden sharp pain in the upper arm
• Tenderness
• Weakness
• Sometime an audible pop or snap
• Bicep muscle cramp
• Bruising from the middle of the upper arm down
toward the elbow
• Difficulty turning the arm palm up or palm down
• a bulge in the upper arm above the elbow
("Popeye Muscle") may appear, with a dent closer
to the shoulder.
DOCTOR’S
MANAGEMENT
CONSERVATIVE
• NSAID
• Ice
• Rest
• Physical therapy
SURGICAL
• Incision
• Tenodesis
• acromioplasty
PHYSIOTHERAPY
MANAGEMENT
After proximal biceps tendon repair (complete rupture
long head of the biceps)
(by Wilk )
• Shoulder brace/immobilizer for 4 week
• Pendulum
• Active-assisted ROM elbow 0 – 145 degrees with
gentle ROM into extension
• Shoulder isometrics for 10 – 14 days
• Shoulder active – assisted ROM L-bar external and
internal rotation in scapular plane
• Shoulder passive ROM :flexion,external and internal
rotation
4 weeks
• Light shoulder PREs
8 weeks
• Progress to isotonic program
• Bench press
• Shoulder press
REFERENCES
• Kevin E. Wilk, P.T.,S. Brent Brotzman, M.D.(2003),Clinical
Orthopaedic Rehabilitation,second
edition,Mosby,Inc.,Philadelphia,Pennsylvania
• Biceps%20Tendon%20Tear%20at%20the%20Shoulder-
OrthoInfo%20-%20AAOS.htm
• Biceps%20tendon%20tear%20at%20the%20shoulder.htm
• Biceps%20Brachii%20-
%20Wheeless%27%20Textbook%20of%20Orthopaedics.ht
m
• Shoulder%20Conditions%20%20%20Biceps%20Rupture%2
0%20%20Houston%20Methodist%20Orthopedics%20&%20
Sports%20Medicine%20in%20the%20Greater%20Houston
%20Area,%20TX.htm
THANK YOU!!

More Related Content

What's hot

2. front of the thigh ii
2. front of the thigh ii2. front of the thigh ii
2. front of the thigh ii
Dr. Mohammad Mahmoud
 
The ankle joint
The  ankle jointThe  ankle joint
The ankle joint
Idris Siddiqui
 
Popliteal fossa
Popliteal fossa   Popliteal fossa
Popliteal fossa
Uthamalingam Murali
 
Muscle
MuscleMuscle
2. shoulder joint & its applied anatomy 07[1]
2. shoulder joint & its applied anatomy   07[1]2. shoulder joint & its applied anatomy   07[1]
2. shoulder joint & its applied anatomy 07[1]MBBS IMS MSU
 
Anatomy of Humerus
Anatomy of HumerusAnatomy of Humerus
Anatomy of Humerus
Dr Adnan Sami
 
Muscles of the forearm
Muscles of the forearmMuscles of the forearm
Muscles of the forearmMohaned Lehya
 
Hamstring Muscles (1).pptx
Hamstring Muscles (1).pptxHamstring Muscles (1).pptx
Hamstring Muscles (1).pptx
HrishabhDudeja
 
Sacrum
SacrumSacrum
Knee joint
Knee jointKnee joint
Knee joint
Idris Siddiqui
 
Gyri and Sulci of cerebrum
Gyri and Sulci of cerebrumGyri and Sulci of cerebrum
Gyri and Sulci of cerebrum
Dr. Aryan (Anish Dhakal)
 
Pectoral region
Pectoral regionPectoral region
Pectoral region
HETA PATEL
 
Anatomy of ankle joint
Anatomy of ankle jointAnatomy of ankle joint
Anatomy of ankle joint
BipulBorthakur
 
Anatomy of scapula
Anatomy of scapulaAnatomy of scapula
Anatomy of scapula
Vibhuti Nautiyal
 
Anterior abdominal muscles
Anterior abdominal musclesAnterior abdominal muscles
Anterior abdominal muscles
Dr. Armaan Singh
 
Knee Joint Anatomy
Knee Joint AnatomyKnee Joint Anatomy
Knee Joint Anatomy
Kommireddy Kumar
 
Ankle joint
Ankle jointAnkle joint
Ankle joint
Nosheen Almas
 
Thigh - Ant.Compartment - Anatomy
Thigh - Ant.Compartment - AnatomyThigh - Ant.Compartment - Anatomy
Thigh - Ant.Compartment - Anatomy
Uthamalingam Murali
 
Anatomy of the axilla
Anatomy of the axillaAnatomy of the axilla
Anatomy of the axilla
Dr. Mohammad Mahmoud
 

What's hot (20)

2. front of the thigh ii
2. front of the thigh ii2. front of the thigh ii
2. front of the thigh ii
 
The ankle joint
The  ankle jointThe  ankle joint
The ankle joint
 
Popliteal fossa
Popliteal fossa   Popliteal fossa
Popliteal fossa
 
Muscle
MuscleMuscle
Muscle
 
2. shoulder joint & its applied anatomy 07[1]
2. shoulder joint & its applied anatomy   07[1]2. shoulder joint & its applied anatomy   07[1]
2. shoulder joint & its applied anatomy 07[1]
 
Anatomy of Humerus
Anatomy of HumerusAnatomy of Humerus
Anatomy of Humerus
 
Muscles of the forearm
Muscles of the forearmMuscles of the forearm
Muscles of the forearm
 
Anatomy of the Knee Joint
Anatomy of the Knee JointAnatomy of the Knee Joint
Anatomy of the Knee Joint
 
Hamstring Muscles (1).pptx
Hamstring Muscles (1).pptxHamstring Muscles (1).pptx
Hamstring Muscles (1).pptx
 
Sacrum
SacrumSacrum
Sacrum
 
Knee joint
Knee jointKnee joint
Knee joint
 
Gyri and Sulci of cerebrum
Gyri and Sulci of cerebrumGyri and Sulci of cerebrum
Gyri and Sulci of cerebrum
 
Pectoral region
Pectoral regionPectoral region
Pectoral region
 
Anatomy of ankle joint
Anatomy of ankle jointAnatomy of ankle joint
Anatomy of ankle joint
 
Anatomy of scapula
Anatomy of scapulaAnatomy of scapula
Anatomy of scapula
 
Anterior abdominal muscles
Anterior abdominal musclesAnterior abdominal muscles
Anterior abdominal muscles
 
Knee Joint Anatomy
Knee Joint AnatomyKnee Joint Anatomy
Knee Joint Anatomy
 
Ankle joint
Ankle jointAnkle joint
Ankle joint
 
Thigh - Ant.Compartment - Anatomy
Thigh - Ant.Compartment - AnatomyThigh - Ant.Compartment - Anatomy
Thigh - Ant.Compartment - Anatomy
 
Anatomy of the axilla
Anatomy of the axillaAnatomy of the axilla
Anatomy of the axilla
 

Viewers also liked

Spinal Cord
Spinal Cord Spinal Cord
Pt in urosurgery
Pt in urosurgeryPt in urosurgery
Pt in urosurgery
Shilpa Prajapati
 
Biceps Tendon Rupture And Physiotherapy Management
Biceps Tendon Rupture And Physiotherapy ManagementBiceps Tendon Rupture And Physiotherapy Management
Biceps Tendon Rupture And Physiotherapy Management
RABI'ATUL 'ADAWIYAH BINTI MD.YUSOF
 
Adhesive capsulitis
Adhesive capsulitisAdhesive capsulitis
Adhesive capsulitis
Mohamed Hefny
 
Special Tests for Lower Leg, Ankle, and Foot
 Special Tests for Lower Leg, Ankle, and Foot Special Tests for Lower Leg, Ankle, and Foot
Special Tests for Lower Leg, Ankle, and Foot
Julie Jane
 
Assessment and Management of Frozen Shoulder
Assessment and Management of Frozen ShoulderAssessment and Management of Frozen Shoulder
Assessment and Management of Frozen Shoulder
The Arm Clinic
 
Frozen shoulder 9.6.15
Frozen shoulder 9.6.15Frozen shoulder 9.6.15
Frozen shoulder 9.6.15
Anubhav Verma
 
Special Tests - Knee
Special Tests - KneeSpecial Tests - Knee
Special Tests - Knee
Julie Jane
 
Knee examination
Knee examinationKnee examination
Knee examination
Dhananjaya Sabat
 

Viewers also liked (9)

Spinal Cord
Spinal Cord Spinal Cord
Spinal Cord
 
Pt in urosurgery
Pt in urosurgeryPt in urosurgery
Pt in urosurgery
 
Biceps Tendon Rupture And Physiotherapy Management
Biceps Tendon Rupture And Physiotherapy ManagementBiceps Tendon Rupture And Physiotherapy Management
Biceps Tendon Rupture And Physiotherapy Management
 
Adhesive capsulitis
Adhesive capsulitisAdhesive capsulitis
Adhesive capsulitis
 
Special Tests for Lower Leg, Ankle, and Foot
 Special Tests for Lower Leg, Ankle, and Foot Special Tests for Lower Leg, Ankle, and Foot
Special Tests for Lower Leg, Ankle, and Foot
 
Assessment and Management of Frozen Shoulder
Assessment and Management of Frozen ShoulderAssessment and Management of Frozen Shoulder
Assessment and Management of Frozen Shoulder
 
Frozen shoulder 9.6.15
Frozen shoulder 9.6.15Frozen shoulder 9.6.15
Frozen shoulder 9.6.15
 
Special Tests - Knee
Special Tests - KneeSpecial Tests - Knee
Special Tests - Knee
 
Knee examination
Knee examinationKnee examination
Knee examination
 

Similar to BICEPS

Diseases Low back pain. Painful arc syndrome. Fasciitis. Leprosy.
Diseases Low back pain. Painful arc syndrome. Fasciitis. Leprosy.Diseases Low back pain. Painful arc syndrome. Fasciitis. Leprosy.
Diseases Low back pain. Painful arc syndrome. Fasciitis. Leprosy.
Ambreen Sadaf
 
anatomy and deformities of Elbow Joint.pptx
anatomy and deformities of Elbow Joint.pptxanatomy and deformities of Elbow Joint.pptx
anatomy and deformities of Elbow Joint.pptx
HariraLatif1
 
Physiotherapy management of nerve entrapment around the hip and thigh
Physiotherapy management of nerve entrapment around the hip and thighPhysiotherapy management of nerve entrapment around the hip and thigh
Physiotherapy management of nerve entrapment around the hip and thigh
HezekiahAyuba1
 
Biceps Rupture
Biceps Rupture Biceps Rupture
Biceps Rupture
Supun Dhanasekara
 
Prolapsed intervertebral disc ppt slideshare
Prolapsed intervertebral disc ppt slideshareProlapsed intervertebral disc ppt slideshare
Prolapsed intervertebral disc ppt slideshare
sonam
 
Trauma_lecture_7.pdf
Trauma_lecture_7.pdfTrauma_lecture_7.pdf
Trauma_lecture_7.pdf
AliMufleh1
 
Shoulder & Elbow Asssessment.pptxof shoul
Shoulder & Elbow Asssessment.pptxof shoulShoulder & Elbow Asssessment.pptxof shoul
Shoulder & Elbow Asssessment.pptxof shoul
AddisonJani
 
Soft tissue lesions .a perspective g s patnaik
Soft tissue lesions .a perspective g s patnaikSoft tissue lesions .a perspective g s patnaik
Soft tissue lesions .a perspective g s patnaik
Narayan Medical College, Gopal Narayan Singh University
 
Common sports injuries.2560
Common sports injuries.2560Common sports injuries.2560
Common sports injuries.2560
Ukris Ortho
 
emergency ortopedi .pptx
emergency ortopedi .pptxemergency ortopedi .pptx
emergency ortopedi .pptx
AldiHarryRamdani
 
Tuberculosis of spine and hip joint
Tuberculosis of spine and hip jointTuberculosis of spine and hip joint
Tuberculosis of spine and hip joint
Silah Aysha
 
Elbow Pain
Elbow PainElbow Pain
Elbow Pain
NoshirwanGazder
 
STROKE; POST-STROKE SHOULDER PAIN
STROKE; POST-STROKE SHOULDER PAINSTROKE; POST-STROKE SHOULDER PAIN
STROKE; POST-STROKE SHOULDER PAIN
varshawanjaai
 
Inter vertebral disc prolapse
Inter vertebral disc prolapseInter vertebral disc prolapse
Inter vertebral disc prolapse
Shruti Shirke
 
Common Dislocations and subluxations
Common Dislocations and subluxationsCommon Dislocations and subluxations
Common Dislocations and subluxations
Siddhartha Sinha
 
Kinesiology of the back.pptx
Kinesiology of the back.pptxKinesiology of the back.pptx
Kinesiology of the back.pptx
ZwZxiciey
 
Anatomy and Injuries to the Wrist and Hand.ppt
Anatomy and Injuries to the Wrist and Hand.pptAnatomy and Injuries to the Wrist and Hand.ppt
Anatomy and Injuries to the Wrist and Hand.ppt
Rajveer71
 
Hip Examination.pptx
Hip Examination.pptxHip Examination.pptx
Hip Examination.pptx
RutooPolra
 
Vertebral Fracture and Spinal Cord Injury.pptx
Vertebral Fracture and Spinal Cord Injury.pptxVertebral Fracture and Spinal Cord Injury.pptx
Vertebral Fracture and Spinal Cord Injury.pptx
VenoshaGunasekaran
 
Injuries around the shoulder(maheswari)
Injuries around the shoulder(maheswari)Injuries around the shoulder(maheswari)
Injuries around the shoulder(maheswari)
Yeswanth Mohan
 

Similar to BICEPS (20)

Diseases Low back pain. Painful arc syndrome. Fasciitis. Leprosy.
Diseases Low back pain. Painful arc syndrome. Fasciitis. Leprosy.Diseases Low back pain. Painful arc syndrome. Fasciitis. Leprosy.
Diseases Low back pain. Painful arc syndrome. Fasciitis. Leprosy.
 
anatomy and deformities of Elbow Joint.pptx
anatomy and deformities of Elbow Joint.pptxanatomy and deformities of Elbow Joint.pptx
anatomy and deformities of Elbow Joint.pptx
 
Physiotherapy management of nerve entrapment around the hip and thigh
Physiotherapy management of nerve entrapment around the hip and thighPhysiotherapy management of nerve entrapment around the hip and thigh
Physiotherapy management of nerve entrapment around the hip and thigh
 
Biceps Rupture
Biceps Rupture Biceps Rupture
Biceps Rupture
 
Prolapsed intervertebral disc ppt slideshare
Prolapsed intervertebral disc ppt slideshareProlapsed intervertebral disc ppt slideshare
Prolapsed intervertebral disc ppt slideshare
 
Trauma_lecture_7.pdf
Trauma_lecture_7.pdfTrauma_lecture_7.pdf
Trauma_lecture_7.pdf
 
Shoulder & Elbow Asssessment.pptxof shoul
Shoulder & Elbow Asssessment.pptxof shoulShoulder & Elbow Asssessment.pptxof shoul
Shoulder & Elbow Asssessment.pptxof shoul
 
Soft tissue lesions .a perspective g s patnaik
Soft tissue lesions .a perspective g s patnaikSoft tissue lesions .a perspective g s patnaik
Soft tissue lesions .a perspective g s patnaik
 
Common sports injuries.2560
Common sports injuries.2560Common sports injuries.2560
Common sports injuries.2560
 
emergency ortopedi .pptx
emergency ortopedi .pptxemergency ortopedi .pptx
emergency ortopedi .pptx
 
Tuberculosis of spine and hip joint
Tuberculosis of spine and hip jointTuberculosis of spine and hip joint
Tuberculosis of spine and hip joint
 
Elbow Pain
Elbow PainElbow Pain
Elbow Pain
 
STROKE; POST-STROKE SHOULDER PAIN
STROKE; POST-STROKE SHOULDER PAINSTROKE; POST-STROKE SHOULDER PAIN
STROKE; POST-STROKE SHOULDER PAIN
 
Inter vertebral disc prolapse
Inter vertebral disc prolapseInter vertebral disc prolapse
Inter vertebral disc prolapse
 
Common Dislocations and subluxations
Common Dislocations and subluxationsCommon Dislocations and subluxations
Common Dislocations and subluxations
 
Kinesiology of the back.pptx
Kinesiology of the back.pptxKinesiology of the back.pptx
Kinesiology of the back.pptx
 
Anatomy and Injuries to the Wrist and Hand.ppt
Anatomy and Injuries to the Wrist and Hand.pptAnatomy and Injuries to the Wrist and Hand.ppt
Anatomy and Injuries to the Wrist and Hand.ppt
 
Hip Examination.pptx
Hip Examination.pptxHip Examination.pptx
Hip Examination.pptx
 
Vertebral Fracture and Spinal Cord Injury.pptx
Vertebral Fracture and Spinal Cord Injury.pptxVertebral Fracture and Spinal Cord Injury.pptx
Vertebral Fracture and Spinal Cord Injury.pptx
 
Injuries around the shoulder(maheswari)
Injuries around the shoulder(maheswari)Injuries around the shoulder(maheswari)
Injuries around the shoulder(maheswari)
 

BICEPS

  • 3. DEFINITION • The tendon where attached to supraglenoid tubercle are ruptured or tear due to sudden contraction with resisted forearm flexion and supination
  • 4. PATHOPHYSIOLOGY Wear and tear Tendon fray Long head tendon bicep weakens Degeneration of tissue fiber Rupture of long head tendon
  • 5. TYPES PARTIAL TEAR • Not complete • Still intact COMPLETE TEAR • Completely loss contact from supraglenoid tubercle • Will split tendon into two
  • 6. CAUSES • Overused • Fall on outstretched arm • Lift too heavy object • Wear and tear
  • 7. SIGN AND SYMPTOM • Sudden sharp pain in the upper arm • Tenderness • Weakness • Sometime an audible pop or snap • Bicep muscle cramp • Bruising from the middle of the upper arm down toward the elbow • Difficulty turning the arm palm up or palm down • a bulge in the upper arm above the elbow ("Popeye Muscle") may appear, with a dent closer to the shoulder.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. DOCTOR’S MANAGEMENT CONSERVATIVE • NSAID • Ice • Rest • Physical therapy SURGICAL • Incision • Tenodesis • acromioplasty
  • 13.
  • 14.
  • 15. PHYSIOTHERAPY MANAGEMENT After proximal biceps tendon repair (complete rupture long head of the biceps) (by Wilk ) • Shoulder brace/immobilizer for 4 week • Pendulum • Active-assisted ROM elbow 0 – 145 degrees with gentle ROM into extension • Shoulder isometrics for 10 – 14 days • Shoulder active – assisted ROM L-bar external and internal rotation in scapular plane
  • 16. • Shoulder passive ROM :flexion,external and internal rotation 4 weeks • Light shoulder PREs 8 weeks • Progress to isotonic program • Bench press • Shoulder press
  • 17. REFERENCES • Kevin E. Wilk, P.T.,S. Brent Brotzman, M.D.(2003),Clinical Orthopaedic Rehabilitation,second edition,Mosby,Inc.,Philadelphia,Pennsylvania • Biceps%20Tendon%20Tear%20at%20the%20Shoulder- OrthoInfo%20-%20AAOS.htm • Biceps%20tendon%20tear%20at%20the%20shoulder.htm • Biceps%20Brachii%20- %20Wheeless%27%20Textbook%20of%20Orthopaedics.ht m • Shoulder%20Conditions%20%20%20Biceps%20Rupture%2 0%20%20Houston%20Methodist%20Orthopedics%20&%20 Sports%20Medicine%20in%20the%20Greater%20Houston %20Area,%20TX.htm