• Corpus ID: 39453267

When is a conservative approach best for proximal biceps tendon rupture?

@article{Pugach2013WhenIA,
  title={When is a conservative approach best for proximal biceps tendon rupture?},
  author={Sofya Pugach and Isaac Z. Pugach},
  journal={The Journal of family practice},
  year={2013},
  volume={62 3},
  pages={
          134-6
        }
}
This case demonstrates that when a patient's occupation and lifestyle do not require a high degree of supination and upper arm strength, conservative treatment may be the way to go. 
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References

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TLDR
The typical signs and symptoms of a ruptured long-head biceps tendon include anterior shoulder pain, tenderness in the bicipital groove, and unusual bulging of the injured biceps.
The Proximal Biceps Tendon: Tricks and Pearls
The diagnosis and treatment of proximal biceps tendon injuries continue to be a challenge. The difficulty lies on determining if there is isolated biceps pathology versus concomitant rotator cuff
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TLDR
The key to successful treatment of lesions of the long head of the biceps tendon is recognition of associated pathologic findings in the shoulder.
Long head of the biceps tendon rupture in professional wrestlers: treatment with a mini-open tenodesis.
Nonoperative treatment of distal biceps tendon ruptures compared with a historical control group.
TLDR
Nonoperative treatment of distal biceps tendon ruptures can yield acceptable outcomes with modestly reduced strength, especially supination.
Levofloxacin-induced tendon rupture: a case report and review of the literature.
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TLDR
Treatment with the fluoroquinolone class of antibiotics has become increasingly popular because of their excellent gastrointestinal absorption, superior tissue penetration and broad-spectrum activity.
Rupture of the tendon of the long head of the biceps brachii. Surgical versus nonsurgical treatment.
TLDR
Twenty-seven shoulders that had surgical repair of a rupture of the long head of the biceps tendon between 1962 and 1981 were evaluated at three to 22 years after injury and 11 in the nonsurgical group were not able to return to full work capacity.
The Role of the Musculocutaneous and Radial Nerves in Elbow Flexion and Forearm Supination: A Biomechanical Study
TLDR
The results are intended to help surgeons in decision making when treating chronic biceps tendon rupture, in repair of traumatic brachial plexus neuropathy and in using tendon transfers, such as the Steindler transfer, around the elbow.
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