biceps
TRANSCRIPT
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BICEPS (LONG HEAD
TENDON)
RUPTURE
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BICEP
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DEFINITION
• The tendon where attached to supraglenoid
tubercle are ruptured or tear due to sudden
contraction with resisted forearm flexion and
supination
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PATHOPHYSIOLOGY
Wear and tear Tendon frayLong head
tendon bicep weakens
Degeneration of tissue fiber
Rupture of long head
tendon
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TYPESPARTIAL TEAR
• Not complete
• Still intact
COMPLETE TEAR
• Completely loss contact from supraglenoid tubercle
• Will split tendon into two
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CAUSES
• Overused
• Fall on outstretched arm
• Lift too heavy object
• Wear and tear
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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.
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DOCTOR’S MANAGEMENT
CONSERVATIVE
• NSAID
• Ice
• Rest
• Physical therapy
SURGICAL
• Incision
• Tenodesis
• acromioplasty
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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
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• Shoulder passive ROM :flexion,external and internal
rotation
4 weeks
• Light shoulder PREs
8 weeks
• Progress to isotonic program
• Bench press
• Shoulder press
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REFERENCES• Kevin E. Wilk, P.T.,S. Brent Brotzman, M.D.(2003),Clinical
Orthopaedic Rehabilitation,secondedition,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.htm
• Shoulder%20Conditions%20%20%20Biceps%20Rupture%20%20%20Houston%20Methodist%20Orthopedics%20&%20Sports%20Medicine%20in%20the%20Greater%20Houston%20Area,%20TX.htm
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THANK YOU!!