A biceps rupture is when the main tendon connecting your biceps muscle to the shoulder tears completely. This usually happens due to long-term wear and tear, especially in people between 40 and 60 years old. It can also occur in younger athletes during activities like weightlifting or from a sudden strain, like a hard fall with an outstretched arm.
What Causes a Biceps Rupture?
Over time, the biceps tendon can weaken from constant use and become more prone to tearing. People with chronic shoulder issues, like tendonitis or shoulder impingement, are at higher risk.
Signs of a Biceps Tear
You might experience:
- A snapping sound or feeling in the shoulder
- Sharp pain right after the snap
- Bruising on the front of the upper arm
- Weakness and, in some cases, a bulging muscle
In less severe cases, the tear may only be partial, causing shoulder pain and weakness without the snapping sound.
How is a Biceps Tear Diagnosed?
A detailed medical history and physical exam are crucial. X-rays can check for bone spurs, and an MRI will confirm the tear and its extent.
Treatment Options
Non-Surgical Treatment: For many, especially older individuals, non-surgical options work well. This includes:
- Resting the shoulder with a sling
- Using cold compresses
- Taking anti-inflammatory medication
- Following a physical therapy program to restore strength and mobility
Surgical Treatment: Surgery may be needed if:
- You require full arm strength
- You’re concerned about the appearance of a bulging biceps
- Pain persists despite non-surgical treatment
Surgery is typically done arthroscopically (keyhole surgery) or through a small incision. The goal is to reattach the tendon or, in older patients, to cut it from its origin to alleviate pain. We also address other issues like bone spurs or impingement during the procedure.
Recovery After Surgery
After surgery, you’ll wear a shoulder sling for about four weeks. Rest, ice, and medication will help manage pain and swelling. Gradual movement exercises will be introduced to help you regain strength and mobility over time.
If you have any questions or need further information, don’t hesitate to reach out!