title: Paralabral rupture of the proximal biceps tendon from light weightlifting.
abstract: Rupture of the long head of the biceps is usually seen in older adults, in conjunction with rotator cuff tears or tenosynovitis secondary to chronic subacromial impingement; it is rarely seen as a result of trauma. We present the case of a young active patient who denied prodromal symptoms but ruptured the long head of the biceps brachii tendon (LHB) while performing 25-pound biceps curls. Upon examination, the patient was noted to have a readily apparent biceps defect and decreased strength. He was brought to the operating room, where open subpectoral tenodesis of the LHB was performed. At the 6-week follow-up evaluation, the patient had regained full range of motion. By 6 months, he had regained his previous strength. This case demonstrates an unusual presentation of a LHB rupture in a young healthy man with no prodromal symptoms.
authors.affiliation: Graduate Medical Education, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USA.
authors.forename: Kyle E
authors.initials: KE
authors.lastname: Miller
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Solomon
mesh_terms: D000328:Adult; D001265:Athletic Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000293:injuries* / Q000601:surgery; D016059:Range of Motion, Articular; D012421:Rupture / Q000209:etiology / Q000601:surgery*; D000070599:Shoulder Injuries; D014891:Weight Lifting