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Elbow

Distal Biceps Rupture

A distal biceps rupture is a tear of the tendon at the front of the elbow. It often occurs during heavy lifting and can cause sudden pain and weakness.

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Typical Recovery Time
Recovery often takes several months after repair.

Symptoms

  • •Sudden pain
  • •Weakness
  • •Bruising
  • •Deformity
  • •Pain with rotation

Common Causes

  • •Heavy lifting
  • •Sudden load
  • •Tendon degeneration
  • •Sports injury
  • •Overuse

Treatment Options

1Surgical repair
2Immobilization
3Physical therapy
4Pain control
5Gradual strengthening

When to See a Doctor

Seek care if sudden pain and weakness occur with a deformity.

Frequently Asked Questions

What is a distal biceps rupture?
A distal biceps rupture is a tear of the biceps tendon where it attaches near the elbow. This tendon helps bend the elbow and rotate the forearm. The injury often causes sudden pain, weakness, and bruising.
What causes a distal biceps rupture?
It is commonly caused by a sudden force while lifting or catching a heavy object. The tendon can tear when the elbow is forced straight against resistance. Weightlifting and manual labor can increase risk.
What are the symptoms?
Symptoms include a sudden pop, pain in the front of the elbow, bruising, swelling, and weakness with lifting or turning the palm upward. Some people notice the biceps muscle looks higher than normal. Grip and forearm strength may feel reduced.
Do I need surgery for a distal biceps rupture?
Complete distal biceps ruptures are often treated with surgery in active patients because the tendon does not usually heal back on its own. Non-surgical treatment may be considered for lower-demand patients. Early evaluation is important because delayed repair can be more difficult.
How long does recovery take?
Recovery often takes several months. Return to heavy lifting or sports may take 4 to 6 months or longer depending on healing and strength. A structured rehab plan is important.
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