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Sports Medicine
intermediate
X-Type

Distal Biceps Rupture - Diagnosis and Repair

Upper Limb Sports Injuries

A 45-year-old male weight lifter presents after feeling a "pop" in his right elbow while lifting. He describes sudden extension force against his flexed elbow. Examination reveals ecchymosis in the antecubital fossa, a palpable defect, and weakness of forearm supination more than elbow flexion. He presents 2 days after injury. Regarding distal biceps rupture:

Mark each as TRUE or FALSE

A

The hook test (O'Driscoll) has 100% sensitivity for complete distal biceps rupture; performed with e...

B

Supination weakness (40% loss) is more significant than flexion weakness (30%) because the brachiali...

C

Conservative management provides equivalent long-term outcomes to surgical repair; the lacertus fibr...

D

Acute repair (less than 3-4 weeks) allows direct primary repair; chronic tears (greater than 4 weeks...

E

Cortical button plus interference screw provides the strongest fixation construct; single-incision a...

Answer the questions to see explanations

Click T (True) or F (False) for each option