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Hand & Upper Limb
intermediate
X-Type

Distal Biceps Tendon Rupture

Elbow Trauma

A 45-year-old male construction worker presents 3 days after feeling a "pop" in his right elbow while lifting a heavy object. He noted immediate pain and weakness. Examination reveals ecchymosis in the antecubital fossa, a palpable defect, and absent "hook test." Supination and flexion strength are reduced. MRI confirms complete rupture of the distal biceps tendon with 2cm retraction. Regarding distal biceps tendon rupture:

Mark each as TRUE or FALSE

A

Distal biceps rupture occurs predominantly in middle-aged men (40-60 years) in the dominant arm; ris...

B

Clinical features include a "pop" sensation, antecubital ecchymosis, palpable defect in the antecubi...

C

Distal biceps ruptures are more common in women and the elderly; the tendon usually ruptures at the ...

D

Untreated complete ruptures result in 30-40% loss of supination strength and 20-30% loss of flexion ...

E

Complications differ by approach: single-incision has higher risk of lateral antebrachial cutaneous ...

Answer the questions to see explanations

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