As in this case study of a snow-boarder, the typical history for dista
l biceps brachii rupture involves a single traumatic event, an audible
popping sound, and intense pain. The physical exam will reveal ecchym
osis in the antecubital area and weakness with both supination and elb
ow flexion; the distal biceps brachii tendon will not be palpable. Tho
ugh distal biceps rupture is far less common than its proximal counter
part, primary care physicians should be aware of the diagnostic criter
ia. Referral for surgical treatment is necessary to preserve elbow fle
xion and supination strength.