Proximal biceps tendon rupture - Primarily an injury of middle age

A 51-year-old man suffered a rupture of the long-head tendon of the left bi ceps and a small rotator cuff tear while rock climbing. The typical signs a nd symptoms of a ruptured long-head biceps tendon include anterior shoulder pain, tenderness in the bicipital groove, and unusual bulging of the injur ed biceps. The history and physical exam are generally sufficient to make t he diagnosis, but x-rays and MRI may be helpful to rule out related disorde rs. Because the injury is often associated with rotator cuff tendinitis, a complete shoulder exam is necessary. Conserative treatment will enable most patients to regain normal strength.