2. Department of Orthopedic Surgery, Mid-Atlantic Permanente Medical Group, Rockville, Maryland, USA.
Distal biceps tendon ruptures are relatively rare injuries in the female population, especially complete ruptures. As a result, the literature is limited on the subject. We report a case of a 55 year-old female, bus driver, with a complete distal biceps tear. She experienced a pop in her dominant arm while operating a compression hand brake. Surgical repair was performed for the distal biceps tendon through a single transverse incision approach using the BicepsButton (Arthrex, Naples, FL) technique. Reasons for biceps ruptures are multifactorial including: degenerative/age-related changes, mechanical stresses, ischemia, tobacco use, steroid use, and concomitant inflammatory arthropathies. This patient’s history of rheumatoid arthritis and high-dosage steroid use coupled with her occupation likely contributed to her pathology. Given that these are rare injuries, it is important to understand and identify the clinical presentation as well as the risk factors that predispose patients to develop such injuries.
Keywords: Complete, distal biceps tear, rupture, female