Biceps Tendon Injury Treatment
Certain biceps tendon injuries can heal with conservative treatment options such as rest, ice, anti-inflammatory medications and cortisone injections. If the long head biceps ruptures, there may be a cosmetic asymmetry where the muscle falls creating a “popeye deformity”. Typically the pain leading up to the actual rupture may be significant . Once it ruptures, there may be bruising, swelling and pain which may then subside over several days. The pre-injury pain may then go away. There may be little functional loss except for some muscle cramping particularly with rotational forearm activity and many may choose nonoperative management provided they are willing to accept the cosmetic changes.
Surgical treatment for a biceps tendon injury depends on the nature and extent of tendon damage. If a significant portion of the tendon is damaged, completely ruptured or dislocated from the groove, a biceps tenodesis may need to be performed by Dr. Getelman. The procedure is performed by removing the torn tendon stump from inside the shoulder and then re-attaching the remaining tendon to the bone in the upper arm (humerus). Originally this required an open surgical approach. However, Dr. Getelman has developed a predictable arthroscopic approach done in the suprapectoral position. He has published his results in the Journal of Shoulder and Elbow Surgery and frequently is asked to teach his technique
For additional resources on a biceps tendon injury, such as biceps tendon subluxation or a biceps tendon tear, contact the orthopedic office of Dr. Mark Getelman, shoulder specialist located in the Van Nuys, Thousand Oaks and Los Angeles, California communities.