Long Head Biceps Tendon Rupture | Expert Physio Review

In this tutorial, we use our 3D anatomy model to review the Biceps anatomy. We explore the causes of Long Head Biceps Tendon Rupture, what to look out for in your assessment and discuss how Physio rehab can help.
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[@deepsarros1]

Excellent Video!! Thank you!

[@ClinicalPhysio]

You’re very welcome!

[@sejalgupta5918]

Thank you for the simple, clear and structured explanation ... More power to you :)

[@ClinicalPhysio]

Thank you so much!

[@ivandsouza5034]

Excellent explanation

[@ClinicalPhysio]

Glad it was helpful! Thank you!

[@arthur1010123]

Amazing video, thank you so much!

[@ClinicalPhysio]

You're very welcome! Thank you for watching!

[@rjm4031]

Very helpful, thank you.

[@ClinicalPhysio]

You’re very welcome!

[@EmerysZR2Duramax]

Great video!

[@ClinicalPhysio]

Thank you so much!

[@Rastameister]

An MRI interpretation and pain felt deep into the slightly anterior of shoulder above 60 deg and I was told it's likely a tear of the transverse humeral ligament causing tendon of the bicepsbrachii to climb out of the bicipital groove. Is it possible to reattach the THL? And if not, why? I just learned all this required terminology by watching some really great 3d anatomical animations as well as your explanation.

[@robertdunlevy6011]

Great video. Just ruptured mine at age 50. This gave me peace of mind

[@ClinicalPhysio]

Wishing you all the very best Robert 🙏🏼

[@aengusgiblin2284]

This video is very informative and helpful 👍. Thank you for sharing

[@ClinicalPhysio]

So nice of you to say! Thank you for watching!

[@yasim9435]

Thank you for this overview. What is your impression of restoring ability to play tennis without surgery after large long head biceps tendon tear among older patients. Does such tear negativity affect RC Supraspinatus tendon tear enlargement?

[@targadave]

Great video! I’m 64 and I have a classic left bicep proximal rupture confirmed by a local orthopedic surgeon (very obvious Popeye muscle presentation). Happened about 3 months ago from likely repetitive activities (freestyle swimming, overhead construction/painting, etc). Steadily self rehabbing based on KZbin University😊. Some residual intermittent irritation, but seems to be lessening over time. My biggest fear is whether I can ever get back to my freestyle swimming routine without further damage? It seems to be my biggest challenge (long overhead arm stretch) so I’m going very easy right now with short, low arm stretch swim sessions. Even using kick fins to further reduce arm loading. I’m assuming I’ll eventually be able to get back to full freestyle capacity if I continue to pace the rehab. Would you agree?

[@eddyengland5398]

Thank you for this video. I’m nearing 70 and tore my tendon working out with a kettlebelI. I’ve done various forms of sport all my life. I’m glad to see strength building exercise is still possible.

[@ClinicalPhysio]

Thank you so much Eddy! Wish you all the best!

[@kopognr2]

Super clear and informative, i got mine ruptured at 42. This video helps a lot. Thank you.

[@ClinicalPhysio]

You're welcome! Thank you for watching!

[@raphaelrousso7124]

très intéressant

[@ClinicalPhysio]

Merci!

[@wellscraft]

I think I tore mine. Got an MRI yesterday. I did it trying to keep a heavy tree stump from falling over. No poo sound ,or bruising. Just pain and a funny looking bicep. I've worked out all my life and never injured myself. Now because of one stupid mistake, (of not letting go of the tree stump) I think I'm screwed. I want full function back. If I have surgery I'll be out a while and weak afterwards. Is it possible to get strength back to what it was before the tear? I can move my arm around as far as before. But strength is definitely reduced.

[@kaeganthornhill3936]

What is it called when the Tare is in the middle of the Bicep?

[@JohnLee-qo1ls]

The incident happened on dec 28. I had an mri last Thursday and was told that I have a complete tear of the long tendon and that I will gain full functionality after 2 months but would have Popeyes biceps since the tendon is completely torn and no anchor. I asked doctor id like surgery to have the tendon reattached and he advised not to and deal with the loss of anchor(Popeyes biceps). I’m 44 years old and very physically active(basketball and gym 5times a week). I’m glad he mentioned that I’ll regain full functionality but he said I’d have to deal with the aesthetics of the Popeyes biceps. I’d like a second opinion as I’d like to have my bicep anchored and have normal looking. Any professional advice is recommended

[@LiZhang-uu8xv]

Thank you for the video, the explanation was very clear. Is it because of age-related issues that the doctor advised against surgery for my 50-year-old friend? Can a bandage be used for support?

[@ClinicalPhysio]

Quite possibly age related changes to tendon and potentially if there is not a need for significant biceps strength on that side for your friend

[@pamelabyars3983]

What collagen is recommended? My husband is 75 and had a recently had a bicep tenden rupture at the shoulder

[@redstarchrille]

When digested in the stomach, collagen is broken down into amino acids and smaller peptides. So collagen consumed don't magically become new collagen if the body cant produce it to the same extent as young people.

[@hotassglass1]

Thank you all for the info. I recently Ruptured longhead. I use my arms every day at work, Glass Blowing. Currently it is sore but not in terribly pain. I am concerned long term without the surgery how strong it will get. Will it adapt to my lifting and swinging glass blow pipes around? Or if I should just source out the surgery and do it. I wear a compression sleeve on it and it seems to reduce the strain.

[@ClinicalPhysio]

Hi! Often people to see a reduction in strength without their biceps intact but will still have some residual power from the other elbow flexors/supinators. However I would overall encourage you to have a conversation with your relevant orthopaedic consultant for an idea on how much strength you should expect to retain and whether it is enough for you to achieve your goals

[@hotassglass1]

Thank you, I will get in touch with an Ortheopaedic Consultant@@ClinicalPhysio

[@danemyburgh]

I'm 15 weeks post op from biceps tenodesis. Feeling pretty strong now 👍 Still a way to go till I'm 100%

[@ClinicalPhysio]

Keep it up! Wish you all the best 🙏🏼

[@abdulkhaliqabubakar1033]

Hey - are you ok to have a conversation on it. I am rather torn at the moment on which route to go with, esp. with the lack of good tenodesis surgeons in my country.

[@aralpha1]

Hi Dane, I have been suggested a surgery, but little anxious if I should or shouldn't. Would love to know about your experience if you are ok to chat/message

[@danemyburgh]

@Abdul Khaliq Abu Bakar If you are unsure about it and uncomfortable then maybe don't. If you have a competent and good surgeon though then I would say go for it. I live in New Zealand and had one of the best surgeons in the country do my surgery so I was quite lucky. 20 weeks post op now and my bicep is feeling strong and my range of motion is nearly back to where it should be. See if you can source a good surgeon to do it for you.

[@danemyburgh]

@aralpha1 Like my message to Abdul, I would recommend doing it if you have a good surgeon. It does also depend on what your symptoms are and how it's affecting your day to day life. If you want things to improve or get rid of the core issue then I would elect surgery. I am about 20 weeks post op now and feeling strong with about 90% range of motion back. Still doing rehab exercises to get to 100% but I'm doing good.

[@joqu6971]

Is it possible to repair a complete tear and reattach it. That is what is freaking me out mine completely tore, mine is proximal long tendon complete rupture/tear popeye arm

[@ClinicalPhysio]

Yes they can do surgery to reattach it… if you have concerns I would certainly recommend a consultation with an orthopaedic consultant

[@MIGGS32100]

Can a compete distal bicep rupture give you problems and pain at the shoulder?

[@ClinicalPhysio]

Yes potentially as both the long and short head of biceps have lost their anchor… but not necessarily a guaranteed symptom as a result of the rupture

[@MIGGS32100]

Can either long or short head of the bicep tear completely if the distal bicep is not anchored in the tuberosity?

[@aralpha1]

I am little confused to whether go for a surgery or not- Doc advised for it if i need to maintain my workouts and sports I play. I am 47 .Anyone who has gone for surgery and recovery experience or suggestions would really help. .

[@canadianfirst8326]

I tore my right a couple years ago. It’s just as strong as my left. I curl 30lbs 8-15 reps. Just popped my left side yesterday now I’ve got to rehab this one. No surgery for either. I’m 46

[@canadianfirst8326]

At least now I’ve got a matching set of arms.

[@MIGGS32100]

@@canadianfirst8326 did you rupture your proximal or distal tendon?

[@aralpha1]

I got the surgery and its much better now - I am able to lift the same as before.

[@MIGGS32100]

@@aralpha1 that’s awesome man. Happy to hear.

[@mikemike-fc5dq]

Had rotator surgery but bicep not attached at shoulder, was told loose 20%strength, still in therapy but get alot of muscle spasms, i can't even dry my hair or doing twist motion, doc at the time said i come still do the same activities but i call his bluff. Get second opinion my advice.

[@ClinicalPhysio]

Sorry to hear you are having a hard time, wishing you all the best

[@christianmccowen2092]

I'm pretty sure I had a seizure while strapped down. It ruptured my biceps long head. It wasn't that bad until I lost my muscle mass. Trying to build muscle is difficult. The front deltoid is compensating, and gets over worked easily.

[@ClinicalPhysio]

Wishing you all the best Christian!

[@MannyQuacioua]

I’ve had a tear in my Bicep Longhead since 2015. Ill be getting surgery soon.

[@ClinicalPhysio]

Wish you all the best with it!

[@aralpha1]

any reason you are going for a surgery now ? any loss of strength or movement?

[@saddiqueakram9647]

I have the same problem I done it like 14 years ago experienced no pain until last year when I lifted something heavy and ever since then I’m experiencing burning sensation in my bicep and forearm Currently seeing physio doing some exercises but still have the burning sensation Will see the orphopaedic In 2 months but bit worried will it be a successful surgery as it’s been that long plus I’m 41 years old

[@kostaachin4428]

@@saddiqueakram9647 m

[@MaromMan]

I jest got an mri . I am 23 and i have a biceps tendon tear

[@Lulzmofobbq]

@Marom zilberman Did you go for a surgery?

[@MaromMan]

No

[@MaromMan]

Don’t know what to do

[@Lulzmofobbq]

@@MaromMan Why are you hesitating whether to get surgery or not?

[@MIGGS32100]

@@MaromMan was it a complete tear? How are you feeling? Did you get surgery?

[@ErinM-2024]

I’ve been told that I might have a slap tear

[@ClinicalPhysio]

Who mentioned this to you?

[@scottchesher5296]

I did like your video, but I wish you would’ve actually showed what a rupture looks like. We already know what happens when the bicep long head tendon tears down Popeye arm video was pretty good but not incisive.

[@ClinicalPhysio]

That would have been great! I’m afraid I don’t have access to a patient with a rupture! But I appreciate it 🙏🏼

[@davidweisschadel]

Im 40 years old been a construction worker my whole life. I just ruptured my long head tendon 3 days ago. Hoping for a speedy recovery and to get strong like i used to be.

[@MrZeddy100]

Get surgery. This will not get better with any amount of physiotherapy. You will be in pain forever like me if you don't get surgery

[@kursesandkarma3224]

My MD told me 90% failure rate to reattach so don’t even bother. I’m 3 weeks out from the tear and I feel fine. Think it through

[@stormtropper88]

Anabolics have nothing to do with tendon rapture it actually helps prevent them abs heals them

[@karl5010]

Wrong. Your muscles get too strong too fast from steroid use and some tendons through repetitive micro trauma from a lot of overloading rupture or partially tear (when using too much weight the muscles can handle but the tendons cannot).

[@Masterdebator881]

How many times can you repeat yourself? Uh!