The rupture of the long head of the biceps often involves its proximal portion.
It is more common in people over 40 years old that tell about chronic pain due to the impingement syndrome. This leads to a chronic sufferance of the tendon both for its overload and degeneration. Its rupture occurs more often after an intense effort and it is associated in the elderly people to the sufferance of all the rotators cuff.
Probably you suffered from a sudden, localised and violent pain, generally accompanied by a noise similar to that of an elastic breaking, and the insurgence of an anterior protuberance. Sometimes rupture can also be asymptomatic.
Diagnosis is prevalently clinic. X-rays can be helpful in patients suffering from a chronic pain to the shoulder that is probably due to the injury of the rotators cuff. The treatment usually used when dealing with these injuries is conservative and passes through al the 5 phases of rehabilitation. An aesthetic deformity tends to remain after the rupture, but the complete flexion of the elbow and the recovery of strength is achievable anyway.
