Elbow – Biceps tendon tear (Distal)

CASE HISTORY

• 49-year-old male complaining of anterior elbow pain since carrying heavy objects on 08/26/2016

TECHNICAL FACTORS

• Long- and short-axis fat- and water-weighted sequences were performed

KEY IMAGES

CASE FINDINGS

• The bones are in anatomic alignment. Irregularity of the radial tuberosity noted associated with adjacent osteoedema consistent with avulsion fracture.
• Complete rupture of the biceps tendon noted with retraction to the level of the coronoid process. Moderate surrounding hemorrhagic tenosynovitis noted.
• The brachialis and triceps tendons are intact.
• The common flexor and extensor tendons are without abnormality.
• The radial and ulnar collateral ligaments are intact.
• The muscles about the elbow are intact without evidence of hemorrhage tear or strain.
• No soft tissue mass.

CASE CONCLUSION

• Avulsion fracture of the radial tuberosity with complete rupture of the biceps tendon retracted to approximately the level of the coronoid process associated with moderate surrounding hemorrhagic tenosynovitis