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Long head bicep tear test

ENROLL IN OUR COURSE: http://bit.ly/PTMSKGET OUR ASSESSMENT BOOK ︎ ︎ http://bit.ly/GETPT ︎ ︎OUR APP: iPhone/iPad: https://goo.gl/eUuF7w Android: https.. Speed's test was originally intended to test for tendonitis of the long head of biceps. However, it is often also used to detect SLAP lesions of the glenoid labrum (SLAP = Superior Labral Antero-Posterior). It is accurate for predicting pathology of the biceps/labral complex but is not very specific to a particular structure Classification and analysis of pathology of the long head of the biceps tendon in complete rotator cuff tears. Chang Gung Med J 2012;35(3):263-70. ↑ 9.0 9.1 Zanetti M, Weishaupt D, Gerber C, Hodler J. Tendinopathy and rupture of the tendon of the long head of the biceps brachii muscle: evaluation with MR arthrography There is a relatively simple and reliable test, called the hook test, used to diagnos e distal biceps tendon ruptures. You can even test it on yourself! The muscles in the front of the arm There are two muscles in the front of the arm: the biceps and the brachialis

Biceps Tendonitis - Shoulder & Elbow - Orthobullets

Ludington's Test Proximal Long Head of the Biceps Tendon

Fortunately, the biceps has two attachments at the shoulder. The short head of the biceps rarely tears. Because of this second attachment, many people can still use their biceps even after a complete tear of the long head. When you tear your biceps tendon, you can also damage other parts of your shoulder, such as the rotator cuff tendons Bicep Tear Treatment: In general, distal biceps tendon tears should be treated with surgical repair in most active healthy patients, while long head biceps tendon tears should be evaluated carefully to determine whether it is an isolated long head biceps tendon tear or combined with an associated rotator cuff tendon tear or a biceps labral. A subgroup of patients will tear their short head of biceps only and leave the long head intact. Unfortunately the bulk of the strength comes from the short head and patients are rarely satisfied with the outcome of non surgical treatment when they have ruptured their short head. Shawn O'Driscoll defined the hook test for distal biceps rupture Am Fam Physician. 2009 Sep 1;80 (5):470-476. Biceps tendinitis is inflammation of the tendon around the long head of the biceps muscle. Biceps tendinosis is caused by degeneration of the tendon.

What are shoulder (proximal) biceps tears? Two tendons attach the biceps muscle to the shoulder: the long head tendon that attaches the muscle to the top of the shoulder's socket and the short head that attaches it to the front of the shoulder. Tears almost exclusively occur in the long head. Good news is that even in the case of a complete. Biceps tendon ruptures tend to occur in middle-age men, although they can also occur in younger patients. Approximately 96% involve the long head, 3% the distal, and 1% the short head of the biceps. Anabolic steroid use, tendinopathy, or a rotator cuff tear may predispose patients to a rupture Proximal biceps tendon tear at shoulder. This injury occurs when one of the tendons that attaches the bicep to the shoulder tears. The long head tendon is more likely to tear than the short head. Common surgeries for biceps tendon tears include a biceps tenotomy and a biceps tenodesis. 7  A tenotomy is a procedure to cut the tendon of the long head of the biceps so that the tendon retracts back into the arm and away from the shoulder. This procedure is effective for pain relief but leads to the bulging Popeye issue The Hook Test is used to diagnose a distal biceps tendon rupture, avulsion, or a tear. The biceps tendon inserts into the proximal radius at the radial tuberosity at the elbow. When the biceps tendon ruptures, it will cause pain at the elbow. It is a single traumatic event with eccentric force on the flexed elbow

Speed's Test For Long Head Biceps Tendonitis - Physical

The rotator interval is empty indicating a complete tear of the long head of the biceps tendon. DOPPLER: A minor degree of neovascularization in the proximal tendonstump can be seen. FUNCTIONAL: no ultrasound guided functional test could be executed. The proximal intertubercular groove (image 3) was a pitfall: at first glance it appeared to be. A proximal biceps tendon rupture is an injury to the biceps tendon at the shoulder joint. This injury type is the most common type of biceps tendon injury. It is most common in patients over 60 years of age and often causes minimal symptoms. 2 . As stated above, proximal biceps tendon injuries almost always occur to the long head of the. In the setting of a large rotator cuff tear, the biceps tendon frequently becomes inflamed and hypertrophic and can attritionally rupture, often causing relief of longstanding biceps-generated pain. Isolated rupture of the long head of the biceps should thus be a diagnosis made only after other pathology around the shoulder has been clarified Long Head of Biceps Tendinitis is a painful condition resulting from inflammation of the tendon of the long head biceps muscles. 1 The long head tendon of biceps originates from the superior surface of shoulder joint known as glenoid tubercle. Thus, any shoulder joint movement causes severe pain along long head of biceps because of irritation of the inflamed long head tendon

Rupture Long Head Biceps - Physiopedi

Distal Biceps Avulsion. The Center for Shoulder, Elbow and Spor... Distal Biceps Avulsions are injuries to the biceps tendon at the radial tuberosity insertion that generally occurs due to a sudden excessive eccentric contraction of the biceps brachii. Diagnosis can be made clinically in the setting of complete tears with a hook test A bicep strain is a condition characterised by partial or complete tearing of the bicep (upper arm) muscle. It typically occurs during a forceful contraction of the bicep muscle (e.g. performing a heavy bicep curl or chin up). Assessment and treatment by a physiotherapist is vital for an optimal outcome The long head of the biceps tendon can become inflamed or irritated, a painful condition called tendonitis. Proximal biceps tendonitis causes pain along the biceps muscle in the upper part of.

Biceps tendon injuries include a spectrum of disorders ranging from mild tendinopathy to complete tendon rupture. Rupture occurs most frequently at the long head of the proximal tendon, but may occur in the distal tendon. Coexistent injuries at the biceps tendon origin and superior glenoid labrum constitute a variety of disorders known as SLAP. Biceps tendon rupture. The biceps brachii muscle is involved in supination and flexion of the forearm. The biceps muscle has two proximal tendon insertions onto the scapula— the long head and the short head. The long head originates at the supraglenoid tubercle and extends over the humeral head into the intertubercular groove of the humerus Purpose of the study: We describe a mechanical condition affecting the long head of the biceps tendon (LHBT) causing potentially unrecognized entrapment within the joint and subsequent pain and locking. This is caused by a hypertrophic intra-articular portion of the tendon that is unable to slide into the bicipital groove during elevation of the arm

The Hook Test: Don't Miss A Rupture of the Biceps Tendon

Biceps Tendon Tear at the Shoulder - OrthoInfo - AAO

  1. ation of the long head of the biceps tendon in the clinical setting: A systematic review. J Rehabil Med. 2019 Jul 8. 51 (7):479-91. . Armstrong A, Teefey SA, Wu T, et al. The efficacy of ultrasound in the diagnosis of long head of the biceps tendon pathology
  2. er resists the motion with the exa
  3. The long head of the bicep is stimulated most productively from seated incline dumbbell curls and drag curls. These two exercises will provide adequate stimulation for the long head of the bicep. Any curling movement done with the shoulder extended will also result in activation of the long head but these two movements are the most effective.
  4. David Smith, SPT, Missouri State University, Springfield, Missouri. Study Design: Case Study Objective: To describe the use of conservative treatment of a proximal long head of the biceps (LHB) tendon rupture for a patient preferring to forego surgery.. Background: The patient was a 49 year old male who presented with pain and weakness in the left shoulder, and a bulge in anterior, left brachium
  5. Rupture of the proximal biceps tendon is most often in association with a rotator cuff tear (Figure 2). The rupture usually involves the long head of the biceps. The diagnosis is often obvious for complete ruptures because of the deformity of the arm muscle. The tendon is injured; the muscle is shortened and goes towards the elbow area

The biceps muscle attaches to bone via tendons; two at the shoulder and one in the elbow. At the shoulder, one of the attachments is known as the long head, a thin tendinous structure that runs in a groove at the front of the shoulder before entering the shoulder joint. The groove is bordered on three sides by bone (the bicipital ridge. Long head of the biceps (LHB) subluxation and dislocation may occur in patients with an intact rotator cuff secondary to injury to the coracohumeral ligament (CHL), superior glenohumeral ligament (SGHL), or transverse humeral ligament, which is composed in part of fibers from the CHL and SGHL Biceps tendon tears occurs far too often, in athletes and workers alike, be it construction or office work. There is a reason Bicep tendons tear. There is a clear cut CAUSE. And it's not that activity that was being performed when the Bicep tendon tore. When a Biceps tendon tears, there is a predictable pattern Partial subscapularis tears occur commonly and are often associated with biceps fraying and subluxation. A thorough history and physical examination along with appropriate objective testing will commonly enable the clinician to make an accurate diagnosis. Nevertheless, these combined lesions are often under-recognized preoperatively

Biceps ruptures are more common in the older patient with a history of biceps injury or tendonitis. The long head of biceps tendon is by far the most commonly ruptured biceps tendon. Causes of a biceps rupture. A biceps rupture most commonly occurs due to sudden or excessive contraction of the biceps muscle The main proximal tendon is the long head of the biceps. It connects the biceps muscle to the top of the shoulder socket, the glenoid. Beginning at the glenoid, the tendon of the long head of the biceps travels down the front of the upper arm. The tendon runs within the bicipital groove and is held in place by the transverse humeral ligament A tear in the subscapularis muscle can also lead to tears in other rotator cuff muscles or issues in your bicep. This is because other muscles need to compensate for a tear in the subscapularis.

Video: What You Need to Know About Biceps Tear

The history, physical examination and diagnosis of long head biceps tendon (LHBT) lesions is challenging. The LHBT has both intra-articular and extra-articular components, often engages only in specific arm positions and activities, takes a long oblique course across the shoulder joint and is adjacent to and associated with other critical structures around the glenohumeral joint The biceps tendon provides a lot of the strength necessary to turn your forearm. If you are active, workout frequently, use hand tools, garden, etc you will likely rely on your biceps tendon frequently. Surgery is not necessary for all bicep tendon tears. But surgery for biceps tendon tears is recommended for many active adults The long head of the biceps tendon (LHBT) originates approximately 50% from the superior glenoid tubercle and the remainder from the superior labrum, with 4 different variations identified. 73 The proximal tendon is richly innervated, with sensory nerve fibers containing substance P and calcitonin generelated peptide. These substances are responsible for vasodilatation and plasma extravasation.

  1. Intra-articular biceps long head adhesion to undersurface of rotator cuff was found incidentally before repair (Fig 5C). After release of the adhesion around biceps (Fig 5D), a Remplissage procedure was performed (Fig 5 E and F). Download : Download high-res image (782KB) Download : Download full-size image; Fig 5
  2. The biceps muscle group (biceps brachii) is made up of two heads, the long head and the short head. The muscles originate at the shoulder and insert on the radius (short bone in the forearm). The main function of the biceps brachii is to supinate the forearm (pretend like you are holding a cup of soup in the palm of your hand; this position is.
  3. Results. The effusion within the biceps long head tendon sheath was detected in 58.42% of the patients studied: 69.23% in adhesive capsulitis, 56.69% in rotator cuff tear, 41.03% in calcific tendinitis, and 33.33% in biceps tendinitis
  4. Biceps Femoris Rupture. Grade 3 is a rupture to the biceps femoris muscle, also called a complete tear, and is the most serious injury to this muscle.It involves a tear to at least half, and.

Tears of the long head of the biceps can be partial or complete, and partial tears can progress into the latter variety if left untreated. Secondary complications such as an impingement syndrome, rotator cuff tendon tear, and labral tears are sometimes directly related to chronic proximal bicep issues Biceps Tendinitis. Biceps tendinitis is an inflammation or irritation of the upper biceps tendon. Also called the long head of the biceps tendon, this strong, cord-like structure connects the biceps muscle to the bones in the shoulder. Pain in the front of the shoulder and weakness are common symptoms of biceps tendinitis

Biceps tendinitis is inflammation of the tendon around the long head of the biceps muscle. Biceps tendinosis is caused by degeneration of the tendon from athletics requiring overhead motion or. 180 patients operated on in our department for a long head of the biceps lesion, either isolated or associated with rotator cuff tear, were retrospectively reviewed. Inclusion criteria comprised: failure of 6 months' medical management, preoperative clinical examination showing long head of the biceps injury (pain on palpation in the bicipital groove, positive Palm-Up test and O'Brien's. Biceps brachii rupture can occur at either superior or inferior attachment but most commonly involves the long head at its proximal origin at the superior glenoid labrum.Rupture of the distal biceps rupture causes weakness when supinating the forearm. It is therefore associated with significant functional loss, especially in laborers When surgically confirmed rotator cuff tears were present, the positive predictive values for a tear of the long head of the biceps tendon were 57.9%, 34.5%, and 50% for tears of the supraspinatous, infraspinatus, and subscapularis, respectively

Diagnosis and Treatment of Biceps Tendinitis and

  1. Biceps Tendonitis. Biceps tendonitis is a well recognized source of anterior shoulder pain that may be associated with subscapularis tears and subacromial impingement. Diagnosis can be suspected clinically with anterior shoulder pain made worse with provocative tests and confirmed with MRI studies to evaluate for concurrent pathology
  2. Biceps Tendon Tear at the Shoulder is an injury that occurs, when the bicep tendon that attaches to the shoulder, tears. It is usually caused from any physical activity, such as an athletic sport, or a normal daily activity that require a repetitive use of the shoulder muscles. A bicep tendon tear can either be partial or complete
  3. As mentioned earlier, biceps femoris originates from two different sites, the long head originates from the hip bone and the short head originates from the back of the femur called the thigh bone. Both the parts of the muscles join together and cross at the knee joint to get inserted on the outer surface of the leg bone namely the tibia and fibula
  4. Proximal biceps tears occur when one of the two tendons that connects the biceps muscle to the shoulder - either the long head tendon that attaches the bicep to the top of the scapula or the short head that attaches the biceps muscle to the front of the shoulder socket (on the coracoid bone) is fully or partially torn (note that.
The Hook Test: Don’t Miss A Rupture of the Biceps TendonBiceps Tendon Rupture - PhysioAdvisor

Co-Authored by John D. Idoine III, D.O. and Yousef Shishani, MD Shoulder pain from an injury to the long head of the biceps tendon (LHBT) is a common condition that affects many competitive. The long head of the biceps tendon presents a different challenge entirely because the main movements within powerlifting evoke fairly low-level activation of the biceps musculature. 55,64,68 Without the obvious tensile stress, it is less apparent why biceps tendons enter a pathological state during intense blocks of training Biceps tendinopathy refers to inflammation or degeneration of the long head of the biceps tendon. It is an important cause of anterior shoulder pain and it is usually seen in association with other shoulder pathologies, such as rotator cuff tears and shoulder impingement. There are two specialized tests to confirm the presence of biceps.

Proximal end of biceps has two head, which joins to form biceps muscles. The long head is attached to shoulder joint and short head originates at coracoid process of the scapula. The function of the proximal end of the biceps is to assist in flexion of upper arm at shoulder and stabilize the shoulder joint The long head of the biceps arises from the supraglenoid tubercle and the short head of the biceps arises from the coracoid process. An intact tendon but with a painful response to the hook test is indicative of a partial tear 14. The PFP test evaluates the functional continuity of the distal muscle-tendon-bone complex 15

The role of the long head of the biceps tendon at the shoulder is not clearly understood. Some feel that it serves as a humeral head depressor, similar to the supraspinatus. Others feel that the effect of the biceps on shoulder stability is limited. Recently, there was a SMR post examining the role of the biceps in the presence of rotator cuff. Differential Diagnoses. Muscular tear (e.g. rotator cuff tear, long head of biceps tear) - the weakness will persist despite the shoulder pain being relieved; Neurological pain (e.g. thoracic outlet syndrome, cervical radiculopathy, brachial plexus injury) - any weakness will likely be associated with paraesthesia and / or pain, yet the weakness will persist despite the shoulder pain being. The short-head tendon attaches to bone outside of the shoulder joint. The long-head of the biceps tendon travels into the shoulder joint and attaches to a soft tissue anchor called the labrum of the shoulder. The biceps acts to flex the elbow, rotate the forearm, and to center the humeral head (ball) in the glenoid (socket) Biceps tendonitis. Biceps tendinitis is inflammation or irritation of the upper biceps tendon, called the long head, which connects your biceps muscle to the bones in your shoulder joint. Biceps tendonitis is typically caused by repetitive motion in sports or work activities, so it can develop at the same time as rotator cuff tendonitis because. Pain localized to the long biceps tendon marks a positive test. Yergason reasoned this test would isolate biceps tendon injury from rotator cuff pathology. A study of 50 patients, using arthroscopy as the gold standard, found Yergason's test to have a sensitivity of 43 percent, specificity of 79 percent, and positive likelihood ratio of 2.05

The supraspinatus muscle is most superior and works with the long head of the biceps and subacromial bursa to facilitate overhead movement of the shoulder. Pain and mechanical symptoms with resistance that then resolves with supination is a positive test. A positive test indicates a SLAP tear (superior labral tear from anterior to posterior. Biceps tendonitis is when the long head of the biceps tendon becomes inflamed. When this happens, the tendon may swell. As it gets worse, the outside of the tendon (the sheath) can thicken. Pain in the front of the shoulder that is made worse when pulling, lifting, or doing repeated overhead activities Tendon ruptures of the biceps brachii, one of the dominant muscles of the arm, have been reported in the United States with increasing frequency. Ruptures of the proximal biceps tendon make up 90-97% of all biceps ruptures and almost exclusively involve the long head

Biceps Tendon Injuries: Causes, Symptoms & Treatment

  1. g the Test: The exa
  2. Test Name: Ludington's Test. What's Being Tested. Long Head of the Biceps Tendon. Patient Positioning. Arm raised and hands clasped on top of head. How the Test is Performed. Patient clasps both hands on top of the head, allowing the interlocking fingers to support the weight of the upper limbs. This allows the maximum relaxation of biceps tendon
  3. ation indicated a Popeye sign of the right biceps, and positive Speeds, Yergason and O'Brian's tests. MRI indicated a complete tear of the intra-articular portion of the long head of biceps tendon (LHBT)
  4. BACKGROUND: Biceps Tendinitis/ Bicipital Tendinitis/ Biceps Tendonitis: Bicipital tendonitis is an inflammatory process of the long head of the biceps tendon and is a common cause of shoulder pain due to its position and function. Disorders of the biceps tendon can result from impingement or as an isolated inflammatory injury
  5. - the most likely involved structure in a positive test; subacromial bursa; long head of biceps tendon - not as likely involved as supraspinatus tendon; a-c joint - pain during this test may also be the result of an injury to the acromioclavicular joint; Starting Position. The test is best performed with the patient in a relaxed sitting.
Biceps Rupture cause and sign ~ akufisioArthrex Biceps SwiveLock® - YouTube

Images. Long head of biceps. Originates at supra-glenoid tubercle (anterior superior aspect adjacent to glenoid fossa) Travels laterally through Shoulder joint in front of Humerus; Descends under the transverse humeral ligament and into the bicipital groov Summary. Biceps tendon tears are injuries to the biceps muscle that result in the complete or partial severing of the tendon from the bone. The tendon of the long head is most commonly affected, usually as a result of trivial trauma in patients with a pre-existing, degenerative joint condition. The rupture is rarely painful and usually does not cause any significant loss of function This paper focuses on biceps injuries in shoulder surgery. This topic is currently of great interest, and there has been much discussion about diagnosis, treatment and prevention. Biceps tendon pathology exists in many forms and is frequently associated with other shoulder disorders. These facts must be taken into consideration in the evaluation and treatment of patients with long head of the. The Biceps Tendon (long head) can be a cause of shoulder pain • #1 Supination of the elbow (screwing, twisting, gardening) • #2 Flexion of the elbow Pain is often in anterior/medial aspect of shoulder 3 attachments: • Radial tuberosity (distal) • Glenoid (long head) • Coracoid (short head) Long head Short head Neck examinatio

Proximal versus distal biceps tendon ruptures: When to

The study, Superior Capsular Reconstruction With the Long Head of the Biceps Autograft Prevents Infraspinatus Retear in Massive Posterosuperior Retracted Rotator Cuff Tears , was published on April 8, 2020 in The American Journal of Sports Medicine. The surgical techniques analyzed between January 2007 and March 2017 were Type II SLAP lesions are characterized by a detachment of the superior labrum and the origin of the tendon of the long head of the biceps brachii from the glenoid resulting in instability of the biceps-labral anchor. These is the most common type of SLAP tear. When we receive a script from a surgeon to treat a SLAP repair he or she is. Zhang Q, Zhou J, Ge H, Cheng B. Tenotomy or tenodesis for long head biceps lesions in shoulders with reparable rotator cuff tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc. 2015 Feb;23(2):464-9. doi: 10.1007/s00167-013-2587-8 The tear of the subscapularis muscle is less common then the tear of the other rotator cuff muscles, such as the supraspinatus, infraspinatus or suprascapularis. However, when it happens for the subscapularis to tear, then it is going to be extremely painful and it will also affect the tendon of the biceps, dislocating it from its normal position The classic full thickness rotator cuff tendon tear involves the supraspinatus and then progresses to involve the long head of biceps, followed by the infraspinatus and subscapularis. You may be surprised to hear that even if you suffer from a full thickness tear it does not mean you are doomed for surgery

Torn Bicep Injury: Types, Causes, Symptoms, and Treatmen

Classification of the long head of the biceps tendon by arthroscopic findings. a Type I, Normal tendon.b Type II, Hourglass-shaped hypertrophic tendon with extension of fraying into bicipital groove.c Type III, Partial tear or fraying involving less than 50% of tendon width at the intraarticular region without fraying in the bicipital groove.d Type IV, Partial tear involving more than 50% of. Biceps tendonitis is considered a fairly common cause of shoulder pain. Biceps tendon tears can happen at the shoulder or elbow and can be partial or complete tears. What Causes Biceps Tendonitis? The biceps muscle is made up of two parts: the short head and the long head. The long head of the biceps is the outer portion of the muscle and.

Distal Triceps Injuries - Radsource

Torn Bicep Injury: Causes, Symptoms, and Treatmen

Biceps Tenodesis Similar to SLAP repair, but accelerated Sling for 2-3 weeks No isometric biceps for 4-6 weeks Cuff strengthening at 4 weeks Active Shoulder flexion at 4 weeks Throwing program at 12 weeks Release at 4-6 months Conclusions Adaptive Changes in the thrower's shoulder leave it susceptible to injur A debate persists regarding the role of the long head of the biceps in the function of the shoulder. Inflammation is caused by micro tears in the tendon generated by overuse or exceeding the strength of the tendon. Repetitive motion such as throwing, serving, or swinging a golf club can predispose to these micro tears and inflammation

The Distal Biceps Tendon Tear- The Hook Test HuffPos

In subscapularis tendon tear, the tendon of the long biceps head often dislocates out of its normal position.. A tear of the tendon of the long biceps brachii head due to an injury or overuse results in the movement of the biceps muscle down and therefore in the visible lump on the inside of the lower part of the upper arm near the elbow (Popeye sign or Popeye deformity) [3] Two-thirds of patients with long head of biceps tendon (LHBT) pathology have simultaneous rotator cuff tear, which may lead to anterior shoulder pain and forward flexion dysfunction [1,2,3].Rotator cuff tear is a debilitating condition and plays a crucial role in determining health status according to the 36-Item Short Form (SF-36) questionnaire [4,5,6] Long Head Biceps Tendon Function. Disorders of the tendon of the long head of the biceps brachii (LHB) are common. Many studies have attempted to identify the role of the LHB in shoulder function, but its significance in glenohumeral kinematics remains unclear. Some investigators describe the LHB as merely a vestigial structure, which may. The superolateral border of the subscapularis tendon is connected to the biceps pulley, which precludes medial displacement of the biceps. Considering that subscapularis tears are likely to involve the biceps pulley and lead to medial displacement of the biceps subsequently, a biceps subluxation or dislocation can be a reliable clue of an underlying subscapularis tear [1, 2, 7-9]

Biceps Tendonitis of the Shoulder | Dr HC Chang

Biceps tendonitis is inflammation of the tendon of the biceps muscle, which is the large muscle on the front of the upper arm that is used to bend the elbow. The biceps muscle splits into two muscle heads that attach to different bones in the shoulder region via fibrous cord-like structures known as tendons Absence of the intraarticular long head of the biceps tendon (LHBT) may be congeni­ tal. Clues to the presence of an absent LHBT as opposed to more proximal complete tear of the tendon include lack of tendon retraction or a tendon stump and lack of fraying or de­ generation of the tendon [2]. A flat or hypo An upper arm muscle tear is very painful. The specific symptoms felt with a pulled biceps or triceps depends upon the severity of the strain. Typical symptoms of a strained triceps sudden, sharp pain in the upper arm (front - biceps; back - triceps) during exercise usually felt during resistance activities (like lifting weights in [ Distal biceps tendonitis is relatively rare; proximal lesions are far more common, representing approximately 90% of biceps tears. Tendonitis and subluxation of the long head are very common, often seen alongside degenerative rotator cuff tears in older patients. Ruptures of the distal biceps occur most commonly at the point of insertion. The bicep actually consists of two muscle groups. If you tear the long head of the biceps, you may experience shoulder pain. If you are lifting weights at the same time your arm may give out and drop whatever load it is carrying. If you tear the short head of the biceps, you may experience acute elbow pain followed by weakness