Clinical Photograph – Rupture of Proximal Biceps Tendon


Ruptured Distal Biceps Tendon

Ruptured Biceps Tendon-The Popeye Muscle

Rupture of the proximal head of the biceps tendon involves one of two heads of the biceps tendon. This condition usually occurs in older individuals and is caused by degenerative changes.


Symptoms are

  • Sudden pain
  • Audible snap i
  • Bulge in their arm at the biceps muscle also referred to as a “Popeye Muscle”

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Comments

  1. Jim Clarke says:

    I have a ruptured bicept which happened at the end of Yuly 2009 went to my doctors who said no treatment was required as things would heel in due course but as time has past i still have the Pop-Eye muscle is there any long standing problems i could meet in the future i am a 74 year old person King regards Jim Clarke

    Dr Arun Pal Singh Reply:

    @Jim Clarke,

    Popeye muscle is a feature in this condition. I do not think it would go.
    But apart from that there is hardly any problems associated with this.

  2. Dear Dr. Pal Singh,
    I am a practicing Behavioral Optometrist as well as a former competitive bodybuilder. I have severe rotator cuff arthropathy in both shoulders, as well as a longstanding near full rupture of my left proximal tendon of the long head of my left bicep. Two weeks ago I completely ruptured the proximal tendon of the right long head bicep. I have the “popeye” sign now right>left. My sports orthopedic told me to not reattach the right tendon since I am symmetrical now. My worry is that what are the chances I rupture the proximal tendon of either short bicep head, since I still train heavy? My surgeon said that it is very rare to rupture the short head tendon. I am 44 years old. Thanks for your consideration and input!
    Bob Esposito

    Dr Arun Pal Singh Reply:

    @Dr. Robert J. Esposito,

    90-97% of ruptures of biceps are in long head. Short head ruptures are rare but yes they do occur.

    There is no study available till now about predicting chances of rupture in short head in case of previously ruptured long head.

    And as you would still be building, the risk is definitely greater as compared to general population.

    Chances are low but possibility cannot be ruled out. I would definitely suggest not to strain much.

  3. juan carlos reyes says:

    hi. I also believe that i have a popeye muscle. I’m 42 and that happens during a superset shoulder workout. During front and lateral (thumbs up) raises, I felt like a little electricity going down my biceps and inmediately see like a little hole in my upper right biceps. yeah that’s a difference comparing to my left biceps. Do a need surgery? Can I keep working out? Thanks

    Dr Arun Pal Singh Reply:

    @juan carlos reyes,

    Did you take an opinion?

  4. vicki says:

    My friend is 32 and works as a mechanic, he ruptured his right proximal biceps, has has has surgery to help, he said they fused the tendons, and he is still unable return to work, has been out almost a year and a half. And still getting therapy. Still I constant pain. He is seeking a second opinion. What can he do to relieve pain.

    Dr Arun Pal Singh Reply:

    @vicki,

    I cannot suggest treatment on this interface. Please see a doctor to look for cause of pain and treatment of the cause.

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