Ruptured Biceps Tendon in Young, Active Patients with Heavy Physical or Occupational Demands

Managing ruptured biceps tendon in young, physically active individuals with heavy recreational or occupational demands — including thin muscular patients — requires a specific, structured approach. This protocol addresses that clinical scenario directly.

Patient Scenario

Young and active patients with heavy physical recreational or occupational demands, and thin muscular patients, represent a distinct population in biceps tendon injury. Patient characteristics in this group make the selection and sequencing of management particularly important.

Approach Overview

Initial management in this scenario involves nonsurgical measures — including activity modification and physical therapy — as part of the structured approach; the complete regimen with all options is available in the full protocol.

Instant Access to Structured Evidence-Based Regimens

References

We prefer to perform biceps tenodesis in young and active patients, patients with heavy physical recreational or occupational demands, and thin muscular patients.

Nonsurgical management of proximal biceps tendinopathy has traditionally included activity modification, physical therapy, antiinflammatory medications, and corticosteroid injections into the glenohumeral joint, subacromial space, or into the biceps tendon sheath in the groove.

DOI: 10.1016/j.csm.2015.08.010

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