Ultrasound Case: Rupture of Left Bicep

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Ultrasound Case Rupture of Left Bicep

• Diagnosis Complete Rupture of Left Bicep
• History Patient felt a large pop and acute arm
  pain after lifting a box. Two days later, her arm
  became "black and blue".
• Findings A longitudinal image along the groove
  of the biceps tendon shows abrupt termination of
  the biceps tendon (t) in its groove. The empty
  sheath beyond the tendon end is filled with fluid
  (). B refers to the bone interface in the
  groove for the tendon, and DM refers to the
  deltoid muscle.
• Treatment None

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Ultrasound Case Rupture of Left Bicep

• Diagnosis Complete Rupture of Left Bicep
• History Patient felt a large pop and acute arm
  pain after lifting a box. Two days later, her arm
  became "black and blue".
• Findings An extended field of view image showing
  the torn retracted long head (LH) of biceps
  muscle in long axis. Hematoma (H) surrounds the
  retracted ends of the muscle. SH refers to
  portions of the short head of the biceps seen in
  this view, which is intact. SQ refers to the
  subcutaneous fat. The extended field of view
  enables visualization of the muscle almost in its
  entirety, giving a better appreciation of the
  extent of the abnormality. The symbol "B" refers
  to the bone interface. .
• Treatment None

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Ultrasound Case Rupture of Left Bicep

• Diagnosis Complete Rupture of Left Bicep
• History Patient felt a large pop and acute arm
  pain after lifting a box. Two days later, her arm
  became "black and blue".
• Findings A transverse (axial) image of the
  retracted biceps muscle. B refers to the bone
  interface of the humerus. H is the hematoma
  surrounding the retracted muscle. LH is the
  retracted long head of the biceps, and SH refers
  to the in tact short head of the biceps.
• Treatment None

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