Distal Biceps Tear Care with Andrew Yang, MD

Overview

The distal biceps tendon attaches the biceps muscle to the radius near the elbow. A tear may occur with a sudden load on a bent elbow and can affect elbow bending or forearm rotation.

Symptoms

• Sudden pain near the front of the elbow after an injury
• Bruising or swelling around the elbow and forearm
• Weakness when turning the palm up or bending the elbow
• A change in the contour of the biceps in some injuries

Diagnosis and evaluation

Evaluation includes the injury history and examination of elbow motion and strength. X-rays or advanced imaging may be used when needed to assess the tendon and related structures.

Non-surgical options

• Activity modification and temporary protection
• Pain management when medically appropriate
• Rehabilitation to maintain motion and build strength
• Non-surgical care may be considered for some tears based on activity needs and examination

Surgical options

• Repair may be discussed for selected complete tears, particularly when strength demands and examination findings support it. Timing and approach depend on the injury and individual health factors.

Who may be a candidate

People with a sudden elbow injury, bruising, or weakness when turning the palm up should seek an evaluation. The tear type, activity needs, and health history help guide care.

Recovery timeline

• Early care protects the tendon and maintains safe motion.
• After repair, lifting and elbow motion follow a staged plan.
• Strengthening and return to heavier tasks progress with follow-up.
• Recovery varies by injury, treatment, and individual factors.

Cost and insurance

OrthoMD accepts Medicare, workers' compensation, auto insurance, and most major plans. Coverage varies by plan and service. Call (917) 242-4585 to ask about coverage.

Frequently asked questions