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Journal of Shoulder and Elbow Surgery

Biceps rupture in bodybuilders: Three case reports of rupture of the long head of the biceps at the tendon-labrum junction

      According to Gilcreest,
      • Gilcreest E.L.
      The common syndrome of rupture, dislocation and elongation of the long head of the biceps brachii.
      rupture of the long head occurs in 50% of biceps ruptures. He also noted that an acute, traumatic rupture of this tendon occurs most often when a person is raising a weight of 68 kg or more. Ruptures of the long head of the biceps tendon are commonly caused by degenerative changes within the tendon and are associated with pathologies of the subacromial space. Degenerative changes in the tendon, characterized by disorganized collagen fibers and large mucoid deposits, occur mainly in the distal bicipital groove.
      • Refior H.J.
      • Sowa D.
      Long tendon of the biceps brachii sites of predilection for degenerative lesions.
      The common site of rupture occurs within the groove; this predominantly occurs in men in their sixth or seventh decade of life as a result of the weakening of the tendon by the degenerative process. The other commonly recognized site of traumatic tears occurs at the biceps anchor on the labrum (superior labrum anterior-posterior lesions), but these do not lead to complete rupture of the tendon.
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