Long Head of Biceps Rupture in a Middle-Aged Chef - A Case Study

Typically, biceps brachii muscle arise from two separate heads- long head and a short head. Long head of the biceps brachii travels through the glenohumeral joint. Rupture of the long head presents clinically as popeye deformity while actively trying to flex a supinated elbow. Two-thirds of the patients with LHB tendon injury have concomitant rotator cuff pathology. There are several therapeutic approaches to treat LHB tear ranging from conservative therapy to arthroscopic or open or mini open procedures. The two common surgical approaches include tenotomy and tenodesis. Tenotomy is usually reserved for elderly patients while Tenodesis is done for young, active, athletic individuals. Various techniques for tenodesis exist. Open subpectoral tenodesis and arthroscopic intra articular tenodesis are the two most common techniques. Here we describe a case of a middle aged chef who suffered a long head of biceps rupture. This was repaired by mini open sub pectoral biceps tenodesis.