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Long Head of Biceps Rupture

The biceps muscle splits into two tendons at the shoulder.The long tendon runs over the top of the humerus bone and can suffer a partial rupture causing pain at the front of the shoulder.

Symptoms of Biceps Long Head Rupture  

  • A sudden sharp pain at the front of the upper arm.
  • Pain and swelling over the front of the shoulder joint.
  • You will be unable to contract the biceps muscle against resistance because of pain (certainly in the first couple of days after injuring it).
  • Pain on resisted shoulder flexion with a straight arm (i.e. lifting a straight arm up above the head).

Biceps Tendon Rupture Explained

The biceps muscle splits into two tendons at the shoulder. A long one and a short one. The long tendon runs over the top of the humerus bone (upper arm) and attaches to the top of the shoulder blade. A rupture of this tendon is rare in young athletes but more common in older ones.

Treatment of Biceps Long Head Rupture


What can the athlete do?

  • If the athlete suspects this injury they should apply ice and see a sports injury specialist or doctor as soon as possible.

What can a sports injury specialist or doctor do?

  • Operate if needed.
  • Prescribe a full rehabilitation programme.