Musculoskeletal - Distal Biceps Tendon Rupture
Caption
A 30-year-old male presented with acute-onset left anterior elbow pain after feeling a “pop” while weight-lifting. On exam, there was an obvious reverse popeye sign, swelling and mild ecchymosis. There was slight weakness in flexion and supination. Hook test was positive. A Butterfly IQ was used on an MSK soft tissue setting to assess the tendon in long and short axis via an anterior approach. Discontinuity of the tendon and surrounding anechoic fluid representing hematoma were noted. Orthopaedic surgery was consulted and reviewed ultrasound images. As a result, the patient had an urgent MRI and underwent expedited surgical repair. Melanie Leclerc, MD CCFP(EM). @MelanieLecler19 David Lewis MB,BS FRCS FCEM CFEU PGDipSEM Saint John Regional Hospital, New Brunswick, Canada