Biceps injury

1-It is a clinical diagnosis.

2-Tendon will be corrugated and interrupted.

young male hand pain and weakness while work out in Gymnasium. Patient heard a snapping sound from elbow and reported to nearby doctor who advised MRI after which patient was given above elbow slab. MRI was reported as distal biceps rupture with inflammation surrounding area.

3-FABS position:

-Here the patient lies prone with the affected arm raised beside his head and the elbow is flexed passing above the head.

Localizer MR image with lines shows slice positioning for flexed abducted supinated view. Notice sections, sagittal to long axis of body but coronal to anatomy at elbow. Ideal angulation is planned along distal biceps brachii tendon, but often, as here, this structure is not clearly visible on localizer images. In this case, sections nearly perpendicular to radius provide reasonable and reproducible imaging plane.

Photograph shows patient positioning for flexed abducted supinated view: patient is positioned prone on MRI table with elbow in flexed abducted supinated view position. Notice position of arm, flexed at elbow and abducted at shoulder with supinated forearm, thumb up.

 In general, it was preferable for the patient to lie prone for these views. The shoulder was abducted 180°, with the arm beside the head. The elbow was flexed to 90°, with the forearm supinated, thumb up, and a shoulder phased array coil was placed around the elbow . The position is referred to in this article as the flexed abducted supinated view, but usually in our practice it is termed the “FABS view,” meaning the flexed elbow with the shoulder abducted and the forearm in supination view.

Fast spin-echo proton-density–weighted MR image (repetition time msec/echo time msec = 3000/34) obtained with the patient in the FABS position shows a normal distal biceps tendon (curved arrow), the musculotendinous junction (straight arrow), and the radial tuberosity (arrowhead).

 Fat-suppressed fast spin-echo proton-density–weighted MR image (3000/45) demonstrates a minor partial tear of the distal biceps tendon (arrow) with a trace of peritendinous fluid (arrowhead).