PMC6735172_01
Acute biceps rupture in a military parachutist. Popeye deformity is noted.
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fig1
The muscle defect was palpable, and Popeye's deformity was noticed as shown in Figure 1.
(a, b) MRI images showing an intrasubstance tear of the biceps brachii (arrows) with a large hematoma filling the defect.
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fig2
Magnetic resonance imaging (MRI) of the right upper limb disclosed the proximal rupture of the biceps brachii at the musculotendinous junction (Figures 2(a) and 2(b)).
Intraoperative photograph showing the intramuscular biceps tear (yellow arrows).
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fig3
On observation, the long head of the biceps brachii was almost ruptured beneath the myotendinous junction and the short head was completely transected within the intramuscular substance (Figure 3).
Locking intramuscular sutures secure both the proximal and distal muscle segments (MS).
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fig4
Then, the gap was bridged with locking intramuscular nonabsorbable sutures (number 2, ETHIBOND EXCEL braided polyester on a tapered needle) (Figure 4).
Postoperative images three years after the surgery.
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fig5
The last follow-up that took place 3 years after the injury revealed great functional results with a full return of strength as well as satisfactory cosmetic results (Figures 5(a) and 5(b)).