Current Concepts Review   |    
Disorders of the Proximal and Distal Aspects of the Biceps Muscle
LCDR Lucas S. McDonald, MD, MPH&TM, MC, USN1; CDR Christopher B. Dewing, MD, MC, USN1; LCDR Paul G. Shupe, MD, MC, USN2; CDR Matthew T. Provencher, MD, MC, USN1
1 Department of Orthopaedics, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-1112. E-mail address for L.S. McDonald: Lucas.mcdonald@med.navy.mil
2 U.S. Naval Hospital Yokosuka, Japan, PSC 475, Box 1630, FPO, AP 96350
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Investigation performed at the Naval Medical Center San Diego, San Diego, California

Disclaimer: The views expressed in this paper are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or United States government.

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2013 Jul 03;95(13):1235-1245. doi: 10.2106/JBJS.L.00221
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Proximal Aspect of Biceps 

 ➤ Tenodesis of the long head of the biceps may offer improved cosmesis, improved strength, and diminished activity-related pain compared with tenotomy, although comparative studies have shown similar outcomes in some patient populations.

Distal Aspect of Biceps 

 ➤ Operative treatment of both partial and complete distal biceps ruptures results in better outcomes compared with nonoperative care, although the optimal technique and fixation are yet to be determined.

 ➤ Nonoperative management is an acceptable treatment for patients willing to accept some loss of forearm supination and elbow flexion strength as well as changes in endurance and cosmesis.

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