"Popeye deformity" associated with proximal biceps tendon rupture.

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Date: Mar. 14, 2022
From: CMAJ: Canadian Medical Association Journal(Vol. 194, Issue 10)
Publisher: CMA Impact Inc.
Document Type: Clinical report
Length: 578 words
Lexile Measure: 1420L

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A 70-year-old man presented to our clinic with sudden-onset pain and abnormal bulging in his right upper arm. He was a farmer, and reported engaging in strenuous overhead activity, but did not remember any trauma. He had a history of chronic intermittent shoulder pain and a previous diagnosis of tendinitis. On examination, we observed that the belly of the patient's biceps appeared to bulge more distally on the right than the left (Figure 1). Hand supination was painful and weaker on the right side than the left. We diagnosed rupture of the proximal tendon of the long head of the biceps brachii.

+The "Popeye sign" observed in our patient is pathognomonic for this condition. We confirmed the diagnosis with magnetic resonance imaging (MRI) of the shoulder, which showed no tendon within the bicipital groove (Appendix 1, available at www.cmaj.ca/ lookup/doi/10.1503/cmaj.210948/tab-related-content). We prescribed analgesia with...

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Gale Document Number: GALE|A696336626