A torn biceps tendon at the elbow after a collision
An elbow surgeon and a hand therapist weigh in
The lower end of the biceps tendon connects the muscle to the forearm. It helps you bend your elbow and turn your palm up. A sudden force during or after a collision can tear it. [1]
You may feel a pop. Bruising may then show up at the front of the elbow. Turning keys or a screwdriver may feel weak. Being able to bend your arm doesn’t rule out this tear. [1]
Confirm where the tear is and how big
A doctor can examine the tendon and compare your strength with the other arm. Ultrasound or MRI may help if the exam is unclear or the doctor suspects a partial tear. Ask if the tendon is partly or completely torn. Ask, too, whether another injury explains numbness or weakness in your hand. A complete tear usually won’t reattach to the bone by itself. [1]
Talk about treatment early
Surgery can bring back more of your original turning strength. It also carries risks and needs a protected recovery. Nonsurgical care may be a sound choice for some people, especially when surgical risk or activity demands favor it. Decide soon, since a repair done later can be harder. [1]
Ask how much lifting and turning strength you can reasonably expect with each option. If you have the repair, follow the brace and therapy schedule exactly. Heavy pulling too early can damage the repair. [1]
When to get checked again
Get a prompt exam for new or growing finger numbness, marked swelling, or a hand that is cold or pale. Tell your team about a new pop or a sudden loss of strength during rehab. [1]
Questions about repair and return to work
- Is my tear partial or complete?
- How soon do I have to choose between repair and other treatment?
- When can I lift, turn my palm and go back to work?
List the tasks that need a strong twist
Write down the tasks in your life that need strong palm turning. Bring the list so your treatment talk fits your daily life. [1]
Sources and further reading
This article offers general education from elbow surgery and hand therapy. The right treatment depends on your tear, your health and how much strength your daily activities call for.
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