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History and Physical Examination
A 72-year-old man presents to the emergency department (ED) complaining of elbow and biceps femoris tendon (biceps) pain. He states he was at home when he had a mechanical fall on the stairs and grabbed the handrail with his right arm while falling to the left. He describes pain, biceps weakness, and a lump on his muscle with a divot that is proximal to the antecubital fossa. He denies fever, near syncope, or other injury or complaints.
On examination, vital signs appear normal; however, elbow flexion and supination are weak. Initial concerns include muscle tear, tendon rupture, and fracture. The patient underwent radiographic examination per his request but the radiographs appeared normal. Figures 1 and 2 depict images of the right arm and uninjured left arm, respectively.
What do the images show? What should your next step be?
Click to the next page for answers.
This article originally appeared on Clinical Advisor
