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Torn distal biceps tendon

mje
I am 38 years old, 150 lbs, and weight train and exercise.  I am in very good condition.  Two months ago, however, I completely tore my distal biceps tendon at my left elbow while improperly lifting some drywall at my construction job.  At the time I didn't realize the extent of the injury.  I iced it, rested it, and after a few days gradually began using my left arm again.  A few later a friend encouraged me to see an orthopoedic surgeon.  He recommended an MRI.  The MRI showed a complete tear. I decided to have surgery to repair the tear.  However, since the injury was approximately two months old, the surgeon would have to insert the biceps tendon to the same insertion as the brachialis muscle, since too much time had passed and the biceps tendon had already begun to atrophy.  The surgery was supposed to have been today (8/16/05) except when I went in for my pre-op appoinment yesterday, the surgeon, after physically examining my arm, said that my biceps tendon had scarred down and healed almost exactly where he would have inserted it surgically.  Doing the surgery, according to him, could not improve what has already been accomplished naturally.
Is that really possible?  No additional MRI was recommended to verify that the tendon has indeed healed correctly.  Should I insist for another MRI?  At mt original consultation he did mention spontaneous healing by scarring down, so the idea is not foreign to me.  But I have been using my arm extensively over the past 5 weeks since I first met with the surgeon and had my MRI.  Can it heal in that amount of time?
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5109246 tn?1363725317
I'm 45 I completely ruptrured my right distal tendon TWO YEARS AGO--I just had surgery two weeks ago---so far I am still in a half cast and a sling.
I waited so long because 2 docs told me I would still have 80% functiobality etc....they were wrong, It was not getting better, it was getting worse, it was swell and bruise if I did anything at all so I had to try surgery---we will soon see how effective it was after 2 years....
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Avatar universal
HEY I TORE MY LEFT DISTAL BICEP 8 DAYS AGO AND WAS IN THE THE OPERATING ROOM AND WALKED OUT BECAUSE THE NURSE COULDNT GET THE IV IN 2 TIMES AND WAS WALKING UP MY GOOD ARM WITH THE NEEDLE I AM 50 YEARS OLD AND AFTER A WEEK IT FEELS BETTER EXCEPT FOR A BULGE IN LEFT  LOWER BICEP AND BRUISE FROM THEIR DOWN MY FOREARM MID WAY.IAM RETIRED USARMY AND I WILL TAKE MY CHANCES AND REHAB MY SELF IT HAS TO BE BETTER THAN SURGURY AND REHAB THANKS JOHN
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2 Comments
you will lose 40-50% strength in that arm and will lose the use of your bicep. You will lose most of your rotational strength in that arm. As time goes on the scarring will begin to affect the brachialis muscle and your strength will further degrade. I honestly cant understand why anyone would not repair a total distal bicep tear. You can not rehab a total bicep tear even with Physical Therapy you cant rehab a muscle that is no longer attached to the bone.
You're not likely to ever find out if you're right, but it would be fun to know -- this post is 6 years old and it's unlikely anyone on here is still around, but it would be fun if the poster is still around to say whether you're right or not.
Avatar universal
Guys i hurt my triceps months ago im only 13 n i continued doing pull-ups it doesnt really hurt that much n i hear my muscle vein break* a few weeks back n started to get scared. do my triceps heal/scar by itself or it permanent pls reply im terrified
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Avatar universal
15 days max, then it scars in place. I had mine repiared at the 15th day. You need to have it looked at the day you hurt it, then it starts with Xrays, MRI's, Pre surgery testing, all this takes around a week to see all these docs, and flip flop paperwork around, and stuff to be aproved, exp if workmans comp like mine,lol. So ASAP is the answer your looking for, max 15 days till surgery,
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Avatar universal
Enough about life AFTER surgery!  Can anyone answer the question:

WHEN IS IT TOO LATE TO HAVE SURGERY - Time wise in months...weeks, etc.  

Please.  Does anyone have an answer?  
Helpful - 0
Avatar universal
Do you know how bad a partial tear has to be in order to get surgery? I have had a partially torn bicep now for literally over about 2 months, if not a couple weeks longer....i went to the doctors after 2 weeks of lifting pain and just plain pain in bicep, and he said it could STILL take up to an additional  6 weeks...it's been 6 weeks and it still hurts a TON after for example holding a 15 pound baby, hurts on its own still, and hurts to put really any pressure on it...like i def can't do pushups or leaning on my arm......do you remember anything that the doctor said about when to get a partially torn bicep repaired surgically, or when to just let it heal on its own??? Thanks!
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