Man 58 yo playing tennis got pain in
left upper arm. Clinical detected left biceps muscle
protrusion in contraction and painful. ( see photo 1 relaxed
position, photo 2 flexion position).
Ultrasound of biceps muscle =
US 1 : longitudinal scanning represented
rupture at the upper head of biceps muscle.
US 2 : crossed section disclosed echo poor
pattern due to hematoma.
US 3 : crossed section at middle part of
biceps muscle showed hyperechoic
pattern by contraction.
MRI made sure that rupture of upper part
of biceps muscle.
Operation for repairing the ruptured muscle.
Conclusion: Orthopedic pathology
due to sports named Popeye' sign.
Reference: Anatomy of biceps
tendon and Popeye’ sign.
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