Patient with Severe Pain and Hematoma of the Bicep
By Hayan Ibraheem, MD and Aziz Shaibani, MD
A male patient presented with sudden severe pain of the left biceps when he was on the commode and tried to shut a door with his left arm. A hematoma was noticed afterward. The patient had experienced similar symptoms in different arms and leg muscles over the previous two years. He has a history of ankylosing spondylitis and Addison disease. He is on prednisone 15 mg daily and recently repeated courses of Ciprofloxacin for a urinary tract infection. MRI scan revealed attenuated and ruptured bicep tendons. The patient had a normal SR, ANA, and no family history.
The followings are risk factors for recurrent tendons rupture, except:
1. Chronic steroid therapy
2. Inflammatory arthritides
5. Repeated trauma to the jointsClick here for the answer