09/10/2026
🏉 DISTAL BICEPS TENDON RUPTURE IN RUGBY PLAYERS – WHAT TO LOOK FOR!
A back-row rugby player sustains a traumatic elbow injury during a rolling maul, involving a heavy eccentric load + forced elbow hyperextension 🔑
🚩 Key clinical signs:
• Mechanism: Sudden eccentric overload of the biceps during contact, often with the elbow forced into extension 🔑
• History: Sudden sharp pain in the front of the elbow, often accompanied by an audible or palpable POP
• Weakness: Reduced elbow flexion strength, but forearm SUPINATION weakness is often the biggest functional deficit💯
• Deformity: Proximal retraction of the biceps muscle belly, creating a reverse Popeye appearance💪
• Bruising: Swelling + ecchymosis around the antecubital fossa, sometimes extending down the forearm
• Hook Test: Inability to hook a finger beneath the distal biceps tendon suggests a complete rupture🤝
• Imaging: Ultrasound or MRI to confirm the rupture, assess tendon retraction + guide surgical planning
🚨 TIME MATTERS!
Suspected complete distal biceps ruptures require urgent orthopaedic referral. Early surgical repair is generally recommended for high-demand rugby players to restore flexion + supination strength
Delays can make primary repair more challenging😓
Don’t miss this injury on the rugby pitch!
I go into this and all other rugby injuries as a quick but also detailed reference guide in the 2nd half of My new book!📕
📕Rugby Injury Prevention + Return to Play
Available on - link in bio 🔗
Best wishes
Chris