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[6] Biceps tendinopathy [6] Point tenderness at the bicipital groove when the arm is 10° internally rotated Gradual onset of anterior shoulder pain that worsens with lifting or overhead reaching Biceps tendon rupture Proximal biceps tendon rupture [2] [4] Popping sound [2] Tenderness in the intertubercular sulcus No significant loss of function [2] Popeye sign: distal displacement of the biceps belly upon contraction [4] Distal biceps tendon rupture [4] [6] Acute, stabbing pain [4] Popping sound [4] Hematoma in the medial region of the cubital fossa [6] Limitation of flexion and partial or complete limitation of supination at the elbow joint [6] Swelling in the upper arm region created by the recoiled, shortened biceps muscle [6] Proximal displacement of the biceps belly upon contraction Diagnosis General principles [4] [6] [8] Diagnosis is primarily clinical