Reason: eval biceps, flexor tendons History: continued proximal anterior forearm and elbow pain after lifting heavy object not responsive to PT LIGAMENTS: Although this examination was not optimized for detailed evaluation of the intrinsic ligaments of the elbow, the ulnar collateral ligament, radial collateral ligament, and the lateral ulnar collateral ligament appear intact.TENDONS: There is partial-thickness tearing of the biceps tendon, at the level of its insertion on the bicipital tuberosity. There is minimal, if any, retraction of the proximal tendon fragment. Some of the fibers of the biceps tendon can be traced to their insertion and appear intact. There is thickening and intermediate signal intensity of the proximal tendon fragment indicating tendinosis. There is a moderate amount of fluid within the bicipitoradial bursa.The brachialis tendon appears intact. There is minimal thickening and intermediate signal intensity of the triceps tendon indicating minimal tendinosis. The common extensor tendon appears intact. There is thickening and intermediate signal intensity within the common flexor tendon indicating minimal tendinosis.ARTICULAR SURFACES AND BONE: No bone marrow signal abnormality is identified. No full-thickness articular cartilage defects are seen. SURROUNDING STRUCTURES: There is minimal increased signal abnormality within the medial head of the triceps muscle at the level of the myotendinous junction which may reflect a mild strain. The imaged musculature of the left elbow is otherwise unremarkable. There is nonspecific subcutaneous edema along the medial aspect of the elbowADDITIONAL
Partial-thickness tear of the biceps tendon at the level of its insertion on the bicipital tuberosity as described. Other findings as described above.