• activity76933
  • CME

  • Intrasubstance Ruptures of the Biceps Brachii: Diagnosis and Management

    Earn CME Credit »
  • Author(s)/Faculty: Stephen A. Parada, MD; David J. Wilson, MD; John M. Slevin, PA-C; Edward D. Arrington, MD
    Source: Orthopedics 34:11
    Type: Journal Articles/Items: 1
    Release Date: 11/1/2011 Expiration Date: 11/30/2012
    Credit Type: CME Number of Credit(s): 1
    Cost: $15 Provider: Vindico Medical Education

  • Traumatic intrasubstance ruptures of the biceps brachii are rare and historically specific to military static line parachute jumps; however, these injuries have recently been reported in the civilian literature. Diagnosis is made by history, clinical weakness in supination and elbow flexion, extensive ecchymosis and edema, and a palpable defect. Ultrasound and magnetic resonance imaging are useful to confirm the diagnosis and injury severity. Nonoperative treatment involves splinting in acute flexion. Early surgical intervention with primary repair has been shown to be more successful than late reconstruction.

Educational Objectives

As a result of reading this article, physicians should be able to:

  1. Understand the pertinent anatomy and the function of the biceps brachii muscle.
  2. Understand the mechanism of injury in traumatic intrasubstance ruptures of the biceps brachii and understand the characteristic physical examination in these patients.
  3. Understand the role of advanced imaging modalities in the diagnostic workup of patients who have suspected intrasubstance ruptures of the biceps brachii.
  4. Understand the operative and nonoperative treatment options and treatment outcomes.

This activity is approved for one year from the date of original release, November 1, 2011 to November 30, 2012.

CME Accreditation

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Vindico Medical Education and Orthopedics. Vindico Medical Education is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

Vindico Medical Education designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity is primarily targeted to orthopedic surgeons, hand surgeons, head and neck surgeons, trauma surgeons, physical medicine specialists, and rheumatologists. There is no specific background requirement for participants taking this activity.

How to Participate in this Activity and Obtain CME Credit

To participate in this CME activity, you must read the objectives and articles, review the presentations, complete the CME test, and complete and submit the registration form and evaluation. Give only one (1) correct answer for each question. A satisfactory score is defined as answering 80% of the questions correctly. Upon receipt of the completed materials, if a satisfactory score on the CME test is achieved, Vindico Medical Education will issue an AMA PRA Category 1™ Certificate within 4 to 6 weeks.

This CME activity is primarily targeted to orthopedic surgeons, hand surgeons, head and neck surgeons, trauma surgeons, physical medicine specialists, and rheumatologists. There is no specific background requirement for participants taking this activity.

Full Disclosure Policy

In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control.

Drs Wilson, Parada, Slevin, and Arrington have no relevant financial relationships to disclose. Dr D’Ambrosia, Editor-in-Chief, has no relevant financial relationships to disclose. The staff of ORTHOPEDICS have no relevant financial relationships to disclose.

The material presented in any Vindico Medical Education continuing education activity does not necessarily reflect the views and opinions of ORTHOPEDICS or Vindico Medical Education. Neither ORTHOPEDICS nor Vindico Medical Education nor the authors endorse or recommend any techniques, commercial products, or manufacturers. The authors may discuss the use of materials and/or products that have not yet been approved by the US Food and Drug Administration. All readers and continuing education participants should verify all information before treating patients or using any product.

Unlabeled and Investigational Usage

The audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage.