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Friday 16 February 2018

CASE 478: POPEYE’ SIGN of BICEPS MUSCLE, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.




Man 58 yo playing tennis got pain in left upper arm.  Clinical  detected left biceps muscle protrusion  in contraction and painful. ( see photo 1 relaxed position,   photo 2  flexion position).



Ultrasound of biceps muscle  =

US 1 :  longitudinal scanning represented   rupture at the upper head of biceps muscle.


US 2 :  crossed section disclosed  echo poor pattern due to hematoma.  


US 3 : crossed section at middle part of biceps muscle  showed  hyperechoic pattern  by contraction.


MRI  made sure that rupture of upper part of biceps muscle.


Operation for repairing the ruptured muscle.   

Conclusion:  Orthopedic pathology due to sports named  Popeye' sign. 

Reference:   Anatomy of biceps tendon  and  Popeye’ sign. 








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