A 59-year-old male presented to the emergency department with left upper arm pain, which began abruptly while lifting some plywood about six days prior. On examination, he had significant tenderness at the proximal biceps and significant pain with passive range of motion as well as three out of five strength. There was also a large, soft tissue defect at his proximal bicep with ecchymosis. Point-of-care ultrasound (POCUS) revealed a proximal rupture of the long head of the biceps tendon (LHBT) (–).