case_images: PMC6735172_01
case_images: Acute biceps rupture in a military parachutist. Popeye deformity is noted.
case_images: CRIOR2019-3472729.001.jpg
case_images: PMC6735172_01_CRIOR2019-3472729.001.jpg
case_images: fig1
case_images: The muscle defect was palpable, and Popeye's deformity was noticed as shown in Figure 1.
case_images: (a, b) MRI images showing an intrasubstance tear of the biceps brachii (arrows) with a large hematoma filling the defect.
case_images: CRIOR2019-3472729.002.jpg
case_images: PMC6735172_01_CRIOR2019-3472729.002.jpg
case_images: fig2
case_images: Magnetic resonance imaging (MRI) of the right upper limb disclosed the proximal rupture of the biceps brachii at the musculotendinous junction (Figures 2(a) and 2(b)).
case_images: Intraoperative photograph showing the intramuscular biceps tear (yellow arrows).
case_images: CRIOR2019-3472729.003.jpg
case_images: PMC6735172_01_CRIOR2019-3472729.003.jpg
case_images: fig3
case_images: On observation, the long head of the biceps brachii was almost ruptured beneath the myotendinous junction and the short head was completely transected within the intramuscular substance (Figure 3).
case_images: Locking intramuscular sutures secure both the proximal and distal muscle segments (MS).
case_images: CRIOR2019-3472729.004.jpg
case_images: PMC6735172_01_CRIOR2019-3472729.004.jpg
case_images: fig4
case_images: Then, the gap was bridged with locking intramuscular nonabsorbable sutures (number 2, ETHIBOND EXCEL braided polyester on a tapered needle) (Figure 4).
case_images: Postoperative images three years after the surgery.
case_images: CRIOR2019-3472729.005.jpg
case_images: PMC6735172_01_CRIOR2019-3472729.005.jpg
case_images: fig5
case_images: The last follow-up that took place 3 years after the injury revealed great functional results with a full return of strength as well as satisfactory cosmetic results (Figures 5(a) and 5(b)).