Case Report
 
Distal biceps tendon rupture in a 22-year-old female collegiate softball player
Michael D. Oberle1, Ryan C. Butler2, Bart Eastwood3
1Medical Student, Edward via College of Osteopathic Medicine-Auburn Campus, Auburn, Alabama, USA
2Certified Athletic Trainer, Athletics, University of Dayton, Dayton, Ohio, USA
3Orthopedic Surgeon, Sideline Orthopedics and Sports Medicine, Blacksburg, Virginia, USA

Article ID: 100008Z14MO2017
doi:10.5348/Z14-2017-8-CR-5

Address correspondence to:
Michael Dean Oberle
910 South Donahue Drive
Auburn, United States of America
36832

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How to cite this article:
Oberle MD, Butler RC, Eastwood B. Distal biceps tendon rupture in a 22-year-old female collegiate softball player. J Case Rep Images Orthop Rheum 2017;2:23–26.


ABSTRACT
Introduction: Distal biceps brachii tendon ruptures are an injury most commonly observed in the middle aged men following an extreme eccentric load.
Case Report: A 22-year-old female collegiate softball pitcher ruptured her distal biceps brachii tendon while competing. After several weeks of conservative treatment the patient elected for surgical repair. The surgery was performed with a single incision approach and the tension-slide method. The athlete responded well to the surgery and at 20 weeks postoperative was performing light throwing in preparation for the upcoming season.
Conclusion With the increasing popularity of softball, it is impossible to predict whether this case represents an isolated incident or an injury that was misdiagnosed in the past. This injury in a patient of this gender and age was absent in the sports medicine and orthopedic literature until this case. The current literature contains only cases of full ruptures in females over 40 years of age. This injury is the first of its kind in a collegiate softball player. It is possible with the recent increased popularity of softball and looser pitching rules that this injury may begin to occur with increased frequency.

Keywords: Athletes, Elbow, Sports, Supination

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Acknowledgements
We would like to thank Mrs. Jana Schellinger for her editorial edits and literature search assistance. We would also like to thank Dr. Paul Brisson for his continued support of surgical research at the Edward Via College of Osteopathic Medicine-Auburn Campus.
Author Contributions
Michael D. Oberle – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ryan C. Butler – Analysis and interpretation of data, Drafting the article and Critical revision of the article, Final approval of the version to be published
Bart Eastwood – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Michael D. Oberle et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.