{"id":859,"date":"2023-06-02T19:16:29","date_gmt":"2023-06-02T16:16:29","guid":{"rendered":"https:\/\/drgpanagopoulos.com\/?page_id=859"},"modified":"2026-03-09T11:43:31","modified_gmt":"2026-03-09T09:43:31","slug":"rixi-katafytikou-tenonta-dikefalou","status":"publish","type":"page","link":"https:\/\/drgpanagopoulos.com\/en\/rixi-katafytikou-tenonta-dikefalou\/","title":{"rendered":"Distal biceps tear"},"content":{"rendered":"<p class=\"wp-block-site-tagline\">Georgios Panagopoulos MD | Orthopaedic Surgeon<\/p>\n\n\n<p><\/p>\n\n\n\n<p class=\"has-large-font-size\"><strong>Distal biceps tear<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1200\" height=\"800\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Elbow-2.jpg\" alt=\"\u03a1\u03ae\u03be\u03b7 \u03ba\u03b1\u03c4\u03b1\u03c6\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5\" class=\"wp-image-5492\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Elbow-2.jpg 1200w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Elbow-2-768x512.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Elbow-2-18x12.jpg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"translation-block\"><strong>Distal biceps tendon rupture<\/strong> is the detachment of the biceps brachii tendon from its insertion on the radial tuberosity at the level of the elbow.<\/p>\n\n\n\n<p class=\"translation-block\">This injury results in loss of the normal mechanical continuity of the biceps muscle, leading to decreased elbow flexion strength and, more importantly, significant loss of forearm <strong>supination strength<\/strong>.<\/p>\n\n\n\n<p class=\"translation-block\">This is a common injury in men between 30-50 years of age. Treatment is usually surgical.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"border-width:1px;border-top-left-radius:10px;border-top-right-radius:10px;border-bottom-left-radius:10px;border-bottom-right-radius:10px;padding-top:var(--wp--preset--spacing--60);padding-right:var(--wp--preset--spacing--60);padding-bottom:var(--wp--preset--spacing--60);padding-left:var(--wp--preset--spacing--60)\">\n<p class=\"has-medium-font-size\"><strong>Key takeaways at a glance<\/strong><\/p>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1769437151249\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>What is a distal biceps tear?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>Distal biceps tears are elbow injuries that can significantly affect strength and functionality of the upper extremity.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1769437253909\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>When does it occur?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>It typically involves middle aged men, after sudden extension or heavy lifting.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1769437288893\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>What's the treatment?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>Treatment is usually surgical, especially in active and working patients.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1769437343125\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>Is timely diagnosis important?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>Timely diagnosis (exam &amp; imaging) is crucial for a favorable outcome.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1769437403974\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>Is timely treatment important?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>Timely surgical repair within the first weeks allows more predictable recovery and restoration of strength.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0\" id=\"rank-math-toc\"><p><strong>Table of contents<\/strong><\/p><nav><ul><li class=\"\"><a href=\"#\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03b7-\u03c1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5\">What is a distal biceps tendon rupture?<\/a><\/li><li class=\"\"><a href=\"#\u03c4\u03b9-\u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af-\u03c4\u03b7-\u03c1\u03ae\u03be\u03b7-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5-\u03c3\u03c4\u03bf\u03bd-\u03b1\u03b3\u03ba\u03ce\u03bd\u03b1\">What causes a rupture of the distal biceps?<\/a><\/li><li class=\"\"><a href=\"#\u03c0\u03bf\u03b9\u03b1-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03b1-\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03c1\u03ae\u03be\u03b7\u03c2-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5\">What are the symptoms?<\/a><\/li><li class=\"\"><a href=\"#\u03c1\u03ae\u03be\u03b7-\u03ba\u03b1\u03c4\u03b1\u03c6\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5-\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">How is it diagnosed?<\/a><\/li><li class=\"\"><a href=\"#\u03c3\u03c5\u03bd\u03c4\u03b7\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Conservative treatment<\/a><\/li><li class=\"\"><a href=\"#\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Surgical Treatment<\/a><\/li><li class=\"\"><a href=\"#\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7-timeline\">Rehabilitation - Timeline<\/a><\/li><li class=\"\"><a href=\"#\ud83d\udccc-\u03c1\u03ae\u03be\u03b7-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5-key-facts\">Distal biceps tear - key facts<\/a><\/li><li class=\"\"><a href=\"#faq-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03b7-\u03c1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5\">What is a distal biceps tendon rupture?<\/h2>\n\n\n\n<p class=\"translation-block\">A <strong>distal biceps tendon rupture<\/strong> occurs when the tendon attaching the biceps muscle to the biceps tuberosity at the elbow is torn from the bone. This injury occurs mainly in men in their 30s to 50s during heavy work or lifting. Many patients will have done lots of weight training in the past or have a heavy manual job.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img decoding=\"async\" width=\"612\" height=\"756\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/visual-selection-5.jpg\" alt=\"\u03a1\u03ae\u03be\u03b7 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5\" class=\"wp-image-6179\" style=\"border-radius:20px;width:546px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/visual-selection-5.jpg 612w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/visual-selection-5-10x12.jpg 10w\" sizes=\"(max-width: 612px) 100vw, 612px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c4\u03b9-\u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af-\u03c4\u03b7-\u03c1\u03ae\u03be\u03b7-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5-\u03c3\u03c4\u03bf\u03bd-\u03b1\u03b3\u03ba\u03ce\u03bd\u03b1\">What causes a rupture of the distal biceps?<\/h2>\n\n\n\n<p class=\"translation-block\">Distal biceps ruptures tend to occur in the dominant elbow of men (&gt;90%) around their 40s. The mechanism of rupture usually includes excessive eccentric tension as the arm is forced from a flexed to an extended position (<strong>flexed elbow unexpectedly challenged<\/strong>). Risk factors include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Smoking (x7.5 increased risk)<\/li>\n\n\n\n<li>Anabolic steroids (muscle grows too quickly before tendon can catch up)<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-2327df5e uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content\">\ud83d\udc49 A biceps rupture typically occurs after a sudden extension force is applied to the flexed elbow, as may happen while trying to catch a falling object.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img decoding=\"async\" width=\"1000\" height=\"512\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Distal-biceps.jpg\" alt=\"\u03a1\u03ae\u03be\u03b7 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5\" class=\"wp-image-4002\" style=\"border-radius:20px;width:687px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Distal-biceps.jpg 1000w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Distal-biceps-768x393.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c0\u03bf\u03b9\u03b1-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03b1-\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03c1\u03ae\u03be\u03b7\u03c2-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5\">What are the symptoms?<\/h2>\n\n\n\n<p>Most patients feel a sudden pop or snap at the front of their elbow with immediate pain, and subsequent bruising and swelling. This typically happens after lifting or dropping a heavy load. You may feel weakness in bending the elbow or twisting the forearm. You may also notice an altered contour of the biceps muscle \u2013 the muscle belly will sit higher up in the arm (compared to opposite uninjured side). This is called the \u201creverse Popeye sign.\u201d\nA ruptured distal biceps tendon is usually associated with 20-30% loss of flexion strength (bending the elbow) &amp; 40-50% loss of supination strength (rotating the forearm, as when you use a screwdriver).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\">Sudden <strong>snapping sound<\/strong> at the time of rupture<\/li>\n\n\n\n<li>Swelling &amp; bruising<\/li>\n\n\n\n<li class=\"translation-block\">Reduced <strong>supination<\/strong> strength<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Reverse Popeye<\/strong> sign<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Symptom<\/th><th>Why it occurs<\/th><\/tr><\/thead><tbody><tr><td>Loss of supination strength<\/td><td>Tendon does not transmit strength properly<\/td><\/tr><tr><td>Reverse Popeye sign<\/td><td>Muscle pulled upwards<\/td><\/tr><tr><td>Swelling \/ bruising<\/td><td>Post-injury inflammation<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"1184\" height=\"708\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u03a0\u03bf\u03b9\u03b1-\u0395\u03af\u03bd\u03b1\u03b9-\u03a4\u03b1-\u03a3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03a1\u03ae\u03be\u03b7\u03c2-\u03a4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u0394\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5-visual-selection.jpg\" alt=\"\u03a3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c1\u03ae\u03be\u03b7\u03c2 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5\" class=\"wp-image-6181\" style=\"border-radius:20px;width:653px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u03a0\u03bf\u03b9\u03b1-\u0395\u03af\u03bd\u03b1\u03b9-\u03a4\u03b1-\u03a3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03a1\u03ae\u03be\u03b7\u03c2-\u03a4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u0394\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5-visual-selection.jpg 1184w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u03a0\u03bf\u03b9\u03b1-\u0395\u03af\u03bd\u03b1\u03b9-\u03a4\u03b1-\u03a3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03a1\u03ae\u03be\u03b7\u03c2-\u03a4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u0394\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5-visual-selection-768x459.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u03a0\u03bf\u03b9\u03b1-\u0395\u03af\u03bd\u03b1\u03b9-\u03a4\u03b1-\u03a3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03a1\u03ae\u03be\u03b7\u03c2-\u03a4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u0394\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5-visual-selection-18x12.jpg 18w\" sizes=\"(max-width: 1184px) 100vw, 1184px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-9ed1f4bb uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\">In clinical practice, <strong>distal biceps tendon rupture<\/strong> is frequently underestimated at first, as pain may subside quickly while functional weakness becomes evident later.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c1\u03ae\u03be\u03b7-\u03ba\u03b1\u03c4\u03b1\u03c6\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5-\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">How is it diagnosed?<\/h2>\n\n\n\n<p class=\"translation-block\">History and physical exam usually provide enough information for your doctor to make a diagnosis of a distal biceps tendon rupture. Dr Panagopoulos may order an MRI or ultrasound to confirm the diagnosis and assess for tendon retraction or for partial ruptures, which are also possible.<\/p>\n\n\n\n<p><strong>The diagnosis of distal biceps tendon rupture is based on clinical examination combined with imaging studies.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Clinical findings<\/strong> may include deformity, bruising, and a positive Hook test.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Ultrasound<\/strong> offers rapid and reliable confirmation in experienced hands.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Magnetic resonance imaging<\/strong> (MRI) is useful to differentiate partial from complete ruptures and to guide surgical planning.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"272\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u03a1\u03ae\u03be\u03b7-\u03ba\u03b1\u03c4\u03b1\u03c6\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5.png\" alt=\"\u03a1\u03ae\u03be\u03b7 \u03ba\u03b1\u03c4\u03b1\u03c6\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5\" class=\"wp-image-2893\" style=\"border-radius:20px;width:431px;height:auto\"\/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c3\u03c5\u03bd\u03c4\u03b7\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Conservative treatment<\/h2>\n\n\n\n<p class=\"translation-block\">It is <strong>not mandatory<\/strong> for every ruptured tendon to be repaired. You can live with your ruptured distal biceps tendon. You should expect <strong>20-30%<\/strong> loss of <strong>flexion strength<\/strong> (bending the elbow) &amp; <strong>40-50%<\/strong> loss of <strong>supination strength<\/strong> (rotating the forearm, as when you use a screwdriver). If you have a low-demand job and lifestyle, you may manage well without surgery. However, if you have injured your dominant arm and engage in an active lifestyle, it is likely you will do better with surgery.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Surgical Treatment<\/h2>\n\n\n\n<p class=\"translation-block\">Most active working-aged patients will choose to have distal biceps repair surgery to restore function if their tendon is fully torn. Surgery to repair the tendon should be performed during the few weeks after injury. After this time, the tendon and biceps muscle begin to scar and shorten. Further delay may preclude a straightforward, primary repair. In chronic cases, a more extensile approach may be required to retrieve the retracted and scarred distal biceps tendon. Use of an allograft may also be needed.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-d18c7209 uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\">Treatment decisions are not based on imaging findings alone, but primarily on the patient\u2019s <strong>functional demands<\/strong> and the <strong>time elapsed<\/strong> since injury.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"\u0391\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c1\u03ae\u03be\u03b7\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c6\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5 (distal biceps repair)\" width=\"422\" height=\"750\" src=\"https:\/\/www.youtube.com\/embed\/FcsjA_PtkKY?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption translation-block\"><strong>Distal biceps repair at 3 months<\/strong> \u2013 video credits: \u03a0\u03b1\u03bd\u03b1\u03b3\u03b9\u03ce\u03c4\u03b7\u03c2 \u0391\u03c1\u03c3\u03ad\u03bd\u03b7\u03c2 (<a href=\"http:\/\/www.pure-health.gr\" target=\"_blank\" rel=\"noreferrer noopener\">www.pure-health.gr<\/a>)<\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"translation-block\">Dr Panagopoulos uses a small incision to allow the most anatomical repair, restoring near to normal function. A 3-cm incision is made in the elbow crease at the front of your arm. The ruptured tendon is retrieved. Sutures are then woven up and down the tendon and used to re-attach the tendon to the bone (radial tuberosity). A drill hole is made in the radial tuberosity and the biceps is then pulled through the drill hole with an adjustable button and secured in its anatomical position. The surgery generally takes about an hour. Your elbow is placed in a bandage and a sling to protect the repair. No plaster is necessary. This operation is typically performed as a day surgery and you can go home a few hours after the procedure. You can start moving your elbow the next day to prevent stiffness.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-d33df7e6 uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\">Surgical treatment takes place ideally <strong>within 2-6 weeks<\/strong>, as the tendon tends to scar and shorten after this time. Primary repair may become more challenging after 8-12 weeks.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7-timeline\">Rehabilitation - Timeline<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>0\u20132 weeks:<\/strong> protection and pain control<\/li>\n\n\n\n<li class=\"translation-block\"><strong>2\u20136 weeks:<\/strong> gradual restoration of motion<\/li>\n\n\n\n<li class=\"translation-block\"><strong>8\u201312 weeks:<\/strong> strengthening phase<\/li>\n\n\n\n<li class=\"translation-block\"><strong>3\u20136 months:<\/strong> return to full activity, work, and sports<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-53326ff7 uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\">When surgical repair is performed in a timely manner and followed by structured rehabilitation, most patients regain <strong>near-normal<\/strong> strength and function.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\ud83d\udccc-\u03c1\u03ae\u03be\u03b7-\u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5-key-facts\">\ud83d\udccc  Distal biceps tear - key facts<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Condition:<\/strong> Distal biceps tendon rupture<\/li>\n\n\n\n<li class=\"translation-block\"><strong>English term<\/strong>: Distal biceps tendon rupture or tear<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Typical population<\/strong>: Middle-aged men<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Common mechanism<\/strong>: Sudden eccentric loading of the elbow<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Preferred treatment for complete rupture<\/strong>: Surgical repair<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Optimal timing for surgery<\/strong>: Within 2\u20136 weeks<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Expected recovery time<\/strong>: Approximately 3\u20136 months<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"faq-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1697821112830\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What is a distal biceps tendon rupture?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>A distal biceps rupture occurs when the tendon attaching the biceps muscle to the biceps tuberosity at the elbow is torn from the bone.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697821143456\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Who is more susceptible?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Men between the ages of 30-50.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697821213837\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What's the usual mechanism of injury?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p class=\"translation-block\">Hyperextension load on a flexed elbow.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697821254430\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What are the symptoms?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p class=\"translation-block\">\u2013 Elbow pain and snapping sensation at the time of the injury<br>\u2013 Swelling and bruising<br>\u2013 Reverse Popeye sign -&gt; biceps muscle retracted superiorly<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697821415197\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">How is diagnosis made?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u2013 History &amp; clinical exam<br \/>\u2013 Ultrasound or MRI scan<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697821498945\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What if I don't have surgery? <\/h3>\n<div class=\"rank-math-answer\">\n\n<p>You will lose approximately 50% of supination strength and 20-30% of flexion strength.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697821580633\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">How is surgery performed?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Surgery involves reattachment of the distal stump of the tendon to the bicipital tuberosity of the radius by means of a metallic button.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1746007051443\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">How is rehabilitation? Do I need physiotherapy?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Recovery is fast. Physiotherapy is important for regaining function &amp; strength.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-f0c78fbe default uagb-is-root-container\">\n\n<div class=\"wp-block-uagb-container uagb-block-77c46601\">\n\n<div class=\"wp-block-uagb-info-box uagb-block-2fdac840 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M168.3 499.2C116.1 435 0 279.4 0 192C0 85.96 85.96 0 192 0C298 0 384 85.96 384 192C384 279.4 267 435 215.7 499.2C203.4 514.5 180.6 514.5 168.3 499.2H168.3zM192 256C227.3 256 256 227.3 256 192C256 156.7 227.3 128 192 128C156.7 128 128 156.7 128 192C128 227.3 156.7 256 192 256z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Athens<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"https:\/\/maps.app.goo.gl\/BEmxqgDN1X6dZg5c8\" target=\"_blank\" rel=\"noreferrer noopener\">Solonos 31, Kolonaki 106 71<\/a><\/p><\/div><\/div>\n\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-57cd5a88\">\n\n<div class=\"wp-block-uagb-info-box uagb-block-49841691 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\"><path d=\"M285.6 444.1C279.8 458.3 264.8 466.3 249.8 463.4C234.8 460.4 223.1 447.3 223.1 432V256H47.1C32.71 256 19.55 245.2 16.6 230.2C13.65 215.2 21.73 200.2 35.88 194.4L387.9 50.38C399.8 45.5 413.5 48.26 422.6 57.37C431.7 66.49 434.5 80.19 429.6 92.12L285.6 444.1z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Marousi<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"https:\/\/goo.gl\/maps\/pEhC2FhtNRm1PczT8\" target=\"_blank\" rel=\"noreferrer noopener\">Kifisias 58 Ave, 151 25<\/a><\/p><\/div><\/div>\n\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-5aebfae2 default uagb-is-root-container\">\n\n<div class=\"wp-block-uagb-container uagb-block-32057e61\">\n\n<div class=\"wp-block-uagb-info-box uagb-block-e662ea13 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 512 512\"><path d=\"M511.2 387l-23.25 100.8c-3.266 14.25-15.79 24.22-30.46 24.22C205.2 512 0 306.8 0 54.5c0-14.66 9.969-27.2 24.22-30.45l100.8-23.25C139.7-2.602 154.7 5.018 160.8 18.92l46.52 108.5c5.438 12.78 1.77 27.67-8.98 36.45L144.5 207.1c33.98 69.22 90.26 125.5 159.5 159.5l44.08-53.8c8.688-10.78 23.69-14.51 36.47-8.975l108.5 46.51C506.1 357.2 514.6 372.4 511.2 387z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Mobile<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"tel:2103639885\" target=\"_blank\" rel=\"noreferrer noopener\">+30 210 3639885<\/a><\/p><\/div><\/div>\n\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-953cad24\">\n\n<div class=\"wp-block-uagb-info-box uagb-block-30f6ae74 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M320 0H64C37.49 0 16 21.49 16 48v416C16 490.5 37.49 512 64 512h256c26.51 0 48-21.49 48-48v-416C368 21.49 346.5 0 320 0zM192 464c-17.75 0-32-14.25-32-32s14.25-32 32-32s32 14.25 32 32S209.8 464 192 464z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Mobile<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"tel:+306936828444\" data-type=\"tel\" data-id=\"tel:+306936828444\">+30 6936 828444<\/a><\/p><\/div><\/div>\n\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-53a07770\">\n\n<div class=\"wp-block-uagb-info-box uagb-block-8fd9c103 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 640 512\"><path d=\"M464 64C490.5 64 512 85.49 512 112C512 127.1 504.9 141.3 492.8 150.4L478.9 160.8C412.3 167.2 356.5 210.8 332.6 270.6L275.2 313.6C263.8 322.1 248.2 322.1 236.8 313.6L19.2 150.4C7.113 141.3 0 127.1 0 112C0 85.49 21.49 64 48 64H464zM294.4 339.2L320.8 319.4C320.3 324.9 320 330.4 320 336C320 378.5 335.1 417.6 360.2 448H64C28.65 448 0 419.3 0 384V176L217.6 339.2C240.4 356.3 271.6 356.3 294.4 339.2zM640 336C640 415.5 575.5 480 496 480C416.5 480 352 415.5 352 336C352 256.5 416.5 192 496 192C575.5 192 640 256.5 640 336zM540.7 292.7L480 353.4L451.3 324.7C445.1 318.4 434.9 318.4 428.7 324.7C422.4 330.9 422.4 341.1 428.7 347.3L468.7 387.3C474.9 393.6 485.1 393.6 491.3 387.3L563.3 315.3C569.6 309.1 569.6 298.9 563.3 292.7C557.1 286.4 546.9 286.4 540.7 292.7H540.7z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Email<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"mailto:info@drgpanagopoulos.com\" target=\"_blank\" rel=\"noreferrer noopener\">info@drgpanagopoulos.com<\/a><\/p><\/div><\/div>\n\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-5c3355e8 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n\n<div class=\"wp-block-uagb-container uagb-block-e4c14b10\">\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-66df27e1\"><h3 class=\"uagb-heading-text\">Find us<\/h3><p class=\"uagb-desc-text translation-block\">Book an appointment with us today<\/p><\/div>\n\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-b2863ea7\">\n\n<div class=\"wp-block-uagb-buttons uagb-buttons__outer-wrap uagb-btn__default-btn uagb-btn-tablet__default-btn uagb-btn-mobile__default-btn uagb-block-ca9ac572\"><div class=\"uagb-buttons__wrap uagb-buttons-layout-wrap\">\n\n<div class=\"wp-block-uagb-buttons-child uagb-buttons__outer-wrap uagb-block-bd940c4b wp-block-button\"><div class=\"uagb-button__wrapper\"><a class=\"uagb-buttons-repeater wp-block-button__link\" aria-label=\"\" href=\"https:\/\/calendly.com\/gnpanagopoulos\/online\" rel=\"follow noopener\" target=\"_blank\" role=\"button\"><div class=\"uagb-button__link\">Book online<\/div><span class=\"uagb-button__icon uagb-button__icon-position-after\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" aria-hidden=\"true\" focussable=\"false\"><path d=\"M438.6 278.6l-160 160C272.4 444.9 264.2 448 256 448s-16.38-3.125-22.62-9.375c-12.5-12.5-12.5-32.75 0-45.25L338.8 288H32C14.33 288 .0016 273.7 .0016 256S14.33 224 32 224h306.8l-105.4-105.4c-12.5-12.5-12.5-32.75 0-45.25s32.75-12.5 45.25 0l160 160C451.1 245.9 451.1 266.1 438.6 278.6z\"><\/path><\/svg><\/span><\/a><\/div><\/div>\n\n<\/div><\/div>\n\n<\/div>\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-social  root-eb-social-links-a7gtu9n\"><div class=\"eb-parent-wrapper eb-parent-eb-social-links-a7gtu9n\"><div class=\"eb-social-links-a7gtu9n eb-social-links-wrapper\"><ul class=\"eb-socials\"><li><a class=\"facebook-f-original\" href=\"https:\/\/www.facebook.com\/georgiospanagopoulosmd\" target=\"_blank\" rel=\"noopener\" aria-label=\"social link\"><i class=\"fab fa-facebook-f hvr-icon eb-social-icon\" icon=\"fab fa-facebook-f\"><\/i><\/a><\/li><li><a class=\"instagram-original\" href=\"https:\/\/www.instagram.com\/georgiospanagopoulosmd\/\" target=\"_blank\" rel=\"noopener\" aria-label=\"social link\"><i class=\"fab fa-instagram hvr-icon eb-social-icon\" icon=\"fab fa-instagram\"><\/i><\/a><\/li><li><a class=\"linkedin-in-original\" href=\"https:\/\/www.linkedin.com\/in\/georgiospanagopoulosmd\" target=\"_blank\" rel=\"noopener\" aria-label=\"social link\"><i class=\"fab fa-linkedin-in hvr-icon eb-social-icon\" icon=\"fab fa-linkedin-in\"><\/i><\/a><\/li><li><a class=\"youtube-original\" href=\"https:\/\/www.youtube.com\/@gpanagopoulosmd\" target=\"_blank\" rel=\"noopener\" aria-label=\"social link\"><i class=\"fab fa-youtube hvr-icon eb-social-icon\" icon=\"fab fa-youtube\"><\/i><\/a><\/li><\/ul><\/div><\/div><\/div>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>\u03a1\u03ae\u03be\u03b7 \u039a\u03b1\u03c4\u03b1\u03c6\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd \u03a4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u0394\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5 \u0397 \u03c1\u03ae\u03be\u03b7 \u03ba\u03b1\u03c4\u03b1\u03c6\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b1\u03c0\u03bf\u03ba\u03cc\u03bb\u03bb\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b2\u03c1\u03b1\u03c7\u03b9\u03bf\u03bd\u03af\u03bf\u03c5 \u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03ac\u03c6\u03c5\u03c3\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b5\u03c1\u03ba\u03af\u03b4\u03b1, \u03c3\u03c4\u03bf \u03cd\u03c8\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1.\u03a3\u03c4\u03b7 \u03b4\u03b9\u03b5\u03b8\u03bd\u03ae \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2&nbsp;distal biceps tendon rupture. \u0397 \u03b2\u03bb\u03ac\u03b2\u03b7 \u03b1\u03c5\u03c4\u03ae \u03bf\u03b4\u03b7\u03b3\u03b5\u03af \u03c3\u03b5&nbsp;\u03b1\u03c0\u03ce\u03bb\u03b5\u03b9\u03b1 \u03c4\u03b7\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03cc\u03c2, \u03bc\u03b5 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b4\u03cd\u03bd\u03b1\u03bc\u03b7\u03c2 \u03c5\u03c0\u03c4\u03b9\u03b1\u03c3\u03bc\u03bf\u03cd \u03ba\u03b1\u03b9 \u03ba\u03ac\u03bc\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4003,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"disabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-859","page","type-page","status-publish","has-post-thumbnail","hentry"],"uagb_featured_image_src":{"full":["https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/popeye.jpg",687,606,false],"thumbnail":["https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/popeye.jpg",109,96,false],"medium":["https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/popeye.jpg",687,606,false],"medium_large":["https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/popeye.jpg",687,606,false],"large":["https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/popeye.jpg",687,606,false],"1536x1536":["https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/popeye.jpg",687,606,false],"2048x2048":["https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/popeye.jpg",687,606,false],"trp-custom-language-flag":["https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/popeye.jpg",14,12,false]},"uagb_author_info":{"display_name":"Georgios Panagopoulos","author_link":"https:\/\/drgpanagopoulos.com\/en\/author\/gnpanagopoulosgmail-com\/"},"uagb_comment_info":0,"uagb_excerpt":"\u03a1\u03ae\u03be\u03b7 \u039a\u03b1\u03c4\u03b1\u03c6\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd \u03a4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u0394\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5 \u0397 \u03c1\u03ae\u03be\u03b7 \u03ba\u03b1\u03c4\u03b1\u03c6\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b1\u03c0\u03bf\u03ba\u03cc\u03bb\u03bb\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b2\u03c1\u03b1\u03c7\u03b9\u03bf\u03bd\u03af\u03bf\u03c5 \u03b4\u03b9\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03ac\u03c6\u03c5\u03c3\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b5\u03c1\u03ba\u03af\u03b4\u03b1, \u03c3\u03c4\u03bf \u03cd\u03c8\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1.\u03a3\u03c4\u03b7 \u03b4\u03b9\u03b5\u03b8\u03bd\u03ae \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2&nbsp;distal biceps tendon rupture. \u0397 \u03b2\u03bb\u03ac\u03b2\u03b7 \u03b1\u03c5\u03c4\u03ae \u03bf\u03b4\u03b7\u03b3\u03b5\u03af \u03c3\u03b5&nbsp;\u03b1\u03c0\u03ce\u03bb\u03b5\u03b9\u03b1 \u03c4\u03b7\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03cc\u03c2, \u03bc\u03b5 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b4\u03cd\u03bd\u03b1\u03bc\u03b7\u03c2 \u03c5\u03c0\u03c4\u03b9\u03b1\u03c3\u03bc\u03bf\u03cd \u03ba\u03b1\u03b9 \u03ba\u03ac\u03bc\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03b3\u03ba\u03ce\u03bd\u03b1.&hellip;","_links":{"self":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/859","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/comments?post=859"}],"version-history":[{"count":31,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/859\/revisions"}],"predecessor-version":[{"id":7089,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/859\/revisions\/7089"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/media\/4003"}],"wp:attachment":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/media?parent=859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}