Editorial Commentary: "Popeye" Deformity After Spontaneous Proximal Biceps Tendon Rupture: Image, Treat, or Ignore?

We have long been accustomed to treat proximal biceps tendon ruptures with reassurance unless the patient cannot accept the resulting "Popeye" deformity. A recent study hypothesizes that these patients deserve a magnetic resonance imaging scan to identify associated rotator cuff pathology, specifically supraspinatus and subscapularis tendon tears. The authors of this study ask an important question and provide a compelling, if incomplete, answer.