Barbell Medicine Podcast Episode #355: Deadlifting and Biceps Tendon Rupture Risk
Jul 6, 2025
This discussion dives into the risk of biceps tendon ruptures during deadlifts, particularly with a mixed grip. It breaks down the anatomy of the biceps and the mechanisms behind these injuries. Listeners will learn about various grip techniques, including the pros and cons of each style. Practical management strategies to reduce injury risks are shared, highlighting how proper grip can enhance performance. It's a must-listen for those looking to lift safely while maximizing their strength training.
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Biceps Anatomy Essentials
- The biceps brachii has two heads originating from different scapula points merging into one muscle belly.
- It crosses both shoulder and elbow, influencing supination, elbow flexion, and shoulder stability.
Types of Biceps Tendon Ruptures
- Over 90% of biceps tendon ruptures involve the long head near the shoulder.
- Distal tendon ruptures near the elbow are less common and often happen in active middle-aged men.
Mechanism and Risk of Rupture in Deadlifts
- Distal biceps ruptures often occur during eccentric contraction with elbow extending under high force.
- Most ruptures happened on the underhand side of the mixed grip during deadlifts.