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(degenerative process) of the biceps tendon, caused by chronic stress or repetitive microtrauma and most commonly affecting the LHBT at its origin from the glenoid [1] [2] Proximal tendon rupture: : a partial or complete tear of the LHBT, typically resulting from minor trauma in a tendon weakened by tendinopathy or acute trauma in a healthy tendon [3] Distal tendon rupture: : a partial or complete tear of the biceps tendon at its insertion on the radial tuberosity, usually caused by acute trauma involving eccentric loading (e.g., heavy lifting, sports injuries, or falls) [4] Etiology Etiology is often multifactorial, and patients may have multiple risk factors