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Requests for reprints should be addressed to José Miguel Viegas, MD, Department of Cardiology, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central Rua de Santa Marta 50, 1169-024, Lisbon, Portugal.
A 72-year-old man with past medical history of hypertension was referred to a cardiology
consultation due to recent heart failure hospitalization and newly diagnosed atrial
fibrillation. Physical examination revealed a large bulge on his anterior mid-upper
left arm, more pronounced during elbow flexion (Figure). This deformity had developed several months before, after lifting a heavy object.
He remembers hearing a “pop” sound, followed by a sudden sharp pain and weakness in
his left arm. He did not seek medical care and started self-treatment with cryotherapy
and nonsteroidal anti-inflammatory drugs. The pain totally relieved within a few days
and no longer affected his daily life.
FigurePatient's left arm in flexion position. A deformity (Popeye sign) is perceived in
the anterior mid-upper arm.
Authorship: JMV was the major contributor in writing the manuscript. The remaining authors revised the manuscript. All authors read and approved the final manuscript.
