Proximal biceps brachii tendon rupture is an unusual presentation in young individuals. This report is an extremely rare case of a complete rupture of the proximal biceps brachii tendon in a young patient as a result of a high-energy water-skiing injury. It was associated with displacement of the biceps muscle into the forearm with skin necrosis. The patient was treated successfully by débridement of the skin and complete resection of the biceps brachii muscle.
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