Question: I have a ruptured R biceps tendon with small tear in rotator cuff with possible perforation. MRI results from one day ago. How come I had rotator cuff surgery 21 years ago to reattach the supraspinatus tendon but was told the biceps tendon full rupture might be healed enough with PT. Is it a judgement call or will not having the biceps tendon reattached cause future problems, e.g. strain on the other tendons and shoulder area to make up for the non attached biceps tendon?

I am not an athlete but I am right handed and that's where the injury occurred, in my right biceps. My usual everyday life requires constant movement of the arm and shoulder. I do not understand your answer that if I was a weight lifter or athlete, then maybe surgery. I read from the Mayo Clinic in USA that the doc decides but usually surgery is indicated for reattachment, but not always. I am not motionless or an invalid. I need my shoulder/arm for everyday use, obviously. What is the norm for the fully ruptured biceps? I believe most of you docs on this website are from different countries and maybe you do it different, but I want full stability until I die. Can't imagine leaving a ruptured tendon alone and only do PT. Please give a more detailed answer or re-think your original answer. Thank you.