<s>[INST] context: Marked structure: A- Biceps brachii (sho head) B- Pectoralis major C- Biceps brachii (long head) D- Triceps brachii (long head) The symptoms of Popeye deformity depend on the extent of the tear. hearing or feeling a pop a sudden, sharp pain (in arm) bruising, soreness, or tenderness weakness cramping difficulty turning arm fatigue when doing repetitive motions muscle spasms in shoulder or arm Possible causes of Popeye deformity include: overuse of biceps muscle repetitive motion spos injury injury from a fall Risk of a Popeye deformity include: smoking coicosteroid use anabolic steroid use tendinopathy rheumatoid ahritis fluoroquinoione antibiotics statin therapy Treatment for Popeye deformity is usually conservative since the tendon heals on its own over time. Conservative treatment involves the following: Ice NSAIDs ibuprofen aspirin naproxen Rest Modify activities to avoid strenuous activity with the affected arm. Physical therapy strengthening and stretching exercises range-of-motion and flexibility exercises occupational therapy [/INST] question: A 40 year old man presents to ohopedics emergency with the following deformity. He is daily wage laborer by profession and this problem occurred following lifting heavy load. Usg reveals following finding: Which of the following structure is affected? | options: A: B B: A C: D D: C | answer: D </s>