Most frequent cause of a distal biceps tendon tear

What is the most frequent cause of a distal biceps tendon tear?

The distal biceps tendon insets onto the proximal radius at the radial tuberosity. Tendon ruptures usually occur with contraction of the biceps against resistance when lifting heavy objects. On MRI, the tendon will be discontinuous and may be retracted proximally with surrounding fluid and edema

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