Abstract

Two cases are reported of biceps injuries in body builders. In both cases the mechanism of injury is either unclear or initially misleading. One case went on to develop necrotising fasciitis, requiring extensive debridement after an initial diagnosis of a biceps haematoma. This report emphasises the difficulties inherent in differentiating necrotising and non-necrotising infections in the emergency department setting and highlights a subgroup of patients who may be at particular risk of delayed diagnosis.