scholarly journals Novel Operation of Snapping Biceps Femoris Tendon

2016 ◽  
Vol 02 (01) ◽  
pp. e11-e16
Author(s):  
Stephen Flores ◽  
David Hartigan ◽  
Karan Patel ◽  
Justin Roberts ◽  
Anikar Chhabra
Keyword(s):  
Soft Tissue ◽  
Surgical Technique ◽  
Knee Pain ◽  
Biceps Tendon ◽  
Biceps Femoris ◽  
Fibular Head ◽  
Popliteofibular Ligament ◽  
Lateral Knee Pain ◽  
Biceps Femoris Tendon

Snapping biceps femoris tendon (BFT) over the fibular head is an uncommon cause of lateral knee pain. This study reports a case of nontraumatic painful snapping of the BFT due to a prominent fibular head that was persistent intraoperatively after fibular head resection. We describe a novel surgical technique of release of the anterior arm of the biceps tendon followed by soft tissue tenodesis to the popliteofibular ligament, as opposed to the remaining fibular head, to prevent iatrogenic fracture.

scholarly journals Risk factors for common peroneal nerve injury in knee dislocation: a retrospective study

2020 ◽  
Author(s):  
Lei Tan ◽  
junfeng wang ◽  
xinguang liu ◽  
xing xin ◽  
xiaohua wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cruciate Ligament ◽  
Knee Dislocation ◽  
Common Peroneal Nerve ◽  
Biceps Femoris ◽  
Tendon Injury ◽  
Fibular Head ◽  
Popliteofibular Ligament ◽  
Injury Group ◽  
Biceps Femoris Tendon

Abstract Background Knee dislocation is a serious injury, representing less than 0.2% of all orthopedic injuries, and 16% to 40% of these patients suffer an associated injury to the common peroneal nerve (CPN). However, it is still unclear which structures are most intently associated with CPN injury. This study attempts to analyze the potential risk factors for CPN injury and provide clues for a comprehensive diagnosis of knee dislocation. Methods We retrospectively reviewed 153 cases of knee dislocation related to lateral and/or posterior ligament injury between 2015 and 2018. All 153 patients were divided into the CPN injury group or the no-CPN injury group. The baseline characteristics included age, gender, cause of injury, posterior cruciate ligament (PCL) disruption, anterior cruciate ligament (ACL) disruption, popliteofibular ligament and/or tendon of popliteus injury, biceps femoris tendon injury and fibular head fracture. We identified potential variables for a multivariable logistic regression model to identify the major risk factors for CPN injury. Results Multivariate regression analysis revealed the biceps femoris tendon injury and fibular head fracture to be predictive of CPN injury in knee dislocation. Gender, age, cause of injury, ligamentous classification, popliteofibular ligament and/or tendon of popliteus injury, PCL disruption or ACL disruption do not predict CPN injury. Conclusions Biceps femoris tendon injury and fibular head fracture are risk factors of CPN injury in knee dislocation. A better understanding of the risk factors for CPN injury allows surgeons to achieve more accurate diagnoses.

scholarly journals Arthroscopic Anatomy of the posterolateral structures of the knee

2019 ◽  
Vol 7 (5_suppl3) ◽  
pp. 2325967119S0020
Author(s):  
Benjamin Freychet ◽  
Bertrand Sonnery-Cottet ◽  
Thomas L. Sanders ◽  
Nicholas I. Kennedy ◽  
Aaron J. Krych ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Peroneal Nerve ◽  
Biceps Femoris ◽  
Popliteus Tendon ◽  
Fibular Head ◽  
Specific Technique ◽  
Collateral Ligament ◽  
Posterolateral Structures ◽  
Biceps Femoris Tendon ◽  
Portal Placement

Objectives The purpose of this study was to describe an arthroscopic surgical approach to identify and expose the popliteus tendon (PT), posterior fibular head, Fibular collateral ligament (FCL), popliteal fibular ligament (PFL), biceps femoris tendon, and the peroneal nerve. Methods 10 fresh human cadaveric knees were examined arthroscopically using standard anterior and posterior portals. The use of a transeptal approach with both posteromedial and posterolateral portals was required using a standard 30 degrees arthroscope. Optimal portal placement and specific technique and sequence for appropriate visualization of the PLC structures were tested and documented. Results In all specimens, all the PLC structures that we attempted to identify were successfully visualized. These included the PT, posterior fibular head, the FCL, the PFL, biceps femoris tendon, peroneal nerve, PT and FCL femoral attachments. Conclusion This study demonstrated that the identification and exposure of the PLC structures using an all arthroscopic approach can be successfully performed with precise portal placement. This technique may serve as a basis for arthroscopic treatment of PLC injuries.

scholarly journals Fabella Syndrome and Common Peroneal Neuropathy following Total Knee Arthroplasty

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Connor C. Diaz ◽  
Avinesh Agarwalla ◽  
Brian Forsythe
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Treatment Modalities ◽  
Common Mechanism ◽  
Fibular Head ◽  
Lateral Aspect ◽  
Deep Flexion ◽  
Total Knee ◽  
Lateral Knee Pain

Case. A 62-year-old man presented with persistent lateral knee pain 15 months following an uncomplicated total knee arthroplasty. There was a tendinous snapping structure over the lateral aspect of the knee in deep flexion with positive Tinel’s sign over the fibular head. The patient underwent an uncomplicated flabella excision. The patient was cleared to return to work and full duty at two months postoperatively. Conclusion. Flabella syndrome is a rare but increasingly common mechanism of persistent lateral knee pain following total knee arthroplasty. Surgeons should be aware of this etiology of persistent lateral knee pain and offer treatment modalities to address this pathology.

Partial Fibular Head Resection for Bilateral Snapping Biceps Femoris Tendon

Orthopedics ◽  
2003 ◽  
Vol 26 (11) ◽  
pp. 1147-1149
Author(s):  
Kaushik Bagchi ◽  
Ronald P Grelsamer
Keyword(s):  
Biceps Femoris ◽  
Fibular Head ◽  
Biceps Femoris Tendon

scholarly journals Calcific tendinitis of biceps femoris: an unusual site and cause for lateral knee pain

2016 ◽  
pp. bcr2016215745 ◽  
Author(s):  
Warwick Chan ◽  
Helen Emily Chase ◽  
John G Cahir ◽  
Neil Patrick Walton
Keyword(s):  
Knee Pain ◽  
Biceps Femoris ◽  
Calcific Tendinitis ◽  
Unusual Site ◽  
Lateral Knee Pain

Anatomical reconstruction of popliteofibular ligament using looped biceps femoris tendon: a case report

2008 ◽  
Vol 16 (4) ◽  
pp. 393-395
Author(s):  
Nobuyoshi Watanabe ◽  
Nobuyuki Yoshino ◽  
Yukihisa Fukuda ◽  
Nobuhiko Fujita ◽  
Shinro Takai
Keyword(s):  
Case Report ◽  
Biceps Femoris ◽  
Anatomical Reconstruction ◽  
Popliteofibular Ligament ◽  
Biceps Femoris Tendon
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