scholarly journals Isolated Complete Distal Biceps Femoris Tendon Tears: Case Series and Literature Review

Author(s):  
Christine Azzopardi ◽  
David Beale ◽  
Steven L. James ◽  
Rajesh Botchu

AbstractThe Biceps femoris is a vital component of the posterolateral corner of the knee. We report two cases of isolated rupture of the biceps femoris, discuss the possible mechanism of injury, and review the literature.

2019 ◽  
Vol 0 (Avance Online) ◽  
Author(s):  
Antonio León Garrigosa

RESUMEN Objetivo: describir el diagnóstico y tratamiento de la entesopatía del tendón distal del bíceps crural en un corredor profesional. Método: el diagnóstico se obtuvo mediante datos clínicos y exploraciones complementarias. Describimos la técnica quirúrgica, el manejo post-operatorio y el sistema de valoración empleado en el seguimiento. Resultados: el diagnóstico se confirmó histológicamente. La recuperación funcional fue completa. Conclusión: solo hemos encontrado otro caso publicado de entesopatía del tendón distal del bíceps crural, sin referencia a afectación del nervio ciático poplíteo externo. Si el tratamiento conservador no resuelve la sintomatología, puede estar indicada la cirugía. ABSTRACT Objective: to describe the diagnostic and treatment strategies for distal biceps femoris tendon enthesopathy, in a professional runner. Method: The diagnosis was based on clinical and complementary studies. The surgical technique, postoperative management and assessment, are described. Results: Histological study confirmed the diagnosis and the clinical outcome was satisfactory, with complete recovery after surgical management. Conclusion: there is only one published study assessing distal biceps femoris tendon enthesopathy. The possible involvement of the peroneal nerve has not been previously considered. If conservative treatment only provides temporary relief of symptoms, then surgery can be indicated. RESUMO Objetivo: descrever o diagnóstico e tratamento da entesopatia do tendão crural do bíceps distal em um corredor profissional. Método: o diagnóstico foi obtido por meio de dados clínicos e explorações complementares. Descrevemos a técnica cirúrgica, o manejo pós-operatório e o sistema de avaliação utilizado no acompanhamento. Resultados: o diagnóstico foi confirmado histologicamente. A recuperação funcional foi completa. Conclusão: encontramos apenas outro caso publicado de entesopatia do tendão distal do bíceps crural, sem referência ao envolvimento do nervo ciático poplíteo externo. Se o tratamento conservador não resolver os sintomas, a cirurgia pode ser indicada.


2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Aki Fukuda ◽  
Akinobu Nishimura ◽  
Shigeto Nakazora ◽  
Ko Kato ◽  
Akihiro Sudo

We describe entrapment of the common peroneal nerve by a suture after surgical repair of the distal biceps femoris tendon. Complete rupture of the distal biceps femoris tendon of a 16-year-old male athlete was surgically repaired. Postoperative common peroneal nerve palsy was evident, but conservative treatment did not cause any neurological improvement. Reexploration revealed that the common peroneal nerve was entrapped by the surgical suture. Complete removal of the suture and external neurolysis significantly improved the palsy. The common peroneal nerve is prone to damage as a result of its close proximity to the biceps femoris tendon and it should be identified during surgical repair of a ruptured distal biceps femoris tendon.


2021 ◽  
Vol 9 (3) ◽  
pp. 232596712199964
Author(s):  
Joshua W. Thompson ◽  
Ricci Plastow ◽  
Babar Kayani ◽  
Peter Moriarty ◽  
Ajay Asokan ◽  
...  

Background: Understanding the optimal management of distal biceps femoris avulsion injuries is critical for restoring preinjury function, restoring hamstring muscle strength, increasing range of motion, and minimizing risk of complications and recurrence. Due to the rarity of these injuries, prognosis and outcomes within the literature are limited to case reports and small case series. Purpose: To assess the effect of surgical repair for acute distal avulsion injuries of the biceps femoris tendon on (1) return to preinjury level of sporting function and (2) time to return to preinjury level of sporting function, patient satisfaction, and complications. Study Design: Case series; Level of evidence, 4. Methods: This prospective single-surgeon study included 22 elite athletes (18 men [82%], 4 women [18%]; mean age, 26 years; age range, 17-35 years; mean body mass index, 25.3 ± 4.1 kg/m2) undergoing primary suture anchor repair of avulsion injuries of the distal biceps femoris confirmed on preoperative magnetic resonance imaging. Predefined outcomes relating to time for return to sporting activity, patient satisfaction, complications, and injury recurrence were recorded at regular intervals after surgery. Minimum follow-up time was 12 months (range, 12.0-26.0 months) from the date of surgery. Results: The mean time from injury to surgical intervention was 12 days (range, 2-28 days). All study patients returned to their preinjury level of sporting activity, predominately professional soccer or rugby. Mean time from surgical intervention to return to full sporting activity was 16.7 ± 8.7 weeks. At 1- and 2-year follow-up, all study patients were still participating at their preinjury level of sporting activity. There was no incidence of primary injury recurrence, and no patients required further operation to the biceps origin. Conclusion: Surgical repair of acute avulsion injuries of the distal biceps femoris facilitated early return to preinjury level of function with low risk of recurrence, low complication rate, and high patient satisfaction in elite athletes. Suture anchor repair of these injuries should be considered a reliable treatment option in athletes with high functional demands to permit an early return to sport with restoration of hamstring strength.


2011 ◽  
Vol 30 (8) ◽  
pp. 1162-1166 ◽  
Author(s):  
Jay Smith ◽  
Yusef A. Sayeed ◽  
Jonathan T. Finnoff ◽  
Bruce A. Levy ◽  
Carlo Martinoli

2021 ◽  
Author(s):  
Yahya Baba ◽  
Joachim Feger

Author(s):  
Yoav Morag

Chapter 124 discusses US scanning of the knee, which is commonly performed for assessment of superficial knee structures, such as the extensor mechanism tendons and collateral ligaments, as well as identification of Baker cysts or prepatellar bursae. Dynamic US evaluation, such as flexion/extension of the knee or varus/valgus stress maneuvers, may improve diagnostic performance and further characterize severity of tendon or ligamentous injury and ligament incompetence. US examination may be comprehensive or focused, with constant modification of patient and probe positioning to allow for optimal visualization of the knee structures. Common US artifacts, such as anisotropy of the extensor tendons or heterogeneous appearance of the distal joined attachment of the lateral collateral ligament proper and the distal biceps femoris tendon, should not be mistaken for pathology. Although parameniscal cysts can be readily identified by US, there is ongoing controversy regarding the role of US in evaluation of meniscal tears.


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