scholarly journals Distal biceps tendon injection

2021 ◽  
Vol 24 (2) ◽  
pp. 93-97
Author(s):  
Jacqueline van der Vis ◽  
Stein J. Janssen ◽  
Ronald L.A.W. Bleys ◽  
Denise Eygendaal ◽  
Michel P.J. van den Bekerom ◽  
...  
Keyword(s):  
Upper Limb ◽  
Ultrasound Guidance ◽  
Biceps Tendon ◽  
Lateral Approach ◽  
Distal Biceps Tendon ◽  
Tendon Tear ◽  
Distal Biceps ◽  
Surgical Residents ◽  
Tendon Insertion ◽  
Lateral Infiltration

Background: Injection therapy around the distal biceps tendon insertion is challenging. This therapy may be indicated in patients with a partial distal biceps tendon tear, bicipitoradial bursitis and tendinopathy. The primary goal of this study was to determine the accuracy of manually performed injections without ultrasound guidance around the biceps tendon.Methods: Seven upper limb specialists, two general orthopedic specialists and three orthopedic surgical residents manually injected a cadaver elbow with acrylic dye using an anterior and a lateral infiltration approach. After infiltration the cadaveric elbows were dissected to determine the location of the acrylic dye.Results: In total, 79% of the injections were localized near the biceps tendon. Of these injections, 20% were localized on the radius near the bicipitoradial bursa. In total, 53% of the performed infiltrations were injected by anterior and 47% by lateral approaches. Of the injections near the distal biceps (79%), 47% were injected by an anterior and 53% by a lateral approach. Of the injections on the radius (20%), 33% were injected by anterior and 67% by lateral approach. Of the inaccurate injections (21%), 75% were injected anterior and 25% lateral. Conclusion: Manual infiltration without ultrasound guidance for distal biceps pathology lacks accuracy. We therefore recommend ultrasound guidance for more accurate infiltration.

scholarly journals Upper Limb Ischaemia Secondary to a Bifurcated Distal Biceps Tendon: A Case Report

2014 ◽  
Vol 48 (4) ◽  
pp. 482
Author(s):  
T. Aherne ◽  
F.M. Shaikh ◽  
P. Naughton ◽  
H. Mullett ◽  
D. Moneley
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Biceps Tendon ◽  
Limb Ischaemia ◽  
Distal Biceps Tendon ◽  
Distal Biceps

scholarly journals Gouty Tenosynovitis of the Distal Biceps Tendon Insertion Complicated by Partial Rupture

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. NP1-NP5 ◽  
Author(s):  
Rick J. Fairhurst ◽  
Arnold M. Schwartz ◽  
Leo M. Rozmaryn
Keyword(s):  
Tendon Rupture ◽  
Biceps Tendon ◽  
Partial Rupture ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
First Case ◽  
Biceps Tendon Rupture ◽  
History Of ◽  
Tendon Ruptures ◽  
Tendon Insertion

Background: Given the appreciable prevalence of gout, gout-induced tendon ruptures in the upper extremity are extremely rare. Although these events have been reported only 5 times in the literature, all in patients with a risk factor for or history of gout, they have conspicuously never been diagnosed in the shoulder or elbow. Methods: A 45-year-old, right-hand-dominant man with a history of gout presented with pain in his right anterior elbow and weakness in his forearm after a trivial injury. Results: Here, we report the first case of gouty tenosynovitis of the distal biceps tendon insertion complicated by partial rupture, a composite diagnosis supported by both intraoperative and histological observations. Conclusions: In patients who are clinically diagnosed with biceps tendon rupture and have a history of gout, it is important to consider the possibility of a gout-related pathological manifestation causing or simulating tendon rupture.

BET 1: Best Evidence Topic Report: is the hook test sensitive enough to be used to exclude distal biceps tendon rupture?

2020 ◽  
Vol 38 (1) ◽  
pp. 78.2-79
Author(s):  
David Annison ◽  
James McVie
Keyword(s):  
Upper Limb ◽  
Tendon Rupture ◽  
Biceps Tendon ◽  
Clinical Question ◽  
Single Test ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Distal Biceps Tendon Rupture ◽  
Biceps Tendon Rupture ◽  
Study Type

A shortcut review was carried out to see whether the hook test is sensitive enough for a negative result to exclude complete distal biceps tendon rupture (DBTR) in adults. 3 papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that the hook test is moderately sensitive at detecting complete DBTR when carried out by skilled clinicians in specialist upper limb clinics. As a single test, it is not sensitive enough to be used to exclude complete DBTR.

Distal biceps tendon insertion: An anatomic study

2008 ◽  
Vol 17 (2) ◽  
pp. 342-346 ◽  
Author(s):  
Hank L. Hutchinson ◽  
David Gloystein ◽  
Martin Gillespie
Keyword(s):  
Biceps Tendon ◽  
Anatomic Study ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Tendon Insertion

scholarly journals Upper Limb Ischaemia Secondary to a Bifurcated Distal Biceps Tendon: A Case Report

EJVES Extra ◽  
2014 ◽  
Vol 27 (5) ◽  
pp. e39-e40
Author(s):  
T. Aherne ◽  
F.M. Shaikh ◽  
P. Naughton ◽  
H. Mullett ◽  
D. Moneley
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Biceps Tendon ◽  
Limb Ischaemia ◽  
Distal Biceps Tendon ◽  
Distal Biceps

Poster 215 Platelet-Rich Plasma Therapy for Chronic Distal Biceps Tendon Tear: A Case Report

PM&R ◽  
2014 ◽  
Vol 6 (9) ◽  
pp. S260-S261
Author(s):  
Michael J. Ingraham ◽  
Arthur J. Deluigi ◽  
Bryan Murtaugh
Keyword(s):  
Case Report ◽  
Platelet Rich Plasma ◽  
Biceps Tendon ◽  
Distal Biceps Tendon ◽  
Tendon Tear ◽  
Plasma Therapy ◽  
Distal Biceps

Dynamic rotational alteration in positional relationship of neurovascular structures and distal biceps tendon insertion: a cadaveric study

2019 ◽  
Vol 4 (6) ◽  
pp. 296-301
Author(s):  
Deepak Bhatia ◽  
Rajib Naskar ◽  
Pascal DeNiese
Keyword(s):  
Biceps Tendon ◽  
Ulnar Artery ◽  
Distal Biceps Tendon ◽  
Level Of Evidence ◽  
Distal Biceps ◽  
Close Proximity ◽  
Fresh Frozen ◽  
Tendon Insertion ◽  
Relationship Of ◽  
Dynamic Rotation

ObjectivesThis study analysed the change in positional relationship of major neurovascular (NV) structures with the distal biceps tendon (DBT) insertion with dynamic rotation.MethodsFresh frozen cadaveric upper extremities (n=10) were dissected to expose DBT and five major NV structures (ulnar artery (UA), radial artery (RA), median nerve (MN), superficial radial nerve (SRN) and posterior interosseous nerve (PIN)). The distance between each NV structure and the DBT insertion was measured with the elbow in (a) full supination (90°), (b) neutral rotation (0°) and (c) full pronation (80°). Statistical analysis was performed to determine significant changes in rotational NV excursion in relation to DBT insertion.ResultsRA and UA were in contact with DBT just distal to the bifurcation of brachial artery. RA was closest to DBT insertion in supination (5 mm), and MN (7 mm) and UA (9 mm) were further away. UA was in close proximity in neutral (4 mm) and pronated (6 mm) positions. UA moved significantly closer to DBT insertion when rotated from supination to neutral (p<0.0001) and pronated (p<0.0018) positions. RA and MN moved significantly further from DBT in these positions (p<0.05). SRN and PIN were the farthest structures from DBT insertion in supination and neutral positions.ConclusionNV structures in the cubital fossa are in close proximity to DBT and its tuberosity insertion and dynamic rotation significantly changes their positional relation with DBT insertion.Level of evidenceBasic science study

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