A comprehensive review of the normal, abnormal, and post-operative MRI appearance of the distal biceps brachii

Nguyen, My-Linh Thi; Rosenthal, Jeffrey; Karas, Spero G.; Gottschalk, Michael B.; Daly, Charles A.; Wagner, Eric R.; Singer, Adam D.

doi:10.1007/s00256-020-03501-0

Cited by 12 publications

(6 citation statements)

References 32 publications

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“…It is recommended that the MRI of the elbow be performed with the elbow in flexion, shoulder in abduction and forearm in supination position (FABS protocol) for a better view of the distal biceps and other suspected abnormalities. 16 MRI has better diagnostic accuracy than USG for diagnosing complete tear of the distal biceps whereas both MRI and USG have similar diagnostic accuracy for incomplete tear of the distal biceps. 17…”

Section: Mrimentioning

confidence: 94%

“…It should be able to diagnose partial tears, accurately measure the extent of tendon retraction in acute or chronic tears and visualise the lacertus fibrosus. 16 An intact lacertus fibrosus would prevent significant retraction of the torn tendon. MRI is also useful to diagnose tendinosis which can be treated non-operatively.…”

Section: Mrimentioning

confidence: 99%

“…The distal biceps and lacertus fibrosis can be observed dynamically while stressing them with various provocative manoeuvres. 16 USG is less expensive than MRI. USG is indicated in patients unable to have MRI either due to claustrophobia or any other contraindications.…”

Section: Ultrasonography (Usg)mentioning

confidence: 99%

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Distal biceps rupture: Evaluation and management

Vishwanathan

Soni

2021

Journal of Clinical Orthopaedics and Trauma

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Injury to the distal biceps occurs in certain high risk groups. Anatomical continuity of the lacertus fibrosus has bearing on the extent of retraction of the torn tendon stump. The objective of clinical and imaging evaluation is to discriminate between tendinosis, partial tear, acute complete tear and chronic complete tear. A complete tear of the distal biceps tendon can be diagnosed clinically with the Hook test. The traditional Hook test and the resisted Hook test are useful clinical tests. Though x-rays are routinely done, MRI remains the investigation of choice. Non-operative treatment has a role in selected patients with partial tear or patients with complete tear who have low functional demands. Operative treatment is the recommended treatment for complete tear of the distal biceps and is associated with good functional outcome and patient satisfaction.

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Section: Mrimentioning

confidence: 94%

Section: Mrimentioning

confidence: 99%

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Distal biceps rupture: Evaluation and management

Vishwanathan

Soni

2021

Journal of Clinical Orthopaedics and Trauma

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“…Tendon repair, including the biceps, triceps, and the common flexor and extensor tendon attachments, is performed for symptomatic and/or mechanically significant tendon tears. [8][9][10][11][12][13][14][15] Sutures through drilled tunnels or suture anchors are typically used for repair of the medial and lateral tendon attachments. Triceps and biceps repair requires a sturdier construct, incorporating a variety of implants, such as larger anchors, EndoButtons, and interference screws (►Fig.…”

Section: Tendon Repairmentioning

confidence: 99%

Imaging the Postoperative Elbow

Deely

Morrison

2021

Semin Musculoskelet Radiol

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Evaluation of postoperative images of any joint can be a daunting task, and the elbow is no exception. Patients may be imaged with a complication of the repair, or the postoperative changes may be incidentally observed as the patient is imaged for other reasons. We divide the postoperative elbow into soft tissue procedures (covering ligament and tendon repairs, as well as compartmental release and nerve transposition), joint-related procedures (osteochondral lesion treatment, ostectomy, and joint replacement), and bone procedures (fracture fixation). We summarize the procedures and their indications, show normal imaging appearances, and finally cover common complications.

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“…17 The bicipital aponeurosis is an extension of the brachial fascia that fans out medially from the distal biceps brachii over the brachial neurovascular bundle to blend with the fascia covering the pronator teres muscle. 18 Because the distal biceps tendon does not have a tendon sheath, fluid around the tendon indicates distension of the bicipitoradial bursa 1 (►Fig. 13).…”

Section: Biceps Tendon Injurymentioning

confidence: 99%