Die klinisch symptomarme isolierte ansatznahe Ruptur der Bizepssehne am Kniegelenk

Riemer, C.; Lugeder, A.; Sattler, M.; Zeichen, J.

doi:10.1007/s00113-013-2361-x

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…The majority of distal biceps ruptures are associated with a combined hyperextension and external rotation injury mechanism 12 . The LCL and PLC complex usually share loading during combined hyperextension external rotation forces, whereas an isolated, low-energy rotational mechanism may preferentially load the biceps tendon, sparing the LCL and the remainder of the PLC complex.…”

Section: Discussionmentioning

confidence: 99%

Isolated Complete Rupture of the Biceps Femoris Insertion: A Surgical Repair Technique Manuscript

Raines

Pomajzl

Ray

et al. 2019

Arthroscopy Techniques

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Isolated rupture of the distal biceps femoris insertion is rare. Current literature offers limited case reports and outcome measures after surgical management. We describe a knotless suture anchor fixation technique for this tear pattern. At surgery, the retracted biceps tendon and insertion site is debrided to healthy tissue, FiberTape suture (Arthrex) is passed in a Kracków fashion through the tendon, and the 2 ends of the suture are brought down to a SwiveLock anchor (Arthrex) at the anatomic insertion. FiberWire sutures (Arthrex) from the anchor are brought over the remnant stump, completing the repair.

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Section: Discussionmentioning

confidence: 99%

Isolated Complete Rupture of the Biceps Femoris Insertion: A Surgical Repair Technique Manuscript

Raines

Pomajzl

Ray

et al. 2019

Arthroscopy Techniques

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“…In the literature, we were only able to find some disparate case reports. [2][3][4][5] Thus, it is in our interest to report this case.…”

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confidence: 97%

Biceps Femoris Injury a Rarity: A Case Report

Strasser¹,

Wein²,

Wieder³

et al. 2017

Surg J

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The biceps femoris has a long and a short head. The proximal long head is inserted at the tuber ischiadicum and the short head at the linea aspera. Distal it inserts at the lateral side of the head of the fibula. It helps in the extension, external rotation of the hip, and flexion of the knee. 1 A rupture of the distal insertion of this muscle is a very rare injury. In the literature, we were only able to find some disparate case reports. 2-5 Thus, it is in our interest to report this case. Case PresentationA 65-year-old man as he was moving a carpet had stretched his right leg and felt a stabbing pain in the laterodorsal distal tight. He could walk but felt instability in the knee. In the clinical exam, there was a depression in regard to the dorsolateral lateral epicondylus. A strength of two-fifth of the flexion of the knee was also there. There was no intraarticular swelling, no meniscus pathology, no pathological drawer, and the collateral ligaments were stable. An ultrasound was performed but due to the intramuscular hematoma, it was not possible to identify the injury. Therefore, a magnetic resonance imaging (MRI) was performed.On the MRI (►Fig. 1), we could follow cranially the distal biceps femoris during 3 cm before a complete rupture of the tendon around the knee. There is a 6-cm dehiscence and tendon retraction with an extended hematoma. The other structures of the knee were intact. With this pathology and the strength deficit, we decided to repair the tendon. After suture with FiberWire of the tendon, we were able to totally stretch the knee with the hip a 0-degree flexion (►Figs. 2 and 3). Postoperatively, we limited the knee extension to 30 degrees with a free flexion in a splint for 6 weeks and with only a 20 kg weight bearing. OutcomeThe patient did not follow the 20 kg weight bearing. After 6 weeks, the patient was able to walk again without limitation or instability. The tendon was difficult to palpate as there was a persistence of a swelling in the operative site. DiscussionAn isolated rupture of the biceps femoris is extremely rare. It is often associated with complex injury of the knee or injury of the posterolateral capsular ligament complex. 6 Most of the hamstring injury are proximal or in muscle belly. 7 Other isolated distal hamstring injury such as the semimembranosus is even more rare. This can be explained as the biceps femoris is the strongest flexor muscle, biomechanical study measured a 75% loss of strength of the knee flexion by resection of the muscle. 5 With these elements, we could conclude that an operative treatment is the best solution, but as stated previously, there are very few studies about this injury, not enough to have a consensus. There are also studies of a conservative treatment which can lead to full recovery. 5 Kusma et al 8 tried to summarize the outcome of nine case reports, where only one study was treated conservatively. The conservative case had a Keywords ► biceps femoris knee joint ► rupture ► suture AbstractIsolated biceps femoris rupture is a rare inju...

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