High-resolution ultrasound in the assessment of the distal biceps brachii tendinous complex

Blasi, Marc; Fuente, Javier de la; Pérez‐Bellmunt, Albert; O, Zabalza; Martínez, Sílvia; Casasayas, Oriol; Miguel-Pérez, Maribel

doi:10.1007/s00256-018-3043-0

Cited by 12 publications

(3 citation statements)

References 30 publications

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“…On US, the evaluation of the distal tendon requires dedicated medial or oblique approaches ("cobra" position) because of the oblique course of the tendon. 17,24 Degenerative tendons appear diffusely hypoechoic and blurred.…”

Section: Circumstancesmentioning

confidence: 99%

Biceps, Brachialis, and Triceps

Willaume

Bierry

2021

Semin Musculoskelet Radiol

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Tendon injuries at the elbow affect mostly the distal biceps and can progressively degenerate over time or rupture in an acute event. The degree of retraction may depend on the integrity of the lacertus fibrosus, a fibrous expansion that merges with the forearm flexor fascia. Biceps disorders are frequently associated with fluid or synovitis of the adjacent bicipital bursa; primary bursal disorders (primary inflammatory synovitis) can also be observed. Distal triceps is less frequently injured than the distal biceps, and tears usually manifest as distal ruptures with avulsion of a small flake of bone from the tip of the olecranon. Brachialis injuries are uncommon and the consequence of sudden muscle stretching during forced elbow hyperextension, as in posterior elbow luxation.

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Section: Circumstancesmentioning

confidence: 99%

Biceps, Brachialis, and Triceps

Willaume

Bierry

2021

Semin Musculoskelet Radiol

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“…Compression of the brachial artery in the elbow region is caused by bicipital aponeurosis (BA), also known as lacertus fibrosus, which represents a thickening of the brachial fascia that joins the biceps brachii muscle to the ulna. Bicipital aponeurosis serves to protect the underlying neurovascular bundle, and anatomical variations in origin and size have been described [ 3 , 4 ]. According to some authors, a thickened BA can compress the underlying structures, median nerve, and brachial artery, resulting in symptoms of mixed aetiology: motor and sensory symptoms due to compression of the median nerve [ 5 - 7 ], and ischemic symptoms due to compression of the brachial artery.…”

Section: Introductionmentioning

confidence: 99%

Acute Upper Extremity Ischaemia as a Result of Muscular Hypertrophy: The Popeye Syndrome

Seretis,

Tzamtzidou,

Papas

2023

Cureus

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Arterial entrapment syndrome (AES) at the elbow level is very rare. In cases of acute upper extremity ischaemia presenting in middle-aged patients with evident muscular hypertrophy, AES should always be included in the differential diagnosis. A thorough clinical examination should always follow, particularly when symptoms appear after reported strenuous upper extremity activity, and emergent surgical decompression is mandatory to avoid thrombotic complications in the affected arm in the future.

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“…ompared with magnetic resonance imaging (MRI), high-frequency ultrasound (HFUS) has become the first choice for skeletal muscle examination because of its high resolution, lower cost and convenience [1]. Skeletal muscle is a form of striated muscle, which muscle fibers are organized into individual bundles, and hypoechoic stripe muscle bundles and hyperechoic muscle fibers are arranged in parallel position, forming unique texture features on ultrasound images.…”

mentioning

confidence: 99%

Quantitative Analysis of Textural Features Extracted from Sonograms of Biceps under Different Physiological States

Jia¹,

Zhao²,

Xu³

et al. 2020

Advanced Ultrasound in Diagnosis and Therapy

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To quantitatively analyze the difference of texture features of skeletal muscle in high-frequency ultrasound images under different physiological states using the multiscale decomposition method of ultrasound echo intensity interface reflections. Methods:High frequency ultrasound images of the biceps brachii in different physiological states were collected from 20 healthy volunteers. In offline state, eight texture parameters including mean of texture gray scale (Mean), standard variance (SDev) of gray scale, number of blobs (NOB) of texture density, irregularity (IRGL) of texture primitive shape, mean size of blobs (SOB) of texture primitive, homogeneity of distribution (HOD) of texture uniformity, directionality of texture distribution (DOD), and periodicity of texture distribution (POD) were extracted by MATLAB software and compared and analyzed statistically.Results: With the use of high frequency ultrasound, all healthy volunteers' biceps brachii showed isoechoic muscle bundles, organized arrangement of muscle fibers, and distinct and intact texture of structure. In different physiological states of biceps brachii of the same gender group, the NOB and the Mean showed statistically differences (P < 0.05). In the relaxation state of biceps brachii between different gender groups, the average SOB and the DOD showed statistically differences (P < 0.05). In the load state of biceps brachii between different genders, the NOB and the Mean showed statistically differences (P < 0.05). Conclusions:The ultrasonic image changes of muscle fibers under different physiological states can be identified by quantitative texture characteristic parameters, providing more information for clinical computer-aided diagnosis of skeletal muscle injury.

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High-resolution ultrasound in the assessment of the distal biceps brachii tendinous complex

Abstract: Using the systematics hereby proposed, high-resolution US is reliable for the morphometric assessment of the distal biceps brachii tendinous complex. The external bicipital aponeurosis is morphometrically the most variable structure.

Cited by 12 publications

References 30 publications

Biceps, Brachialis, and Triceps

Biceps, Brachialis, and Triceps

Acute Upper Extremity Ischaemia as a Result of Muscular Hypertrophy: The Popeye Syndrome

Quantitative Analysis of Textural Features Extracted from Sonograms of Biceps under Different Physiological States

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