Isolated Avulsion of the Biceps Femoris Insertion

Sebastianelli, Wayne J.; Hanks, G.; Kalenak, Alexander

doi:10.1097/00003086-199010000-00028

Cited by 26 publications

(45 citation statements)

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“…Our findings strengthen other studies that infer that the biceps femoris muscle is an important dynamic stabilizer of the knee and that injury to the insertion of this tendon may result in dynamic instability in highly active individuals (Marshall et al, 1972;Sebastianelli et al, 1990) The multiple attachment sites for the biceps femoris muscle may increase the stability of the lateral knee joint not only by multiple bony attachments but also by the various soft tissue attachments as described in our study. This study provides new detailed nomenclature for the description of the tendon of insertion of the biceps femoris muscle and indicates that the description of the insertion of the tendon of the biceps femoris muscle should be revised.…”

Section: Resultssupporting

confidence: 91%

“…In addition, this muscle extends the hip joint, laterally rotates the leg, and has been shown to display increased activity in anterior cruciate ligament-deficient knees (Marshall et al, 1972;Sebastianelli et al, 1990). The long head arises in common with the semitendinosus muscle from the ischial tuberosity and the inferior aspect of the sacrotuberous ligament, crosses the sciatic nerve from the medial to the lateral side, and then fuses with the short head that arises from the lateral lip of the linea aspera, proximal two-thirds of the supracondylar line, and from the lateral intermuscular septum (Woodburne and Burkel, 1994).…”

Section: Introductionmentioning

confidence: 99%

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Descriptive anatomy of the insertion of the biceps femoris muscle

et al. 2006

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The biceps femoris is the most lateral component of the so-called hamstring muscles. Classically, this muscle's insertion into the head of the fibula has been described but further details of its anatomy have not been universally appreciated. Additional insertions into the crural fascia and tibia have been described. We dissected 56 cadavers paying especially close attention to the insertion of the biceps femoris muscle. The tendon of this muscle was found to have both medial and lateral slips each with an anterior and posterior component. Further, we found an attachment not only into the lateral condyle of the femur but also the popliteus tendon and arcuate popliteal ligament. Our study has found that the tendon of insertion of the biceps femoris muscle is more complex than described previously and suggests that this tendon may be far more important in knee stability based on the multiple attachment sites found. We hypothesize that there may be a synergistic effect between the biceps femoris and the popliteus muscles based on our findings of an additional attachment of the biceps femoris tendon into the popliteus tendon. This study provides new detailed nomenclature for the description of the tendon of insertion of the biceps femoris muscle and indicates that the current description of the insertion of the tendon of the biceps femoris muscle should be revised. The clinician must have a thorough understanding of this anatomy before correct therapeutic maneuvers can be implemented.

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Section: Resultssupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Descriptive anatomy of the insertion of the biceps femoris muscle

et al. 2006

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“…In der Literatur finden sich insgesamt nur 5 Fälle einer isolierten Bizepssehnenruptur [2,5,15,21]. Berichtet wird im Folgenden anhand von 2 Patienten über den seltenen Fall der isolierten Ruptur im distalen Anteil der Bizepssehne.…”

Section: Schlüsselwörterunclassified

“…In sämtli-chen Fallbeschreibungen hatten sich die Patienten ebenfalls die Verletzung ohne Fremdeinwirkung zugezogen [2,5,15,21]. Zum Teil wird eine extensionsnahe Positionierung des Kniegelenks beschrieben [5,21].…”

Section: Diskussionunclassified

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Die isolierte Bizepssehnenruptur am Kniegelenk

Werlich¹

2001

Der Unfallchirurg

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Traumatic injuries of the posterolateral structures of the knee are normally the result of a severe rotation trauma, and as a rule, associated with intraarticular lesions. Two cases will be presented, whereby, without injuries to the knee, an isolated rupture of the distal part of the biceps femoris tendon occurred. Intraoperatively as also histologically there was no evidence of degenerative changes. The operative treatment in both cases achieved a good functional result. The better result was achieved with rigid fixation and a limiting protective rehabilitation program as it is used after the operative reconstruction of the torn posterolateral structures.

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