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

Raines, Benjamin Todd; Pomajzl, Ryan J.; Ray, Taylor; Bley, Jordan A.; Sherman, Seth L.

doi:10.1016/j.eats.2018.11.020

Cited by 4 publications

(4 citation statements)

References 18 publications

(37 reference statements)

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“…The majority of patients (7/8) were managed surgically with transosseous fixation, with moderate‐to‐good outcomes. Raines et al [29] describe a knotless suture anchor fixation technique for operative fixation of isolated biceps femoris tendon tears. According to published studies, patients with a distal biceps femoris rupture can be expected to return to their pre‐injury function following surgical reattachment.…”

Section: Discussionmentioning

confidence: 99%

Distal avulsion of reconstituted hamstring tendons

Ahearn

Wood

2020

Knee Surg Sports Traumatol Arthrosc

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Purpose Hamstring tendon autograft (semitendinosus and gracilis) is the most commonly used graft in anterior cruciate ligament (ACL) reconstruction. Distal hamstring tendons avulsion is a rare condition, and this paper describes a previously unreported injury, local management of this rare injury pattern, and the existing literature regarding treatment options. Methods Two cases are presented of distal hamstring avulsion from the tibia of reconstituted tendons, together with additional 12 cases of distal hamstrings tendon avulsion. Functional outcomes following treatment of this injury are presented, together with a literature review of management options. Results Early surgical reattachment using suture anchor ixation was performed and excellent results were achieved in 93% of cases (13 out of 14 patients). Patient-reported outcome measures demonstrated a median Marx score 14.5 (IQR 4) and median SHORE score 34.5 (IQR 4). The mean time to surgery was 22 days (range 5-60), with mean time to return to sport at pre-injury level 5.5 months (range 2.5-12). Conclusions Distal hamstring tendon avulsion is a rare condition, with no consensus regarding optimal management options. Acute surgical repair leads to excellent results, with a return to pre-injury level of sporting activity. Level of evidence IV.

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Section: Discussionmentioning

confidence: 99%

Distal avulsion of reconstituted hamstring tendons

Ahearn

Wood

2020

Knee Surg Sports Traumatol Arthrosc

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“…A detailed surgical technique for repair of isolated rupture of biceps femoris insertion has been described using FiberTape suture (Arthrex) and SwiveLock anchor (Arthrex). 15 A biomechanical study of repair techniques of biceps femoris 16 showed that a technique involving transosseous fibular tunnel had a higher mean failure load compared to repairs relying on suture anchors for fixation.…”

Section: Discussionmentioning

confidence: 99%

Isolated Avulsion of the Biceps Femoris Insertion: A Case Report and Literature Review

Budhraja¹,

Sawasdee²

2020

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amstring injuries in athletes are common, but isolated avulsion or tear of biceps femoris tendon are a rare occurrence. Only a few case reports have been published. McGoldrick 1,2 has been credited as the first to report a case of spontaneous rupture of biceps femoris. Since then, there have been several other reports. [2][3][4][5][6][7][8][9][10][11] We report a case of complete avulsion of distal biceps femoris tendon from head of fibula with a review of previously published cases of isolated rupture of biceps femoris tendon to look for patterns in epidemiology, mechanism of injury, location of tear, treatment methods and their outcome. Case ReportA 34-year-old Brazilian football (soccer) coach was admitted to the emergency room after he felt a sudden pain and a pop in the lateral side of his right knee after kicking a football backwards with his heel. He was not able to walk afterwards. Physical examination showed mild swelling and marked tenderness in the posterolateral part of his knee and fibula head. Full passive flexion or knee extension was not possible due to pain. Active movement of his knee was also very painful. There was no gross instability of the knee. Magnetic resonance imaging (MRI) scan showed avulsion of distal biceps femoris insertion at the head of the fibula with no other pathology (Figure 1).

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“…As the peroneal nerve is closely related to the distal biceps, femoris a neurological examination should be performed to exclude associated injury. 7 An MRI was performed a week after the injury that demonstrated a full-thickness tear of the biceps femoris just proximal to the fibular insertion with moderate soft tissue edema and a small hematoma. A short distal stump of the biceps femoris tendon was attached to the fibula head (►Fig.…”

Section: Casementioning

confidence: 99%

“…As the peroneal nerve is closely related to the distal biceps, femoris a neurological examination should be performed to exclude associated injury. 7 …”

Section: Introductionmentioning

confidence: 99%