Subluxating Biceps Femoris Tendon: An Unusual Case of Lateral Knee Pain in a Soccer Athlete

Bach, Bernard R.; Minihane, Keith P.

doi:10.1177/03635465010290012101

Cited by 43 publications

(54 citation statements)

References 13 publications

(11 reference statements)

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“…Other causes that have been suggested are more distal bifurcation of the long head of the biceps (4) and prominence in the fibular head with normal insertion of the tendon (1) . Six of the eight cases reported (1)(2)(3)(4)(5)(6) were bilateral (Table 1) and just two involved one limb, as in our case, and although most were bilateral, surgery was not always necessary on the contralateral side, which was asymptomatic. Only two cases were described as traumatic (7,8) .…”

Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

“…The intra-articular causes that are most commonly described are: discoid meniscus, meniscal injury, loose bodies, and synovial plica (2) . Extra-articular causes include iliotibial tract syndrome, popliteus tendon syndrome, semitendinosus syndrome and, more rarely, subluxation of the biceps femoris (1)(2)(3)(4)(5)(6)(7)(8) . The literature review shows eight reported cases (1)(2)(3)(4)(5)(6)(7)(8) of subluxation of the long portion of the biceps femoris -"snapping of the biceps femoris" -and, among them, several theories have been proposed to explain the origin of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…Extra-articular causes include iliotibial tract syndrome, popliteus tendon syndrome, semitendinosus syndrome and, more rarely, subluxation of the biceps femoris (1)(2)(3)(4)(5)(6)(7)(8) . The literature review shows eight reported cases (1)(2)(3)(4)(5)(6)(7)(8) of subluxation of the long portion of the biceps femoris -"snapping of the biceps femoris" -and, among them, several theories have been proposed to explain the origin of the disease. The complex and variable anatomy of the insertion of the tendon of the biceps femoris has been studied in great detail, the most recent study (8) reveals that the long head of the biceps has a direct arm with insertion in the posterolateral region of the fibular head, and another anterior arm inserted in the anterolateral border of the fibular head adjacent to the tibia, both originating in the tendon.…”

Section: Discussionmentioning

confidence: 99%

“…The etiology and treatment are controversial in the few articles found (1)(2)(3)(4)(5)(6)(7)(8) . Anatomic changes of the proximal fibular prominence or frequent microlesions due to sprains are believed to occur (1) , but even in these cases, intraoperative findings have clearly shown an anomalous insertion of the tendon of the biceps femoris.…”

Section: Introductionmentioning

confidence: 99%

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Dor lateral no joelho do atleta: um raro caso de luxação do tendão do bíceps femoral

Duarte¹,

Severino²,

Silva³

et al. 2012

Rev. bras. ortop.

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The authors declare that there was no conflict of interest in conducting this work ABSTRACTDislocation of the femoral biceps tendon is rare and is described clinically in the literature as a lateral pain in the knee. It was initially reported as an anomalous insertion of the long head of the femoral biceps. Subsequently, it was found to be caused by abnormal mobility of the tendon over the prominence of the fibular head at certain angles of knee flexion. The objective of the present report was to describe and discuss a condition of lateral knee pain in a swimmer who started to present subluxation of the femoral biceps during sports practice, which incapacitated him from taking part in trials and competitions. The case is discussed in the light of the literature surveyed; the likelihood that the etiology for the trauma leading to this condition was repetition; and the surgical treatment instituted, which led to excellent results and the patient's return to his habitual sports practice.

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Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dor lateral no joelho do atleta: um raro caso de luxação do tendão do bíceps femoral

Duarte¹,

Severino²,

Silva³

et al. 2012

Rev. bras. ortop.

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Biceps femoris accessory tendon tenodesis: A case report

Fong,

Wu,

Reed

et al. 2023

Clinical Case Reports

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Key Clinical MessageWe present a case of lateral knee pain from snapping of an accessory tendinous insertion of the biceps femoris. After failure of conservative treatment options, tenodesis of the accessory band to the direct arm insertion at the posterolateral edge of the fibular head effectively resolved symptoms.AbstractThere are several distinct causes of lateral knee pain including IT band syndrome, meniscus tears, or other soft tissue pathologies; however, a few case reports have shown the biceps femoris as a cause of lateral knee pain and snapping. Conservative treatment is of modest benefit to the patient in these scenarios, and an MRI is not always able to identify the accessory band, as in our case. Intraoperatively, we discovered an accessory band of the biceps femoris attaching to the anterolateral tibia, causing pain and snapping during knee flexion as the band passed over the fibular head. There have been various surgical attempts to address this pathology; however, we report a successful outcome after tenodesis of the accessory band to the direct insertion at the posterolateral fibular head.

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