Anomalous Biceps Femoris Tendon Insertion Leading to a Snapping Knee in a Young Male

Fritsch, Brett; Mhaskar, Vikram

doi:10.5792/ksrr.15.067

Cited by 16 publications

(21 citation statements)

References 8 publications

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“…This makes it a challenging condition to address, with several reported techniques including anatomic repair and reconstruction, with sometimes unpredictable results. 1 , 2 , 3 , 4 , 5 , 6 , 7 …”

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confidence: 99%

Surgical Repair of Dynamic Snapping Biceps Femoris Tendon

Kennedy

DePhillipo

Chahla

et al. 2018

Arthroscopy Techniques

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A snapping biceps tendon is an infrequently seen and commonly misdiagnosed pathology, leaving patients with persistent symptoms that can be debilitating. Patients will present with a visible, audible, and/or painful snap over the lateral aspect of their knee when performing squats, sitting in low seats, or participating in activities with deep knee flexion. A thorough knowledge of the anatomy is essential for surgical treatment of this pathology, which is caused by a detachment of the direct arms of the long and short heads of the biceps femoris off the fibular styloid. This Technical Note provides a diagnostic approach, postoperative management, and details of a surgical technique to treat a snapping biceps tendon with an anatomic repair of the long and short head attachments of the biceps femoris to the posterolateral fibular styloid.

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confidence: 99%

Surgical Repair of Dynamic Snapping Biceps Femoris Tendon

Kennedy

DePhillipo

Chahla

et al. 2018

Arthroscopy Techniques

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show abstract

“…The surgical approach allowed us to better understand the pathogenetic mechanism of the subluxation of the biceps femoral tendon and to achieve the resolution of symptoms. In literature numerous articles report the difficulties to reveal any alteration on X-ray and MRI [5][6][7][8][9] therefore, clinical diagnosis has a key role in the management of the biceps femoris tendon snapping knee. Some authors suggested the useful role of the dynamic US to identify the structures involved in the snap: involvement of the bicep tendon can be easily confirmed using dynamic Traumatic biceps femoris tendon subluxation in a young football player Orthopedic Reviews sonography by applying the probe against the fibular head during active motion of the patient knee, 10-12 but this diagnostic method is not yet being used widely.…”

Section: Discussionmentioning

confidence: 99%

Traumatic biceps femoris tendon subluxation in a young football player

et al. 2022

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Snapping a knee related to a biceps femoris tendon subluxation is an uncommon syndrome that could be disabling in patients with high functional requirements such as athletes. We report a case of a 21-year-old soccer player with a painful left snapping biceps femoris tendon due to a varus trauma. He underwent knee arthroscopy and surgical exploration of the knee: the long head of the biceps femoris tendon was partially detached from his fibular insertion and there was a prominence on the fibular head. Reinsertion of the tendon and osteotomy of the fibular head allowed for resolution of all symptoms and the return to sport.

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“…Multiple reports have demonstrated resolution of biceps tendon snapping by manipulating the tendon while leaving the fibula alone. 2 , 3 , 5 , 6 , 7 In these reports, treatment consisted of detaching the tendon and repairing it with suture anchors in a position that did not allow for subluxation. 2 , 3 , 5 , 6 , 7 When evaluating and developing a treatment plan for these patients, it is critical to not only make the proper diagnosis but also to understand the underlying pathology.…”

Section: Discussionmentioning

confidence: 99%

Partial Fibular Head Resection Technique for Snapping Biceps Femoris

Hadeed

Post

Werner

2018

Arthroscopy Techniques

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Snapping biceps femoris is a rare phenomenon in which the biceps femoris tendon subluxates over the fibular head when the leg is brought into deep flexion. Two primary pathologies have been identified: biceps insertion tears/anatomic variants and/or an enlarged fibular head. Often, it can be treated nonoperatively; however, if symptoms are severe enough and refractory to conservative treatments, the underlying pathology can be corrected surgically to alleviate symptoms. The diagnosis is made clinically; the subluxation should be reproducible with deep flexion and should abate with manual compression of the biceps muscle and internal rotation of the tibia. Radiographs can help to discern the size and shape of the fibular head, and magnetic resonance imaging can often help to determine any abnormal tendon insertions. The surgeon should be comfortable with the anatomy of the lateral knee. It is critical to protect the common peroneal nerve. With the appropriate correction, the subluxation can be eliminated and symptoms dramatically improved.

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Anomalous Biceps Femoris Tendon Insertion Leading to a Snapping Knee in a Young Male

Cited by 16 publications

References 8 publications

Surgical Repair of Dynamic Snapping Biceps Femoris Tendon

Surgical Repair of Dynamic Snapping Biceps Femoris Tendon

Traumatic biceps femoris tendon subluxation in a young football player

Partial Fibular Head Resection Technique for Snapping Biceps Femoris

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