Distal biceps tendon insertion: An anatomic study

Hutchinson, Hank L; Gloystein, David M.; Gillespie, Martin J.

doi:10.1016/j.jse.2007.05.005

Cited by 109 publications

(64 citation statements)

References 42 publications

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“…The biceps insertion is on the ulnar margin of the radial tuberosity and creates a so-called 'footprint' on the bone [1,8,10]. The disparity in appearance, length and width of the tendon and angulation of the tuberosity has gained recent interest as factors that may be significant in surgical tendon reattachment [8,10,15].…”

Section: Introductionmentioning

confidence: 99%

“…The disparity in appearance, length and width of the tendon and angulation of the tuberosity has gained recent interest as factors that may be significant in surgical tendon reattachment [8,10,15]. Usually, the tendon footprint occupies almost the full length but only half the width of the tuberosity [10,15].…”

Section: Introductionmentioning

confidence: 99%

“…Recently, more attention has focused on the bone specific characteristics when the anatomical tendon reinsertion to the radial tuberosity is performed [10]. There is paucity of studies that have analyzed the features of the bone in the tuberosity, its thickness, and density in its different parts, and its possible importance in assuring a good resistance to pulling out of the implants use in surgical reinsertion of the distal biceps tendon.…”

Section: Introductionmentioning

confidence: 99%

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Bicipital tuberosity bone characteristics in surgical reattachment of the distal biceps: anatomical and radiological study

Lázaro-Amorós¹,

Tomás-Batlle

Ballesteros-Betancourt

et al. 2016

Surg Radiol Anat

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Based on the results of this anatomic study which have demonstrated that anterior cortex and anterior trabecular bone of the medial and distal regions of the bicipital tuberosity are thicker than proximal part, we postulate that these segments could give better pulling out resistance to monocortical implants. Our findings suggest that the strongest parts of the bicipital tuberosity are the proximal and medial parts of the posterior cortex. We can afford them drilling across the radius using a bicortical implant in the proximal and medial section of the radial tuberosity. Furthermore, we suggest that an increased margin of safety could be achieved to prevent injury to the posterior interosseous nerve, drilling the cortical hole in the proximal part of the radial tuberosity without losing resistance properties.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bicipital tuberosity bone characteristics in surgical reattachment of the distal biceps: anatomical and radiological study

Lázaro-Amorós¹,

Tomás-Batlle

Ballesteros-Betancourt

et al. 2016

Surg Radiol Anat

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“…Detailed assessment and quantification of the attachment sites of these segments may facilitate greater understanding of these observations, and is currently underway. Others have reported variation in the ''foot-print'' of the tendon attachment (Athwal et al, 2007;Mazzocca et al, 2007;Hutchinson et al, 2008), which may also be linked with these data upon further investigation. Biomechanical testing in relation to the connections between each muscular belly and the tendinous bands may also clarify the functional nature of the structures.…”

Section: Discussionmentioning

confidence: 61%

“…E-mail: q.fogg@bio.gla.ac.uk et al, 2005;Eames et al, 2007;Kulshreshtha et al, 2007). Variation in the ''foot-print'' of tendon attachment and of the bicipital tuberosity has also been reported (Eames et al, 2007;Mazzocca et al, 2007;Hutchinson et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Distal biceps brachii tendon anatomy revisited from a surgical perspective

et al. 2009

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The distal biceps brachii tendon is commonly susceptible to traumatic injury. This study aimed to describe the morphology of the distal biceps brachii tendon in relation to the commonly used endobutton repair of tendon rupture. The results suggested that the distal tendon is a series of distinct bands of variable number. These bands are obscured surgically by the tendon sheath. Upon opening this sheath, blunt dissection of the tendon released fibrous connections between the tendon bands. Adjacent bands were variably connected via small oblique bands. The separations between bands were continuous onto the radius. They were therefore considered as separate force-conducting units. This notion is of high relevance to endobutton repairs, as the sutures are typically only passed through the margins of the tendon. Where few connections exist between tendinous bands, this represents a potential weakness, as central bands are therefore free to be pulled proximally. This is of primary concern in the early rehabilitative stages of postoperative care. It may be suggested that sutures that cross the width of the tendon will eliminate the give of central bands, improving postoperative results, reducing revision numbers, and potentially reducing rehabilitation time.

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The Radioulnar Distance at the Level of the Radial Tuberosity

et al. 2019

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Ruptures of the distal biceps brachii tendon are generally treated operatively due to their loss of supination and flexion force. A mechanical impingement at the insertion of the tendon at the radial tuberosity is discussed to play a role in the etiology of this injury. The aim of this study was to present a detailed, three‐dimensional anatomical analysis of the radioulnar space at the radial tuberosity. A total of 166 imprints of the radioulnar space in neutral rotation and pronation from 84 cadaveric specimens of both arms using silicone impression material were produced for this study. Imprints were cut in slices of 3 mm and digitally measured after picture acquisition using a high‐resolution digital camera. Distances were grouped into a proximal, central, and distal groups and used for correlation to morphometric data at the elbow (radial head diameter, ulna and radius length) as well as volume calculation. The mean radioulnar distance was 8.8 ± 4.0 mm in neutral rotation and 7.8 ± 3.9 mm in pronation. In pronation, the central zone was the smallest whereas in neutral rotation the proximal zone was the smallest. The volume of the radioulnar space did not reduce significantly during pronation. Little space is provided for the insertion of the distal biceps brachii tendon especially during pronation. This could play a role in the etiology of distal biceps brachii tendon ruptures and should be considered in the fixation after rupture of the tendon. Clin. Anat., 33:661–666, 2020. © 2019 Wiley Periodicals, Inc.

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Distal biceps tendon insertion: An anatomic study

Cited by 109 publications

References 42 publications

Bicipital tuberosity bone characteristics in surgical reattachment of the distal biceps: anatomical and radiological study

Bicipital tuberosity bone characteristics in surgical reattachment of the distal biceps: anatomical and radiological study

Distal biceps brachii tendon anatomy revisited from a surgical perspective

The Radioulnar Distance at the Level of the Radial Tuberosity

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