Isolated avulsion of the biceps femoris insertion-injury patterns and treatment options: a case report and literature review

Kusma, M.; Seil, Romain; Kohn, Dieter

doi:10.1007/s00402-006-0216-4

Cited by 38 publications

(69 citation statements)

References 9 publications

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“…Surgical treatment has been advocated to repair complete ruptures of the hamstring muscles and is increasingly used in the management of these injuries 16 36 37. Although a surgical intervention was not an exclusion criterion, no studies on surgical treatment of acute hamstring injuries were included in the analysis of this systematic review.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic interventions for acute hamstring injuries: a systematic review

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Therapeutic interventions for acute hamstring injuries: a systematic review

et al. 2011

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“…In six of the eight cases the injury occurred during sport. The mechanisms leading to rupture were reported as hyperextension in 62.5% of cases, running in 25% and kicking backwards in 12.5% 3. None of the cases reported involved hockey as with the case we present.…”

Section: Discussionmentioning

confidence: 44%

“…Management of biceps femoris and other hamstring tendon ruptures remains controversial with conflicting reports in the limited studies published to date 3–6. Kusma et al 3 reviewed cases in the literature of isolated avulsion of the biceps femoris from its fibular attachment.…”

Section: Discussionmentioning

confidence: 99%

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Biceps femoris tendon injuries sustained while playing hockey

Watura

Harries

2011

Case Reports

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BACKGROUNDThis case is important because we have found no previous report of injury to the distal biceps tendon while playing hockey, although this injury is seen in sports that involve explosive running and fl exion of the knee joint.This case is also unique in that the patient had a proximal hamstring biceps tendon avulsion while playing hockey in 2008, which was surgically repaired, followed by a subsequent distal biceps femoris tendon rupture 2 years later also while playing hockey. Both injuries occurred in the same leg and involved the same muscle. Such a case of these consecutive injuries has never previously been reported in the literature. We reviewed the literature in order to fi nd guidance as to how to best manage the distal biceps femoris tendon rupture in light of the previous proximal tendon avulsion and repair. However, we found no reports or guidance. Therefore, we felt that it was essential to report this case and how we managed it in order to document, Unusual presentation of more common disease/injury Biceps femoris tendon injuries sustained while playing hockey SUMMARYA 42-year-old female nurse presented in March 2008 with a left proximal hamstring tendon injury sustained while playing hockey. At surgery, the proximal biceps femoris tendon and semitendonosus were found to be ruptured and were repaired. The patient made a good recovery but sustained a further hockey injury in January 2010 involving a complete tear and rupture of the biceps femoris tendon distally. This was managed conservatively and the patient was able to return to playing hockey 10 months later. Biceps femoris tendon injuries have been reported in sport but this is the fi rst documented case of the injury occurring while playing hockey and is also the fi rst reported case of a biceps tendon rupture proximally (hamstring tendon) followed by distal biceps femoris rupture at the knee in the same leg.

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“…Tears of the distal attachment of the biceps femoris are the most frequently reported distal hamstring tears, with a few radiology case reports of distal semimembranosus avulsions. Semitendinosus tendon tears are also rare and have been reported mainly in the orthopedic literature [5][6][7][8][9][10]. In the radiology literature, distal semitendinosus injuries have not been reported in detail and are overshadowed by the other common hamstring injuries [4,11].…”

Section: Introductionmentioning

confidence: 96%

Partial semitendinosus tendon tear in a young athlete: a case report and review of the distal semitendinosus anatomy

et al. 2015

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Distal semitendinosus tears have been infrequently reported in the radiology literature, and a detailed description of the anatomy and imaging features of these injuries is lacking. The semitendinosus tendon is clinically relevant, as it is frequently grafted in knee ligament reconstructions and plays an important role in performing competitive activities. We present a case of a 31-year-old man who developed a partial semitendinosus tear during competitive training. This case highlights the common clinical and imaging findings found with distal semitendinosus tears, and explores the various modalities available to treat this injury. We also review the clinically pertinent anatomy of the distal semitendinosus tendon and discuss the pitfalls that musculoskeletal radiologists may encounter, to avoid misdiagnosing these rare injuries.

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Isolated avulsion of the biceps femoris insertion-injury patterns and treatment options: a case report and literature review

Cited by 38 publications

References 9 publications

Therapeutic interventions for acute hamstring injuries: a systematic review

Therapeutic interventions for acute hamstring injuries: a systematic review

Biceps femoris tendon injuries sustained while playing hockey

Partial semitendinosus tendon tear in a young athlete: a case report and review of the distal semitendinosus anatomy

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