Snapping knee due to the biceps femoris tendon treated with repositioning of the anomalous tibial insertion

Date, Hiroyuki; Hayakawa, Kazue; Nakagawa, Kenji; Yamada, Harumoto

doi:10.1007/s00167-011-1778-4

Cited by 26 publications

(33 citation statements)

References 11 publications

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“…9) [15]: this condition occurs for numerous reasons. It can be due to snapping of the tendon on an epiphysis of the hypertrophic fibula, to snapping of a tendon caused by the union with the iliotibial band, to a too anterior insertion of the biceps on the fibula or to a bifid insertion of the tendon with an additional insertion on the head of the tibia in conflict with the lateral collateral ligament.…”

Section: Abnormal Displacementmentioning

confidence: 99%

Conflicts, snapping and instability of the tendons. Pictorial essay

Fantino

Borne

Bordet

2012

Journal of Ultrasound

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Conflicts, snapping and instability of the tendons are common, and ultrasound (US) is the method of choice for evidencing these conditions thanks to the possibility to perform dynamic maneuvers during imaging studies. A conflict can occur between a tendon and a bone structure, other tendons, the retinacula or pulleys. Snapping can occur due to instability caused by rupture of the retinaculum, conflict between a thickened retinaculum and a bone prominence or due to an abnormal position of the tendon. Instability can occur due to insufficient ability of the retinaculum to keep the tendons in the bone groove or its failure to hold the tendons applied to the bone. The technique for evidencing conflicts, snapping and instability of the tendons is very demanding because it requires a thorough knowledge of the US appearance and dynamic maneuvers. However, at the present time US examination completed with dynamic maneuvers is the investigation of choice for evidencing these disorders and providing the clinicians with the necessary information.Sommario Conflitti, scatti ed instabilità dei tendini sono frequenti e l'ecografia è, per la possibilità di eseguire manovre dinamiche, la metodica di elezione per obbiettivarli. I conflitti dei tendini possono realizzarsi rispetto a strutture ossee, ad altri tendini, a retinacoli e pulegge. Gli scatti possono avvenire per instabilità da rottura di un retinacolo, per conflitto con un retinacolo ispessito o con una protuberanza ossea, per uno spostamento anomalo rispetto a un altro tendine. L'instabilità può realizzarsi per insufficienza di un retinacolo nel chiudere una doccia ossea, o per insufficienza, sempre di un retinacolo, a stabilizzare i tendini contro un osso. La tecnica per l'evidenziazione di conflitti, scatti ed instabilità dei tendini è molto impegnativa, perché richiede la conoscenza della semiotica e manovre dinamiche, ma l'ecografia, completata con manovre dinamiche è, al momento attuale, l'indagine di scelta per la comprensione di queste patologie e per fornire informazioni ai clinici. ª

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Section: Abnormal Displacementmentioning

confidence: 99%

Conflicts, snapping and instability of the tendons. Pictorial essay

Fantino

Borne

Bordet

2012

Journal of Ultrasound

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“…This condition has been described in various case reports. [2][3][4][5][6][7][8][9][10][11][12][13] The reasons for a snapping biceps femoris can vary, and the treating provider must be ready to accommodate and treat these causes. The symptoms typically include an audible, and usually visual, lateral snapping distal to the knee joint and over the fibular head.…”

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confidence: 99%

Snapping Biceps Femoris Tendon

Ernat¹,

Galvin²

2018

Am J Orthop

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A 23-year-old male active duty soldier presented with a biceps femoris tendon snapping over the fibular head with flexion of the knee beyond 90°. Surgical release of anomalous anterolateral tibial and lateral fibular insertions provided relief of snapping with no other repair or reconstruction required. The soldier quickly returned to full running and active duty. Snapping biceps femoris tendon is a rare but potential cause of pain and dysfunction in the lateral knee. The possible anatomical variations and the cause of snapping must be considered when determining the operative approaches to this condition.

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“…Snapping biceps femoris tendon, though being a rare phenomenon, is not alien to clinical literature1–9). The reported causes for this manifestation are varied, ranging from anomalous tendon anatomy1–9) to trauma7).…”

mentioning

confidence: 99%

“…The reported causes for this manifestation are varied, ranging from anomalous tendon anatomy1–9) to trauma7). The major symptom is a painful click on the lateral side of the knee, generally during flexion.…”

mentioning

confidence: 99%

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

Fritsch

Mhaskar²

2017

Knee Surg Relat Res

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Snapping biceps femoris tendon is an uncommon problem that can be caused by various anatomical aberrations around the knee joint. There are several case reports in the literature describing some of these anatomical variations and their treatment. We present a case of unilateral snapping biceps femoris tendon due to a previously unreported anatomical variation, our technique for successful surgical treatment, and a review of the literature.

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Snapping knee due to the biceps femoris tendon treated with repositioning of the anomalous tibial insertion

Cited by 26 publications

References 11 publications

Conflicts, snapping and instability of the tendons. Pictorial essay

Conflicts, snapping and instability of the tendons. Pictorial essay

Snapping Biceps Femoris Tendon

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

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