Snapping of bilateral biceps femoris tendons: A case report and brief review

Zadeh, Catherina; Khoury, Nabil; Najem, Elie; Moukaddam, Hicham

doi:10.1016/j.radcr.2021.12.058

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…The diagnosis of a snapping biceps is uncommon, and it is routinely mistaken for more common pathologies. 1 2 3 4 5 6 7 8 9 This case demonstrates an initially missed snapping biceps due to concurrent lateral meniscus tear after injury. Pain and snapping from the biceps femoris insertion can be due to anomalous anatomy of the insertion itself, dysmorphia of the fibular head or from trauma.…”

Section: Discussionmentioning

confidence: 87%

Painful Unilateral Knee Snapping after Hyperextension Injury and Meniscus Tear

Karsen,

Brinkman,

Day

et al. 2023

Surg J (N Y)

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This case involves a healthy male with painful lateral knee pain and snapping after a hyperextension injury. Initially, this was felt to be from a displaced lateral meniscus tear; however, he failed to improve after meniscal debridement. Further workup with an ultrasound and magnetic resonance imaging identified an aberrant biceps femoris anatomy. He was taken to the operating room and the aberrant slip was identified. A tenodesis of the aberrant slip to the biceps femoris was completed. This resolved the patient's pain and snapping, and he was able to return to all activities.

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Section: Discussionmentioning

confidence: 87%

Painful Unilateral Knee Snapping after Hyperextension Injury and Meniscus Tear

Karsen,

Brinkman,

Day

et al. 2023

Surg J (N Y)

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“…Few cases of snapping biceps femoris tendons have been recorded in the literature across various case reports. Causes of the snapping biceps femoris tendon have been attributed to anomalous insertions (most prevalent), 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 tendon subluxation, 17 , 18 abnormalities of the fibular head, 19 , 20 , 21 , 22 , 23 or secondary to trauma. 6 , 24 Conservative treatment is usually attempted first and consists of physical therapy and anti‐inflammatory medications.…”

Section: Introductionmentioning

confidence: 99%

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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“…Few cases of snapping biceps femoris tendons have been recorded in the literature across various case reports. Causes of the snapping biceps femoris tendon have been attributed to anomalous insertions (most prevalent), [7][8][9][10][11][12][13][14][15][16] tendon subluxation, [17][18] abnormalities of the fibular head, [19][20][21][22][23] or secondary to trauma. 6,24 Conservative treatment is usually attempted first and consists of physical therapy and anti-inflammatory medications as needed.…”

mentioning

confidence: 99%

Biceps Femoris Accessory Tendon Tenodesis: A Case Report

Fong,

Wu,

Reed

et al. 2023

Preprint

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Snapping at the lateral knee can be caused by a variety of pathologies involving surrounding soft tissue structures such as the popliteus, semitendinosus and/or gracilis tendons, IT Band syndrome, lateral meniscus tears, or rheumatoid nodules. [1][2][3][4] snapping In rare instances, lateral knee pain may also be caused by the distal tendon of the biceps femoris long head shifting over the fibular head. [5][6] Regardless, the various differential diagnoses should be properly ruled out by a careful history, a detailed physical exam, and advanced imaging.

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Snapping of bilateral biceps femoris tendons: A case report and brief review

Cited by 4 publications

References 20 publications

Painful Unilateral Knee Snapping after Hyperextension Injury and Meniscus Tear

Painful Unilateral Knee Snapping after Hyperextension Injury and Meniscus Tear

Biceps femoris accessory tendon tenodesis: A case report

Biceps Femoris Accessory Tendon Tenodesis: A Case Report

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