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J Knee Surg 2022; 35(11): 1160-1164
DOI: 10.1055/s-0042-1743231
Special Focus Section

Distal Biceps Femoris Tendon Tear in an Active-Duty Soldier: A Case Report and Review of the Literature

Alicia Unangst
1   Department of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, Hawaii
,
Trent Tamate
2   Department of Orthopaedic Surgery, Hawaii Residency Program, Honolulu, Hawaii
,
Craig R. Bottoni
1   Department of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, Hawaii
,
Liang Zhou 
1   Department of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, Hawaii
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Abstract

Distal hamstring injuries and tendon ruptures are rarer than their proximal counterparts, and literature on the management of these injuries is limited. We present a case report of an active-duty soldier who sustained an intratendinous rupture isolated to the long head of the biceps femoris, as well as a summary of the available evidence on this subject matter. A combined end-to-end repair with partial tenodesis to the intact short head allowed the patient a near-full return to military duties at 5 months postoperatively. Surgery combined with diligent, supervised rehabilitation may be effective in returning patients with intratendinous distal biceps femoris tendon tears to athletic lifestyles.

Keywords

orthopaedic - sport - knee - tendon - repair - military


Publication History

Received: 30 October 2021

Accepted: 09 January 2022

Article published online:
25 February 2022

© 2022. Thieme. All rights reserved.

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  • References

  • 1 Knapik DM, Metcalf KB, Voos JE. Isolated tearing and avulsion of the distal biceps femoris tendon during sporting activities: a systematic review. Orthop J Sports Med 2018; 6 (07) 2325967118781828
    CrossrefPubMedGoogle Scholar
  • 2 Lempainen L, Sarimo J, Mattila K, Heikkilä J, Orava S, Puddu G. Distal tears of the hamstring muscles: review of the literature and our results of surgical treatment. Br J Sports Med 2007; 41 (02) 80-83
    CrossrefPubMedGoogle Scholar
  • 3 Thompson JW, Plastow R, Kayani B, Moriarty P, Asokan A, Haddad FS. Surgical repair of distal biceps femoris avulsion injuries in professional athletes. Orthop J Sports Med 2021; 9 (03) 2325967121999643
    CrossrefPubMedGoogle Scholar
  • 4 Terry GC, LaPrade RF. The biceps femoris muscle complex at the knee. Its anatomy and injury patterns associated with acute anterolateral-anteromedial rotatory instability. Am J Sports Med 1996; 24 (01) 2-8
    CrossrefPubMedGoogle Scholar
  • 5 Brunet ME, Kester MA, Cook SD, Leinhardt TM, Haddad Jr RJ. Biomechanical evaluation of superficial transfer of the biceps femoris tendon. Am J Sports Med 1987; 15 (02) 103-110
    CrossrefPubMedGoogle Scholar
  • 6 David A, Buchholz J, Muhr G. Tear of the biceps femoris tendon. Arch Orthop Trauma Surg 1994; 113 (06) 351-352
    CrossrefPubMedGoogle Scholar
  • 7 Entwisle T, Ling Y, Splatt A, Brukner P, Connell D. Distal musculotendinous T junction injuries of the biceps femoris: an MRI case review. Orthop J Sports Med 2017; 5 (07) 2325967117714998
    CrossrefPubMedGoogle Scholar
  • 8 Branch EA, Loveland D, Sadeghpour S, Anz AW. A biomechanical assessment of biceps femoris repair techniques. Orthop J Sports Med 2018; 6 (01) 2325967117748891
    CrossrefPubMedGoogle Scholar
  • 9 Fortems Y, Victor J, Dauwe D, Fabry G. Isolated complete rupture of biceps femoris tendon. Injury 1995; 26 (04) 275-276
    CrossrefPubMedGoogle Scholar
  • 10 Jensen IH, Kramhøft M. Distal rupture of the biceps femoris muscle. Scand J Med Sci Sports 1994; 4 (04) 259-260
    CrossrefPubMedGoogle Scholar
  • 11 Kayani B, Ayuob A, Begum F, Singh S, Haddad FS. Surgical repair of distal musculotendinous T junction injuries of the biceps femoris. Am J Sports Med 2020; 48 (10) 2456-2464
    CrossrefPubMedGoogle Scholar