Diagnosis of Traumatic Biceps Brachii Tendon Injuries
https://doi.org/10.20862/0042-4676-2020-101-4-214-220
Abstract
The biceps muscle located between the shoulder and ulnar articulations is attached to the bone structures with a tendon, so in case of traumatic impact, the damage may be both in the proximal and distal parts. Most tendon ruptures occur in the proximal biceps, less often distally, in the area of radial tuberosity. The anamnesis and examination data play an important role in the diagnosis of ruptures. But the instrumental diagnostics is used for complete verification of the diagnosis and exclusion of complications or other diseases. The most reliable and comprehensive information is provided by the method of magnetic resonance imaging (MRI). The article presents analysis of MRI results in a patient with a complete distal biceps tendon rupture with the tendon pulled upward and the muscle retracted. The MRI study could make a correct clear diagnosis, which allowed the patient to immediately contact a specialized professional and to receive qualified assistance in time. Thus, it is shown that high-field MRI makes it possible to solve the problems of identifying the pathological processes and determining their severity with high accuracy.
About the Authors
O. A. Starosel’tseva
Federal Scientific and Clinical Center for Resuscitation and Rehabilitation
Russian Federation
Russian Federation
Cand. Med. Sc., Radiologist, Department of Radiation Diagnostics, Clinical and Diagnostic Department, Research
Institute of Rehabilitation
ul. Petrovka, 25, stroenie 2, Moscow, 127051, Russian Federation
A. A. Kolokolova
Kursk State University, Ministry of Health of Russia
Russian Federation
Russian Federation
Cand. Med. Sc., Associate Professor, Anatomy Chair
ul. Karla Marksa, 3, Kursk, 305041, Russian Federation
E. V. Pron’kina
Polyclinic No. 1, Office of the President of the Russian Federation
Russian Federation
Russian Federation
Radiologist
pereulok Sivtsev Vrazhek, 26/28, Moscow, 119002, Russian Federation
N. V. Nudnov
Russian Scientific Center of Roentgenoradiology, Ministry of Health of Russia
Russian Federation
Russian Federation
Dr. Med. Sc., Professor, Deputy Director for Research
ul. Profsoyuznaya, 86, Moscow, 117997, Russian Federation
References
1. Hutchinson HL, Gloystein D, Gillespie M. Distal biceps tendon insertion: an anatomic study. J Shoulder Elbow Surg. 2008; 17(2): 342–6. doi: 10.1016/j.jse.2007.05.005
2. Landin D, Myers J, Тompson M, Castle R, Porter J. The role of the biceps brachii in shoulder elevation. J Electromyogr Kinesiol. 2008; 18(2): 270–5. doi: 10.1016/j.jelekin.2006.09.012
3. Kokkalis ZT, Sotereanos DG. Biceps tendon injuries in athletes. Hand Clin. 2009; 25(3): 347–57. doi: 10.1016/j.hcl.2009.05.007
4. Darlis NA, Sotereanos DG. Distal biceps tendon reconstruction in chronic ruptures. J Shoulder Elbow Surg. 2006; 15(5): 614–9. doi: 10.1016/j.jse.2005.10.004
5. Skalski M. Distal biceps tendon rupture. Available at: https://radiopaedia.org/cases/distal-biceps-tendon-rupture-1 (accessed July 17, 2020).
6. Krylyuk NP, Kolokolnikova AE. Diagnostic capabilities of MRI for damage to the tendon of the long head of the biceps. Bulletin of Medical Internet Conferences. 2017; 7(5): 709 (in Russian).
7. Borzykh NA. Diagnosis and treatment of distal biceps tendon rupture. Sports Medicine. 2013; 2013(1): 98–9 (in Russian).
8. Gritsyuk AA, Kokorin AV, Smetanin SM. Rupture of the distal tendon of the biceps muscle: modern ideas about etiopathogenesis and treatment. Chair of Traumatology and Orthopedics. 2016; 2(18): 42–8 (in Russian).
9. Chavan PR, Duquin TR, Bisson LJ. Repair of the ruptured distal biceps tendon: a systematic review. Am J Sports Med. 2008; 36(8): 1618–24. doi: 10.1177/0363546508321482
10. Chillemi C, Marinelli M, De Cupis V. Rupture of the distal biceps brachii tendon: conservative treatment versus anatomic reinsertion – clinical and radiological evaluation after 2 years. Arch Orthop Trauma Surg. 2007; 127(8): 705–8. doi: 10.1007/s00402-007-0326-7
Review
For citations:
Starosel’tseva O.A., Kolokolova A.A., Pron’kina E.V., Nudnov N.V. Diagnosis of Traumatic Biceps Brachii Tendon Injuries. Journal of radiology and nuclear medicine. 2020;101(4):214-220. (In Russ.) https://doi.org/10.20862/0042-4676-2020-101-4-214-220
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