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2025, Number 6

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Acta Med 2025; 23 (6)

Avulsion fracture of the distal tendon of the biceps brachii in a bodybuilder

Domínguez GLG, Domínguez CLG
Full text How to cite this article 10.35366/121706

DOI

DOI: 10.35366/121706
URL: https://dx.doi.org/10.35366/121706

Language: Spanish
References: 5
Page: 572-573
PDF size: 933.04 Kb.


Key words:

distal biceps brachii tendon, avulsion fracture, hook test.

Avulsion fracture of the distal tendon of the biceps brachii (TDB) is rare, with an incidence of 5.35 per 100,000/year. It is observed in athletes performing a forced eccentric brachial biceps contraction. The injuries are evaluated with the "hook test". Tendon repair is performed in acute injuries involving > 50%. Usually, reinsertion through an incision is performed by fixation to the second cortex with a "button" type device. There is no consensus on the best repair method; surgical complications are heterotopic ossification, rigidity, external cutaneous neuropraxia of the antebrachial nerve, and injury to the posterior interosseous branch of the radial nerve.


REFERENCES

  1. Kelly MP, Perkinson SG, Ablove RH, Tueting JL. Distal biceps tendon ruptures: an epidemiological analysis using a large population database. Am J Sports Med. 2015; 43 (8): 2012-2017. doi: 10.1177/0363546515587738.

  2. Moros MS, Jacobo EO, Del Olmo HT, Gros AS, et al. Lesiones del tendón distal del bíceps: diagnóstico y tratamiento. Rev Esp Traum Lab. 2021; 4 (2): 113-112. doi. 10.24129/jareta. 04208.fs2106021.

  3. Feger J, Hacking C, Rasuli B et al. Distal biceps tendon injury. Reference article, Radiopaedia.org. doi.org/10.53347/rID-95288.

  4. Jaschke M, Rekawek K, Sokolowsky S, Kolodziej L. Distal biceps tendon rupture: a comprehensive overview. EFORT Open Rev. 2023;8: 865-873. doi: 10.1530/EOR-23-0035.

  5. Ribas LHBV, Schor B, Filho GDRM, Belangero PS. Acute distal biceps tendon injury: diagnosis and treatment. Rev Bras Ortop (Sao Paulo). 2023;58(5): e689-e697. doi: 10.1055/s-0043-1771488.




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Acta Med. 2025;23