Clin Should Elbow.  2018 Dec;21(4):213-219. 10.5397/cise.2018.21.4.213.

A Case Series of Symptomatic Distal Biceps Tendinopathy

Affiliations
  • 1Department of Orthopaedic Surgery, Upper Extremity and Microsurgery Center, Pohang Semyeong Christianity Hospital, Pohang, Korea. osdrrih@gmail.com

Abstract

BACKGROUND
The study of conservative and surgical treatment of distal biceps tendinopathy and associated biceps tendon partial rupture.
METHODS
Twenty-one cases with distal biceps tendonitis and partial ruptures were studied who visited Pohang Semyeong Christianity Hospital from June 2010 to August 2017. The mean age was 57.1 years (39-69 years), 14 males and 7 females. The mean duration of symptom at the time of first visit was 4.9 months (0.2-14 months). Ultrasonography and magnetic resonance imaging were performed for patients with severe symptoms. According to the severity of the symptoms, splint immobilization, oral nonsteroidal anti-inflammatory drugs, and ultrasound-guided steroid injection were performed. Surgical treatment was performed if the patient did not respond to conservative treatment for 3 to 6 months or longer.
RESULTS
There were 9 cases of partial rupture of the distal biceps tendon associated with distal biceps tendinopathy on imaging studies. Conservative treatment showed symptomatic improvement in 16 of 21 cases. In 4 cases with a relatively mild symptom, anti-inflammatory analgesics and intermittent splinting showed good result. In 12 cases, symptoms improved after ultrasonography-guided steroid injection. Surgical treatment was performed on 5 cases that did not respond to conservative treatment.
CONCLUSIONS
Conservative treatment of distal biceps tendinopathy may promise good results. However, in case of partial tear of the distal biceps tendon and refractory to conservative treatment, surgical treatment may be needed.

Keyword

Biceps tendon; Partial tear; Tendinopathy; Magnetic resonance imaging; Surgery

MeSH Terms

Anti-Inflammatory Agents, Non-Steroidal
Christianity
Female
Gyeongsangbuk-do
Humans
Immobilization
Magnetic Resonance Imaging
Male
Rupture
Splints
Tears
Tendinopathy*
Tendons
Ultrasonography
Anti-Inflammatory Agents, Non-Steroidal
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