Complete Intrasubstance Long Head Biceps Brachii Rupture with Successful Repair: A Case Report

Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v5i4.3131

Zifeng Wu1, Hengyu Liao1, Zhiyu Huang2, Jieruo Li2

1. Jinan University, Guangzhou 510632, Guangdong, China The First Affiliated Hospital, Jinan University, Guangzhou 510630, Guangdong, China
2. The First Affiliated Hospital, Jinan University, Guangzhou 510630, Guangdong, China

Abstract

Intrasubstance biceps rupture is a rare injury. Closed traumatic biceps rupture is a relatively rare injury, and although an intramuscular tear, appropriate surgical timing and technique can be well treated. We report a case of traumatic abdominal Intrasubstance biceps rupture, mainly repaired by using a modified Mason-Allen (allograft tendon augmentation) technique. After 6-month follow-up, physical strength and good repair, clinical and MRI examination. The DASH score showed 0 out of 100 (no disability). Application of this technique can successfully repair acute traumatic closed biceps cross section, with good postoperative function.

Keywords

intrasubstance biceps rupture, modified Mason-Allen technique, repair

References

[1]Heckman JD, Levine MI. Traumatic closed transection of the biceps brachii in the military parachutist. J Bone Joint Surg Am. 1978;60(3):369e372.
[2]Wilson DJ, Parada SA, Slevin JM, Arrington ED. Intrasubstance ruptures of the biceps brachii: diagnosis and management. Orthopedics. 2011;34(11):890e896.
[3]Chen HW, Chew FS. Complete rupture of both heads of the biceps brachii muscle belly by blunt trauma. Radiol Case Rep 2006;1:145-8.
[4]Ramos LA, de Carvalho RT, Abdalla RJ, Ingham SJ. Surgical treatment for muscle injuries. Curr Rev Musculoskelet Med. 2015;8(2):188e192.
[5]Huard J, Li Y, Fu FH. Muscle injuries and repair: current trends in research.J Bone Joint Surg Am. 2002;84(5):822e832.
[6]Kragh JF, Basamania CJ. Surgical repair of acute traumatic closed transection of the biceps brachii. J Bone Joint Surg Am. 2002;84(6):992e998.
[7]Salmons HI, Warrender WJ, Smith S, Kearns KA, Strohl A. Intrasubstance tear of the short head of biceps with musculocutaneous and median nerve compression. J Am Acad Orthop Surg Glob Res Rev. 2019;3(12):e19.00074.
[8]DiChristina DG, Lustig KA. Rupture through the short head of the biceps muscle belly. A case report. Clin OrthopRelat Res 1992;277:139-41.
[9]Mizuno S, Ikegami H, Nakamura T, Satoh K, Okazaki M, Toyama Y, et alComplete rupture through the short head of the biceps muscle belly: A case report. J Shoulder Elbow Surg 2011;20:e14-7.
[10] Traumatic Isolated Closed Rupture of the Short Head of the Biceps Brachii in a Military Paratrooper. Knee Surg Sports TraumatolArthrosc 2010;18:1759-61.
[11] Shah AK, Pruzansky ME. Ruptured biceps brachii short head muscle belly: A case report. J Shoulder Elbow Surg 2004;13:562-5.

Copyright © 2024 Zifeng Wu, Hengyu Liao, Zhiyu Huang, Jieruo Li

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License