Abstract
Isolated avulsion of distal biceps femoris tendon is a rare occurrence. We report a case of a 34-year-old football coach with isolated avulsion of distal biceps tendon which occurred while kicking a ball backwards with his heel. He underwent surgical treatment and recovered fully. We obtained an MRI scan 22 months postoperative and found good tendon to bone healing. In reviewing other literature of similar injuries, we found 23 reported cases in 11 publications. 21 of the 24 cases (including our reported case) injured the tendon in a sporting activity. 21 cases underwent surgical treatment while 3 took conservative treatment. Both methods of treatment resulted in a good clinical outcome. Most of the cases were able to return to pre-injury level of sports. Any advantages of one method of treatment over the other could not be determined.
Highlights
Hamstring injuries in athletes are common, but isolated avulsion or tear of biceps femoris tendon are a rare occurrence
We report a case of complete avulsion of distal biceps femoris tendon from head of fibula with a review of previously published cases of isolated rupture of biceps femoris tendon to look for patterns in epidemiology, mechanism of injury, location of tear, treatment methods and their outcome
Biceps femoris tendon was sutured in Krakow fashion with FiberWire 5/7 metric (Arthrex)
Summary
We reviewed 11 published reports, as well as our case report (Table 1). eight of them were single case reports, 2 of them reported 2 cases each, and 1 was a case series.[1,2,3,4,5,6,7,8,9,10,11] The case series was a retrospective review of 18 surgically treated cases of distal hamstring injuries, which included biceps femoris, semimembranosus, and semitendinosus tendons. The second case[5] underwent conservative treatment because he refused surgery He was treated with plaster of paris immobilization in 30 degrees of knee flexion for 3 weeks followed by intensive physiotherapy. He was able to resume sporting activities after 4 months. The first time was two years earlier in the proximal hamstring, which was treated surgically and this was the reason stated for the conservative treatment of distal biceps injury the second time The details of her treatment were not reported, but she was back to playing hockey 10 months later.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
