Ultrasound of the elbow with emphasis on the sonoanatomy of the distal biceps tendon and its importance for the surgical treatment of tendon lesions

Degenerative or traumatic ruptures of the distal biceps tendon are less common than proximal lesions. Distal lesions lead to a significant loss of function with usually considerable discomfort for patients. Therefore, precise diagnostics using operator-dependent high-resolution musculoskeletal ultra...

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Main Authors: Tamborrini Giorgio, Müller-Gerbl Magdalena, Vogel Nicole, Haeni David
Format: Article
Language:English
Published: Sciendo 2020-01-01
Series:Journal of Ultrasonography
Subjects:
Online Access:https://doi.org/10.15557/jou.2020.0021
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author Tamborrini Giorgio
Müller-Gerbl Magdalena
Vogel Nicole
Haeni David
author_facet Tamborrini Giorgio
Müller-Gerbl Magdalena
Vogel Nicole
Haeni David
author_sort Tamborrini Giorgio
collection DOAJ
description Degenerative or traumatic ruptures of the distal biceps tendon are less common than proximal lesions. Distal lesions lead to a significant loss of function with usually considerable discomfort for patients. Therefore, precise diagnostics using operator-dependent high-resolution musculoskeletal ultrasound with illustration of the extent of the affected tendon lesion are important for optimizing patient management. In this article, we discuss the precise high-resolution musculoskeletal ultrasound and sonoanatomy of the distal biceps tendon and emphasize its importance for the surgical treatment of tendon lesions. In this review and pictorial essay, we first focus on the description of the precise anatomy and ultrasound anatomy of this clinically important region. Furthermore, we highlight different ultrasound scanning techniques for the correct assessment of the distal biceps tendon. Various approaches for optimal sonographic assessment of the distal biceps tendon have been suggested in the literature: the anterior approach, the lateral access, the medial access and the posterior approach. In the second part of the article, we focus on the evaluation of surgical repair techniques of distal biceps tendon lesions considering the extent of the rupture zone of the distal biceps tendon based on the ultrasound findings. Surgical techniques are explained from the orthopedic surgical point of view.
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spelling doaj.art-7b8c2f7ebf5d49f8a5b5f291e7f608752022-12-22T01:33:49ZengSciendoJournal of Ultrasonography2451-070X2020-01-01208112913410.15557/jou.2020.0021Ultrasound of the elbow with emphasis on the sonoanatomy of the distal biceps tendon and its importance for the surgical treatment of tendon lesionsTamborrini Giorgio0Müller-Gerbl Magdalena1Vogel Nicole2Haeni David3UZR, Ultrasound Center and Institute for Rheumatology, EULAR Network of Imaging Center, Basel, SwitzerlandInstitute of Anatomy, University of Basel, Basel, SwitzerlandLEONARDO, Hirslanden Clinic Birshof, Münchenstein, Baselland, SwitzerlandLEONARDO, Hirslanden Clinic Birshof, Münchenstein, Baselland, SwitzerlandDegenerative or traumatic ruptures of the distal biceps tendon are less common than proximal lesions. Distal lesions lead to a significant loss of function with usually considerable discomfort for patients. Therefore, precise diagnostics using operator-dependent high-resolution musculoskeletal ultrasound with illustration of the extent of the affected tendon lesion are important for optimizing patient management. In this article, we discuss the precise high-resolution musculoskeletal ultrasound and sonoanatomy of the distal biceps tendon and emphasize its importance for the surgical treatment of tendon lesions. In this review and pictorial essay, we first focus on the description of the precise anatomy and ultrasound anatomy of this clinically important region. Furthermore, we highlight different ultrasound scanning techniques for the correct assessment of the distal biceps tendon. Various approaches for optimal sonographic assessment of the distal biceps tendon have been suggested in the literature: the anterior approach, the lateral access, the medial access and the posterior approach. In the second part of the article, we focus on the evaluation of surgical repair techniques of distal biceps tendon lesions considering the extent of the rupture zone of the distal biceps tendon based on the ultrasound findings. Surgical techniques are explained from the orthopedic surgical point of view.https://doi.org/10.15557/jou.2020.0021ultrasoundelbowbicepstendon
spellingShingle Tamborrini Giorgio
Müller-Gerbl Magdalena
Vogel Nicole
Haeni David
Ultrasound of the elbow with emphasis on the sonoanatomy of the distal biceps tendon and its importance for the surgical treatment of tendon lesions
Journal of Ultrasonography
ultrasound
elbow
biceps
tendon
title Ultrasound of the elbow with emphasis on the sonoanatomy of the distal biceps tendon and its importance for the surgical treatment of tendon lesions
title_full Ultrasound of the elbow with emphasis on the sonoanatomy of the distal biceps tendon and its importance for the surgical treatment of tendon lesions
title_fullStr Ultrasound of the elbow with emphasis on the sonoanatomy of the distal biceps tendon and its importance for the surgical treatment of tendon lesions
title_full_unstemmed Ultrasound of the elbow with emphasis on the sonoanatomy of the distal biceps tendon and its importance for the surgical treatment of tendon lesions
title_short Ultrasound of the elbow with emphasis on the sonoanatomy of the distal biceps tendon and its importance for the surgical treatment of tendon lesions
title_sort ultrasound of the elbow with emphasis on the sonoanatomy of the distal biceps tendon and its importance for the surgical treatment of tendon lesions
topic ultrasound
elbow
biceps
tendon
url https://doi.org/10.15557/jou.2020.0021
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AT mullergerblmagdalena ultrasoundoftheelbowwithemphasisonthesonoanatomyofthedistalbicepstendonanditsimportanceforthesurgicaltreatmentoftendonlesions
AT vogelnicole ultrasoundoftheelbowwithemphasisonthesonoanatomyofthedistalbicepstendonanditsimportanceforthesurgicaltreatmentoftendonlesions
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