Distal biceps tendon injection
Background Injection therapy around the distal biceps tendon insertion is challenging. This therapy may be indicated in patients with a partial distal biceps tendon tear, bicipitoradial bursitis and tendinopathy. The primary goal of this study was to determine the accuracy of manually performed inje...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Korean Shoulder and Elbow Society
2021-06-01
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| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2021-00010.pdf |
| _version_ | 1827365207170613248 |
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| author | Jacqueline van der Vis Stein J. Janssen Ronald L.A.W. Bleys Denise Eygendaal Michel P.J. van den Bekerom |
| author_facet | Jacqueline van der Vis Stein J. Janssen Ronald L.A.W. Bleys Denise Eygendaal Michel P.J. van den Bekerom |
| author_sort | Jacqueline van der Vis |
| collection | DOAJ |
| description | Background Injection therapy around the distal biceps tendon insertion is challenging. This therapy may be indicated in patients with a partial distal biceps tendon tear, bicipitoradial bursitis and tendinopathy. The primary goal of this study was to determine the accuracy of manually performed injections without ultrasound guidance around the biceps tendon. Methods Seven upper limb specialists, two general orthopedic specialists, and three orthopedic surgical residents manually injected a cadaver elbow with acrylic dye using an anterior and a lateral infiltration approach. After infiltration the cadaveric elbows were dissected to determine the location of the acrylic dye. Results In total, 79% of the injections were localized near the biceps tendon. Of these injections, 20% were localized on the radius near the bicipitoradial bursa. In total, 53% of the performed infiltrations were injected by anterior and 47% by lateral approaches. Of the injections near the distal biceps (79%), 47% were injected by an anterior and 53% by a lateral approach. Of the injections on the radius (20%), 33% were injected by anterior and 67% by lateral approach. Of the inaccurate injections (21%), 75% were injected anterior and 25% lateral. Conclusions Manual infiltration without ultrasound guidance for distal biceps pathology lacks accuracy. We therefore recommend ultrasound guidance for more accurate infiltration. |
| first_indexed | 2024-03-08T08:24:48Z |
| format | Article |
| id | doaj.art-d04c7d0f0f884ed18887d75175b5b9f4 |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T08:24:48Z |
| publishDate | 2021-06-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-d04c7d0f0f884ed18887d75175b5b9f42024-02-02T05:02:41ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212021-06-01242939710.5397/cise.2021.00010797Distal biceps tendon injectionJacqueline van der Vis0Stein J. Janssen1Ronald L.A.W. Bleys2Denise Eygendaal3Michel P.J. van den Bekerom4 Department of Orthopedic Surgery, OLVG, Amsterdam, The Netherlands Department of Orthopedic Surgery, Academic Medical Center, Amsterdam, The Netherlands Department of Anatomy, University Medical Center Utrecht, Utrecht, The Netherlands Department of Orthopedic Surgery, Academic Medical Center, Amsterdam, The Netherlands Department of Orthopedic Surgery, OLVG, Amsterdam, The NetherlandsBackground Injection therapy around the distal biceps tendon insertion is challenging. This therapy may be indicated in patients with a partial distal biceps tendon tear, bicipitoradial bursitis and tendinopathy. The primary goal of this study was to determine the accuracy of manually performed injections without ultrasound guidance around the biceps tendon. Methods Seven upper limb specialists, two general orthopedic specialists, and three orthopedic surgical residents manually injected a cadaver elbow with acrylic dye using an anterior and a lateral infiltration approach. After infiltration the cadaveric elbows were dissected to determine the location of the acrylic dye. Results In total, 79% of the injections were localized near the biceps tendon. Of these injections, 20% were localized on the radius near the bicipitoradial bursa. In total, 53% of the performed infiltrations were injected by anterior and 47% by lateral approaches. Of the injections near the distal biceps (79%), 47% were injected by an anterior and 53% by a lateral approach. Of the injections on the radius (20%), 33% were injected by anterior and 67% by lateral approach. Of the inaccurate injections (21%), 75% were injected anterior and 25% lateral. Conclusions Manual infiltration without ultrasound guidance for distal biceps pathology lacks accuracy. We therefore recommend ultrasound guidance for more accurate infiltration.http://www.cisejournal.org/upload/pdf/cise-2021-00010.pdfelbowpartial biceps tendon tearbicipitoradial bursitisbiceps tendinopathyinjection therapy |
| spellingShingle | Jacqueline van der Vis Stein J. Janssen Ronald L.A.W. Bleys Denise Eygendaal Michel P.J. van den Bekerom Distal biceps tendon injection Clinics in Shoulder and Elbow elbow partial biceps tendon tear bicipitoradial bursitis biceps tendinopathy injection therapy |
| title | Distal biceps tendon injection |
| title_full | Distal biceps tendon injection |
| title_fullStr | Distal biceps tendon injection |
| title_full_unstemmed | Distal biceps tendon injection |
| title_short | Distal biceps tendon injection |
| title_sort | distal biceps tendon injection |
| topic | elbow partial biceps tendon tear bicipitoradial bursitis biceps tendinopathy injection therapy |
| url | http://www.cisejournal.org/upload/pdf/cise-2021-00010.pdf |
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