Distal biceps tendinopathy: conservative treatment

Background Non-traumatic distal biceps tendinopathy related to overuse, has not been previously reported in the literature. We describe the symptoms and signs, a novel injection technique onto the bicipital tuberosity of the radius and outcomes of this treatment. Materials and Methods We retrospecti...

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Bibliographic Details
Published in:	Shoulder & elbow Vol. 3; no. 2; pp. 104 - 108
Main Authors:	Maree, Michelle N., Vrettos, Basil C., Roche, Stephen J. L., Osch, Greg V.
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Publishing Ltd 01-04-2011 SAGE Publications
Subjects:	cortisone injection distal biceps tendinopathy Distal biceps tendon tendinopathy Distal biceps tendon distal biceps tendinopathy tendinopathy cortisone injection
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Summary:	Background Non-traumatic distal biceps tendinopathy related to overuse, has not been previously reported in the literature. We describe the symptoms and signs, a novel injection technique onto the bicipital tuberosity of the radius and outcomes of this treatment. Materials and Methods We retrospectively reviewed the clinical notes of 20 patients (24 elbows), in whom the diagnosis of distal biceps tendinopathy was made. Twenty-two of 24 elbows were treated with one or more cortisone injections. The patients were followed up via a telephonic questionnaire. Results Average duration of follow-up was 3 years and 4 months. Eighteen elbows returned to full function. Five elbows (four patients) had partial resolution of symptoms, and one had no relief. In these six elbows, symptoms had been ongoing for ≥ 8 months prior to injection. Conclusion Distal biceps tendinopathy is often misdiagnosed. The majority of cases respond well to steroid injections without the risk of rupture or neurological injury. Resolution of pain with restoration to previous function is more likely when symptoms have been present for less than 8 months.
Bibliography:	ark:/67375/WNG-Q21WCWCP-1 istex:C297721FBAC8C872E9BA35564C6F65EADA30F2C0 ArticleID:SAE117
ISSN:	1758-5732 1758-5740
DOI:	10.1111/j.1758-5740.2011.00117.x