Abstract
Traumatic intrasubstance ruptures of the biceps brachii are rare and historically specific to military static line parachute jumps; however, these injuries have recently been reported in the civilian literature. Diagnosis is made by history, clinical weakness in supination and elbow flexion, extensive ecchymosis and edema, and a palpable defect. Ultrasound and magnetic resonance imaging are useful to confirm the diagnosis and injury severity. Nonoperative treatment involves splinting in acute flexion. Percutaneous hematoma aspiration has been described. Early surgical intervention with primary repair has been shown to be more successful than late reconstruction. Studies comparing operative and nonoperative treatment are lacking.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 890-896 |
| Number of pages | 7 |
| Journal | Orthopedics |
| Volume | 34 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 1 2011 |
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ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Intrasubstance ruptures of the biceps brachii : Diagnosis and management. / Wilson, David J.; Parada, Stephen A.; Slevin, John M.; Arrington, Edward D.
In: Orthopedics, Vol. 34, No. 11, 01.11.2011, p. 890-896.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Intrasubstance ruptures of the biceps brachii
T2 - Diagnosis and management
AU - Wilson, David J.
AU - Parada, Stephen A.
AU - Slevin, John M.
AU - Arrington, Edward D.
PY - 2011/11/1
Y1 - 2011/11/1
N2 - Traumatic intrasubstance ruptures of the biceps brachii are rare and historically specific to military static line parachute jumps; however, these injuries have recently been reported in the civilian literature. Diagnosis is made by history, clinical weakness in supination and elbow flexion, extensive ecchymosis and edema, and a palpable defect. Ultrasound and magnetic resonance imaging are useful to confirm the diagnosis and injury severity. Nonoperative treatment involves splinting in acute flexion. Percutaneous hematoma aspiration has been described. Early surgical intervention with primary repair has been shown to be more successful than late reconstruction. Studies comparing operative and nonoperative treatment are lacking.
AB - Traumatic intrasubstance ruptures of the biceps brachii are rare and historically specific to military static line parachute jumps; however, these injuries have recently been reported in the civilian literature. Diagnosis is made by history, clinical weakness in supination and elbow flexion, extensive ecchymosis and edema, and a palpable defect. Ultrasound and magnetic resonance imaging are useful to confirm the diagnosis and injury severity. Nonoperative treatment involves splinting in acute flexion. Percutaneous hematoma aspiration has been described. Early surgical intervention with primary repair has been shown to be more successful than late reconstruction. Studies comparing operative and nonoperative treatment are lacking.
UR - http://www.scopus.com/inward/record.url?scp=81255205341&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=81255205341&partnerID=8YFLogxK
U2 - 10.3928/01477447-20110922-25
DO - 10.3928/01477447-20110922-25
M3 - Review article
C2 - 22050257
AN - SCOPUS:81255205341
VL - 34
SP - 890
EP - 896
JO - Orthopedics
JF - Orthopedics
SN - 0147-7447
IS - 11
ER -