Corticosteroid infiltration in partial distal biceps ruptures
Background: Little is known about the potential negative or positive effects of peritendinous infiltration with corticosteroids in the non-surgical treatment of partial distal biceps tendon tears. Peritendinous fluid, synovitis, and bursitis often accompany partial tears and can be a source of persi...
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| Veröffentlicht in: | Clinics in shoulder and elbow S. 475 - 479 |
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| Hauptverfasser: | , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
대한견주관절학회
01.12.2025
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| Schlagworte: | |
| ISSN: | 2383-8337, 2288-8721 |
| Online-Zugang: | Volltext |
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| Zusammenfassung: | Background: Little is known about the potential negative or positive effects of peritendinous infiltration with corticosteroids in the non-surgical treatment of partial distal biceps tendon tears. Peritendinous fluid, synovitis, and bursitis often accompany partial tears and can be a source of persistent pain. We hypothesize that peritendinous corticosteroid infiltration is a safe non-surgical treatment option for complaints related to a partial distal biceps tendon rupture.Methods: A single-center retrospective analysis was performed on a cohort of 52 patients with partial distal biceps tears (<50% of the footprint involved), as confirmed by magnetic resonance imaging. All patients received an ultrasound-guided intrabursal peritendinous infiltration with 1 mL of triamcinolone acetonide (10 mg/mL) and 4 mL of lidocaine (HCl 2%). Patient files were reviewed for demographic information, date of injury, injury mechanism, treatment modality (operative or nonoperative), clinical follow-up (2011–2021), and complications, including progression to a complete rupture. Results: The median duration of follow-up after infiltration was 15 months (1.2–45 months). No infiltration-related complications were observed following infiltration therapy. Surgical reconstruction was ultimately performed in 65% of the patients with a partial tear. One patient sustained a trauma to the elbow in the weeks following infiltration, resulting in a complete tear. Conclusions: Infiltration with corticosteroids is a safe treatment option for patients with a partial tear of the distal biceps who failed progressive exercise therapy. Surgical reconstruction was avoided in 35% of patients following infiltration treatment.Level of evidence: IV. KCI Citation Count: 0 |
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| Bibliographie: | http://www.cisejournal.org/journal/view.php?doi=10.5397/cise.2025.00647 |
| ISSN: | 2383-8337 2288-8721 |
| DOI: | 10.5397/cise.2025.00647 |