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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Published in:Clinics in shoulder and elbow pp. 475 - 479
Main Authors: Elisabeth A. Wörner, Elisa L. Zwerus, Ante Prkic, Femke M.A.P. Claessen, Bertram The, Denise Eygendaal
Format: Journal Article
Language:English
Published: 대한견주관절학회 01.12.2025
Subjects:
정형외과학
ISSN:2383-8337, 2288-8721
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Abstract 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
AbstractList 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
Author Elisa L. Zwerus
Denise Eygendaal
Ante Prkic
Femke M.A.P. Claessen
Elisabeth A. Wörner
Bertram The
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  fullname: Elisabeth A. Wörner
  organization: (Department of Orthopedic Surgery and Sports Medicine, Erasmus MC, Rotterdam, the Netherlands)
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  fullname: Elisa L. Zwerus
  organization: (Department of Orthopedic Surgery and Sports Medicine, Erasmus MC, Rotterdam, the Netherlands)
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  fullname: Ante Prkic
  organization: (Department of Orthopedic Surgery, Northwest Clinics, Alkmaar, the Netherlands)
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  fullname: Femke M.A.P. Claessen
  organization: (Department of Orthopedic Surgery and Sports Medicine, Erasmus MC, Rotterdam, the Netherlands)
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  fullname: Bertram The
  organization: (Department of Orthopedic Surgery, Amphia Hospital, Breda, the Netherlands)
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  fullname: Denise Eygendaal
  organization: (Department of Orthopedic Surgery and Sports Medicine, Erasmus MC, Rotterdam, the Netherlands)
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Title Corticosteroid infiltration in partial distal biceps ruptures
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