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Journal of Ultrasound in Medicine, Vol 20, Issue 6 587-595, Copyright © 2001 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Sonographic diagnosis of distal biceps tendon rupture: a prospective study of 25 cases

P. Belli, M. Costantini, P. Mirk, A. Leone, G. Pastore and P. Marano
Institute of Radiology, Universita Cattolica del Sacro Cuore, Rome, Italy.

OBJECTIVE: To describe the sonographic findings of distal biceps tendon ruptures and to assess the accuracy of the technique. METHODS: Twenty-five patients with clinically indicated distal biceps tendon ruptures were prospectively studied by sonography. Five patients also underwent magnetic resonance imaging. Surgical confirmation was obtained in 14 patients. RESULTS: Seventeen complete tendon ruptures and 3 partial tears were correctly shown by sonography; 1 complete rupture was incorrectly shown as a partial tear by sonography. Sonographic features of complete rupture were absence of tendon in the expected location, fluid collection in a typical tendon gap, and a mass in the antecubital fossa. Sonographic features of incomplete rupture were intratendinous hypoechogenicity and tendon thinning. Peritendinous fluid was found in complete and incomplete ruptures. CONCLUSIONS: In distal biceps tendon ruptures, sonography is a cost-effective method that can confirm the clinical indications with good accuracy and can show tendon lesions when the clinical indications are low.


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C. S. Idler, W. H. Montgomery III, D. P. Lindsey, P. A. Badua, G. F. Wynne, and S. A. Yerby
Distal Biceps Tendon Repair: A Biomechanical Comparison of Intact Tendon and 2 Repair Techniques
Am. J. Sports Med., June 1, 2006; 34(6): 968 - 974.
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