• PM R · Sep 2015

    Case Reports

    Ultrasound-Guided Distal Bicep Tendon Injection Using a Posterior Approach.

    • Kenneth Mautner, Cleo D Stafford, and Patrick Nguyen.
    • Departments of Rehabilitation Medicine and Orthopaedics, Emory Orthopaedics and Spine Center, 59 Executive Park Dr South, Suite 1000, Atlanta, GA 30329.
    • PM R. 2015 Sep 1; 7 (9): 1007-1010.

    AbstractDistal biceps tendinopathy is an uncommon but increasingly diagnosed condition in persons with elbow pain. When traditional treatments are unsuccessful, practitioners have performed ultrasound (US)-guided tendon injections in this region using an anterior approach. Although success has been reported with this technique, this approach may lead to neurovascular injury. This case report is the first in the literature to describe a US-guided distal bicep tendon injection using a posterior approach. The patient had an excellent clinical outcome with no adverse events. This outcome suggests that a US-guided posterior percutaneous tendon injection might be a safe, viable, nonsurgical option for recalcitrant distal biceps tendinopathy. Copyright © 2015 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

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