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Surgical Anatomy of the Distal Biceps Tendon

  • Deepak N. Bhatia
  • Gregory Bain
Chapter

Abstract

The distal biceps tendon (DBT) anatomy is complex, and its structural and insertional morphology has surgical implications. The DBT has long and short tendon components, and these show three variable insertional footprints into the radial tuberosity. The DBT insertion passes through the proximal radioulnar space (RUS) during dynamic rotation, and an alteration in RUS or DBT dimensions may predispose to impingement and wear. The DBT is closely related to neurovascular structures of the cubital fossa, and these structures are potentially at risk during open and endoscopic surgery. Detailed knowledge of the structural, insertional, and neurovascular anatomy of the DBT is necessary to safely replicate DBT kinematics during repair and reconstructive surgery for distal biceps pathology.

Keywords

Distal biceps tendon Radioulnar space Radial tuberosity Parabiceps portal Biceps endoscopy 

Notes

Acknowledgment

Conflict of Interest

Each author certifies that he has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article. The author retains the copyright to the images, videos, and content in this chapter.

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Copyright information

© ISAKOS 2020

Authors and Affiliations

  • Deepak N. Bhatia
    • 1
    • 2
  • Gregory Bain
    • 3
  1. 1.Sportsmed MumbaiMumbaiIndia
  2. 2.Department of Orthopaedic SurgerySeth GS Medical College and King Edward VII Memorial HospitalMumbaiIndia
  3. 3.Department of Orthopaedic SurgeryFlinders University and Flinders Medical CentreAdelaideAustralia

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