Corticosteroid infiltration in partial distal biceps ruptures
10.5397/cise.2025.00647
- Author:
Elisabeth A. WÖRNER
;
Elisabeth A. WÖRNER
;
Elisa L. ZWERUS
;
Elisa L. ZWERUS
;
Ante PRKIC
;
Ante PRKIC
;
Femke M.A.P. CLAESSEN
;
Femke M.A.P. CLAESSEN
;
Bertram THE
;
Bertram THE
;
Denise EYGENDAAL
;
Denise EYGENDAAL
- Publication Type:Original Article
- From:Clinics in Shoulder and Elbow
2025;28(4):475-479
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 2% lidocaine HCl. 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.
