Durand-Hill Matthieu, Dawson Angus, Odeh Odeh, Spicer Dominic
Orthopaedics, St. Mary's Hospital, London, GBR.
Orthopaedics, University College London (UCL) Medical School, London, GBR.
Cureus. 2024 Sep 18;16(9):e69688. doi: 10.7759/cureus.69688. eCollection 2024 Sep.
Snapping of the biceps femoris tendon over the fibular head is a cause of symptomatic lateral knee pain. We presented the case of an active patient in his mid-20s who had bilateral snapping of his biceps femoris tendon, with no history of trauma. The pathophysiology in our case was thought to be secondary to prominent fibular heads. We review the literature and outline the anatomical abnormalities of the biceps femoris tendon's insertion and fibular head morphology that are thought to contribute to this condition. The pathophysiology of snapping biceps femoris tendon is likely multifactorial. Anatomical abnormalities of the biceps femoris tendon's insertion or the fibular head are thought to contribute, and correction of these abnormalities can alleviate patients' symptoms. We propose a classification system that can describe these anatomical abnormalities and guide management.
股二头肌肌腱在腓骨头处弹响是导致膝关节外侧疼痛的一个原因。我们报告了一例25岁左右的活跃患者,其双侧股二头肌肌腱均出现弹响,且无外伤史。我们认为该病例的病理生理机制是继发于突出的腓骨头。我们回顾了相关文献,并概述了股二头肌肌腱止点和腓骨头形态的解剖学异常,这些异常被认为与这种情况有关。股二头肌肌腱弹响的病理生理机制可能是多因素的。股二头肌肌腱止点或腓骨头的解剖学异常被认为起了作用,纠正这些异常可以缓解患者的症状。我们提出了一种分类系统,该系统可以描述这些解剖学异常并指导治疗。