Surgical anatomy for reinsertion of the distal tendon of the biceps brachii muscle

Czech version

Authors: M. Beneš ^1-3; D. Kachlík ^2,3; V. Kunc ^1-3
Authors‘ workplace: I. ortopedická klinika 1. LF UK a FN Motol, Praha ¹; Ústav anatomie, 2. LF UK, Praha ²; Centrum endoskopické, chirurgické a klinické anatomie, 2. LF UK, Praha ³
Published in: Rozhl. Chir., 2025, roč. 104, č. 8, s. 317-325.
Category: Review
doi: https://doi.org/10.48095/ccrvch2025317

Overview

Ruptures of the distal tendon of the biceps brachii muscle usually require surgical treatment to restore strong elbow flexion and forearm supination. However, the surgical procedure carries a risk of injury to neurovascular structures adjacent to the insertional tendon, and its success relies on respecting the original anatomical relations during reconstruction of the tendon. The aim of this article is to present a compendious review of relevant anatomy and practical notes which may enhance the optimal functional outcomes. Structured discussion on morphological aspects of the insertional tendon and its topography in relation to osseous and soft-tissue structures is presented. Moreover, attention is paid to technical aspects of implantation of fixation devices, so that physiological and anatomical reconstruction can be assured. This paper contains numerous schematic drawings to demonstrate the surgically relevant anatomy.

Keywords:

complication – biceps brachii muscle – distal biceps tendon rupture – surgical anatomy

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MUDr. Michal Beneš

I. ortopedická klinika

1. LF UK a FN Motol

V Úvalu 84

150 06 Praha 5

benesmichal24@gmail.com

ORCID autorů

M. Beneš 0000-0003-3326-2325

D. Kachlík 0000-0002-8150-9663

V. Kunc 0000-0002-3165-4977