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Skeletal Radiology

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01-03-2019 | Scientific Article

High-resolution ultrasound in the assessment of the distal biceps brachii tendinous complex

Authors: M. Blasi, J. De la Fuente, A. Pérez-Bellmunt, O. Zabalza, S. Martínez, O. Casasayas, M. Miguel-Pérez

Published in: Skeletal Radiology | Issue 3/2019

Abstract

Objective

To establish a high-resolution US technique that enables a systematic morphometric examination of the three components that form the distal biceps brachii tendinous complex; the internal bicipital aponeurosis, the distal biceps brachii tendon and the external bicipital aponeurosis (also known as lacertus fibrosus).

Materials and methods

Fifty cryopreserved cadaver body donor elbows were dissected to obtain morphometric reference values and to establish reliable landmarks for the US examination. Then, a systematic US technique was designed and validated by a one-to-one US/dissection analysis of 11 cryopreserved cadaver body donor elbows. Finally, the systematic US technique was carried out in 44 healthy volunteers and morphometric parameters were compared to those obtained in the first part of the study.

Results

Mean dissection reference values: internal bicipital aponeurosis width 39.61 mm (10.02 SD) and thickness 0.75 mm (0.24 SD), distal biceps brachii tendon width 8.38 mm (1.87 SD) and thickness 2.73 mm (0.69 SD), external bicipital aponeurosis width 11.17 mm (5.84 SD) and thickness 0.85 mm (0.28 SD). One-to-one US/dissection correlation was overall good (intraclass correlation coefficient 0.876, p < 0.0001). When comparing volunteer US/dissection measurements, significant differences were encountered in all measures except for internal bicipital aponeurosis width. However, the overall magnitude of such significant differences was < 0.7 mm.

Conclusions

Using the systematics hereby proposed, high-resolution US is reliable for the morphometric assessment of the distal biceps brachii tendinous complex. The external bicipital aponeurosis is morphometrically the most variable structure.

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Title: High-resolution ultrasound in the assessment of the distal biceps brachii tendinous complex
Authors: M. Blasi
J. De la Fuente
A. Pérez-Bellmunt
O. Zabalza
S. Martínez
O. Casasayas
M. Miguel-Pérez
Publication date: 01-03-2019
Publisher: Springer Berlin Heidelberg
Published in: Skeletal Radiology / Issue 3/2019
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-018-3043-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

High-resolution ultrasound in the assessment of the distal biceps brachii tendinous complex

Abstract

Objective

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusions

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