Rupture of the Short Head of the Biceps Brachii Muscle Belly Caused by a Rock-Climbing Accident.

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  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: United States NLM ID: 9505185 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-1534 (Electronic) Linking ISSN: 10806032 NLM ISO Abbreviation: Wilderness Environ Med Subsets: MEDLINE
    • Publication Information:
      Publication: 2010- : New York : Elsevier
      Original Publication: New York, NY : Chapman & Hall, c1995-
    • Subject Terms:
      Accidental Falls* ; Mountaineering*; Muscle, Skeletal/*injuries ; Rupture/*therapy; Adult ; Humans ; Male ; Return to Sport ; Rupture/etiology ; Treatment Outcome
    • Abstract:
      The case of a 42-y-old rock climber who sustained a complete, isolated rupture of the short head of the biceps brachii muscle after falling onto his upper arm while bouldering is presented. This is the first description of this rare injury after a climbing accident. Moreover, there is no definitive consensus on whether and when surgical intervention is necessary in such a case. We performed a direct end-to-end suture of the muscle belly through an open surgical approach. Postoperatively, we performed a detailed follow-up, including clinical examinations and sonography and magnetic resonance imaging to check the integrity of the suture. After 6 mo, our patient had regained a full range of motion without functional complaints or pain. Concerning the sports-specific outcome, we only found a slight decrease in rock-climbing abilities (Union Internationale des Associations d'Alpinisme Scale of Difficulty grade VII+ postsurgery compared to VIII preinjury). In conclusion, we suggest that early surgical reapproximation of the muscle belly might be the best treatment option for this severe but rare injury in athletes.
      (Copyright © 2020 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.)
    • Contributed Indexing:
      Keywords: muscle injury; open surgery; sports injury; upper extremity
    • Publication Date:
      Date Created: 20200726 Date Completed: 20201110 Latest Revision: 20201110
    • Publication Date:
      20221213
    • Accession Number:
      10.1016/j.wem.2020.04.006
    • Accession Number:
      32709490