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CC BY 4.0 · Surg J (N Y) 2023; 09(04): e118-e122
DOI: 10.1055/s-0043-1777329
Case Report

Painful Unilateral Knee Snapping after Hyperextension Injury and Meniscus Tear

Phillip Karsen
1   Division of Sports Medicine, Department of Orthopedic Surgery, Mayo Clinic College of Medicine and Science, Mayo Clinic, Phoenix, Arizona
,
Joseph Brinkman
2   Department of Orthopedic Surgery, Mayo Clinic, Phoenix, Arizona
,
Jonathan Day
3   Department of Orthopedic Surgery, Georgetown University, Washington, DC
,
Daniel McGurren
4   Department of Physical Therapy, Mayo Clinic College of Medicine and Science, Mayo Clinic, Phoenix, Arizona
,
Karan Patel
5   Department of Orthopedics, Mayo Clinic College of Medicine and Science, Mayo Clinic, Phoenix, Arizona
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Abstract

This case involves a healthy male with painful lateral knee pain and snapping after a hyperextension injury. Initially, this was felt to be from a displaced lateral meniscus tear; however, he failed to improve after meniscal debridement. Further workup with an ultrasound and magnetic resonance imaging identified an aberrant biceps femoris anatomy. He was taken to the operating room and the aberrant slip was identified. A tenodesis of the aberrant slip to the biceps femoris was completed. This resolved the patient's pain and snapping, and he was able to return to all activities.

Keywords

biceps femoris - snapping - lateral knee pain


Publication History

Received: 07 March 2023

Accepted: 02 November 2023

Article published online:
06 December 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Aboujaoude J, Nahed G, El-Helou N. Biceps femoris tendon subluxation snapping knee, treated by a modified Kennedy procedure: a case report. J Orthop Case Rep 2022; 12 (03) 95-99
    CrossrefPubMedSearch in Google Scholar
  • 2 Bansal R, Taylor C, Pimpalnerkar AL. Snapping knee: an unusual biceps femoris tendon injury. Knee 2005; 12 (06) 458-460
    CrossrefPubMedSearch in Google Scholar
  • 3 Catonné Y, Amzallag J, Wajsfisz A, Brasseur JL, Petrover D, Khiami F. Biceps femoris snapping and friction on the fibular head secondary to abnormal distal tendon insertion: 15 cases and a literature review. Orthop Traumatol Surg Res 2022; 108 (03) 103255
    CrossrefPubMedSearch in Google Scholar
  • 4 Crow SA, Quach T, McAllister DR. Partial tendon release for treatment of a symptomatic snapping biceps femoris tendon: a case report. Sports Health 2009; 1 (05) 435-437
    CrossrefPubMedSearch in Google Scholar
  • 5 Fung DA, Frey S, Markbreiter L. Bilateral symptomatic snapping biceps femoris tendon due to fibular exostosis. J Knee Surg 2008; 21 (01) 55-57
    Thieme ConnectPubMedSearch in Google Scholar
  • 6 Matar HE, Farrar NG. Snapping Biceps Femoris: clinical demonstration and operative technique. Ann R Coll Surg Engl 2018; 100 (03) e59-e61
    CrossrefPubMedSearch in Google Scholar
  • 7 McNulty M, Carreau J, Hendrickson N, Bollier M. Case report: snapping biceps femoris tendon due to abnormal fibular morphology. Iowa Orthop J 2017; 37: 81-84
    PubMedSearch in Google Scholar
  • 8 Vavalle G, Capozzi M. Symptomatic snapping knee from biceps femoris tendon subluxation: an unusual case of lateral pain in a marathon runner. J Orthop Traumatol 2010; 11 (04) 263-266
    CrossrefPubMedSearch in Google Scholar
  • 9 Zadeh C, Khoury N, Najem E, Moukaddam H. Snapping of bilateral biceps femoris tendons: a case report and brief review. Radiol Case Rep 2022; 17 (04) 1293-1299
    CrossrefPubMedSearch in Google Scholar
  • 10 Date H, Hayakawa K, Nakagawa K, Yamada H. Snapping knee due to the biceps femoris tendon treated with repositioning of the anomalous tibial insertion. Knee Surg Sports Traumatol Arthrosc 2012; 20 (08) 1581-1583
    CrossrefPubMedSearch in Google Scholar
  • 11 Fritsch BA, Mhaskar V. Anomalous biceps femoris tendon insertion leading to a snapping knee in a young male. Knee Surg Relat Res 2017; 29 (02) 144-149
    CrossrefPubMedSearch in Google Scholar
  • 12 Hadeed MM, Post M, Werner BC. Partial fibular head resection technique for snapping biceps femoris. Arthrosc Tech 2018; 7 (08) e859-e862
    CrossrefPubMedSearch in Google Scholar
  • 13 Kennedy MI, DePhillipo NN, Chahla J. et al. Surgical repair of dynamic snapping biceps femoris tendon. Arthrosc Tech 2018; 7 (11) e1129-e1133
    CrossrefPubMedSearch in Google Scholar
  • 14 Terry GC, LaPrade RF. The posterolateral aspect of the knee. Anatomy and surgical approach. Am J Sports Med 1996; 24 (06) 732-739
    CrossrefPubMedSearch in Google Scholar
  • 15 Saltzman BM, Collins MJ, Arns TA, Forsythe B. Unilateral snapping biceps femoris tendon with an anomalous insertion treated with anatomic repositioning and lengthening with a single suture anchor: a report of two cases. JBJS Case Connect 2018; 8 (01) e13-e13
    CrossrefPubMedSearch in Google Scholar
  • 16 Bernhardson AS, LaPrade RF. Snapping biceps femoris tendon treated with an anatomic repair. Knee Surg Sports Traumatol Arthrosc 2010; 18 (08) 1110-1112
    CrossrefPubMedSearch in Google Scholar
  • 17 Padovani L, Iacono V, Auregli L. et al. Traumatic biceps femoris tendon subluxation in a young football player. Orthop Rev (Pavia) 2022; 14 (02) 34184
    PubMedSearch in Google Scholar
  • 18 Branch EA, Anz AW. Distal insertions of the biceps femoris: a quantitative analysis. Orthop J Sports Med 2015; 3 (09) 2325967115602255
    CrossrefPubMedSearch in Google Scholar
  • 19 Tubbs RS, Caycedo FJ, Oakes WJ, Salter EG. Descriptive anatomy of the insertion of the biceps femoris muscle. Clin Anat 2006; 19 (06) 517-521
    CrossrefPubMedSearch in Google Scholar