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Corticosteroid infiltration in partial distal biceps ruptures.

Elisabeth A Wörner1,2, Elisa L Zwerus1,3, Ante Prkic4

  • 1Department of Orthopedic Surgery and Sports Medicine, Erasmus MC, Rotterdam, the Netherlands.

Clinics in Shoulder and Elbow
|December 11, 2025
PubMed
Summary
This summary is machine-generated.

Corticosteroid injections are a safe treatment for partial distal biceps tears, helping 35% of patients avoid surgery. No significant complications were observed in this study of partial distal biceps tendon ruptures.

Keywords:
CorticosteroidInfiltrationRuptureTendonDistal biceps

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Musculoskeletal Imaging

Background:

  • The effects of corticosteroid injections in treating partial distal biceps tendon tears are not well-understood.
  • Associated conditions like peritendinous fluid, synovitis, and bursitis can contribute to persistent pain in partial tears.
  • This study investigates corticosteroid infiltration as a potential non-surgical treatment for partial distal biceps tendon ruptures.

Purpose of the Study:

  • To evaluate the safety and efficacy of peritendinous corticosteroid infiltration for partial distal biceps tears.
  • To determine the rate of surgical intervention avoidance after corticosteroid infiltration therapy.

Main Methods:

  • A retrospective analysis of 52 patients with partial distal biceps tears (<50% footprint involvement) confirmed by MRI.
  • Ultrasound-guided intrabursal peritendinous infiltration with triamcinolone acetonide and lidocaine HCl.
  • Review of patient records for demographics, injury details, treatment, follow-up, and complications.

Main Results:

  • No corticosteroid infiltration-related complications were reported.
  • The median follow-up duration was 15 months.
  • Surgical reconstruction was ultimately performed in 65% of patients; 35% avoided surgery.

Conclusions:

  • Peritendinous corticosteroid infiltration is a safe treatment option for partial distal biceps tears unresponsive to exercise therapy.
  • This non-surgical approach successfully allowed 35% of patients to avoid surgical reconstruction.
  • Further research may elucidate long-term outcomes and optimal patient selection for this intervention.