4 thoughts on “68 y/o s/p distal biceps repair 12 years ago”
ocad-msk
I told Phil I think this is a bicipitoradial bursal collection/inflammation gone wild and dissecting into the repaired tendon and adjacent radius.I sent him a similar case I saw a few years ago , 60M 4 years after biceps repair with surgical proof (see attached PPT)
Andy Sonin
“persistent knot” palpable at the superficial antecubital fossa. Mass showed up at the time of surgery (2009) and has been there ever since. Now painful.
Pretty amazing huh? Ever seen this? I just spoke to the surgeon who indicated he would send me intraoperative photos of it. His response to text was, “I have never seen anything like it”.
btw yesterday’s case was a ruptured FCR with partial scar tract formation.
Phillip Tirman
Dr Tirman,
Reviewed the thumbnails on my phone & sending a few pics from a case I read yesterday. In my case, the patient had a biceps repair in February 2022 with worsening pain and swelling in the antecubital fossa. The anchor ‘button’ has pulled through the radial tunnel and is retracted.
I cannot reconcile your case with a ‘mass’, but it looks like your patient’s ‘button’ is partially pulled through the tunnel which is eroded.
Reviewed the thumbnails on my phone & sending a few pics from a case I read yesterday. In my case, the patient had a biceps repair in February 2022 with worsening pain and swelling in the antecubital fossa. The anchor ‘button’ has pulled through the radial tunnel and is retracted.
I cannot reconcile your case with a ‘mass’, but it looks like your patient’s ‘button’ is partially pulled through the tunnel which is eroded.
Best,
John Rothpletz
Sent from my iPhone
“persistent knot” palpable at the superficial antecubital fossa. Mass showed up at the time of surgery (2009) and has been there ever since. Now painful.
Pretty amazing huh? Ever seen this?
I just spoke to the surgeon who indicated he would send me intraoperative photos of it. His response to text was, “I have never seen anything like it”.
btw yesterday’s case was a ruptured FCR with partial scar tract formation.
Andy Sonin
“persistent knot” palpable at the superficial antecubital fossa. Mass showed up at the time of surgery (2009) and has been there ever since. Now painful.
Pretty amazing huh? Ever seen this? I just spoke to the surgeon who indicated he would send me intraoperative photos of it. His response to text was, “I have never seen anything like it”.
btw yesterday’s case was a ruptured FCR with partial scar tract formation.
Phillip Tirman
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Here is another similar case from John Rothpletz:
Dr Tirman,
Reviewed the thumbnails on my phone & sending a few pics from a case I read yesterday. In my case, the patient had a biceps repair in February 2022 with worsening pain and swelling in the antecubital fossa. The anchor ‘button’ has pulled through the radial tunnel and is retracted.
I cannot reconcile your case with a ‘mass’, but it looks like your patient’s ‘button’ is partially pulled through the tunnel which is eroded.
Best,
John Rothpletz
Sent from my iPhone
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This case was infected:
Thanks for sharing,
Jan
Sent: Thursday, June 2, 2022 6:27 PM
Cc: OCAD <ocad-msk@googlegroups.com>
Thanks Andy, great stuff as always!
Here is another similar case from John Rothpletz:
Dr Tirman,
Reviewed the thumbnails on my phone & sending a few pics from a case I read yesterday. In my case, the patient had a biceps repair in February 2022 with worsening pain and swelling in the antecubital fossa. The anchor ‘button’ has pulled through the radial tunnel and is retracted.
I cannot reconcile your case with a ‘mass’, but it looks like your patient’s ‘button’ is partially pulled through the tunnel which is eroded.
Best,
John Rothpletz
Sent from my iPhone
“persistent knot” palpable at the superficial antecubital fossa. Mass showed up at the time of surgery (2009) and has been there ever since. Now painful.
Pretty amazing huh? Ever seen this?
I just spoke to the surgeon who indicated he would send me intraoperative photos of it. His response to text was, “I have never seen anything like it”.
btw yesterday’s case was a ruptured FCR with partial scar tract formation.
Phillip Tirman
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Less severe variant!
[image0.jpeg]
Best!
AC
Avneesh Chhabra, M.D. M.B.A.
Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines, Blvd. Dallas, Tx-75390-9316
Office: 214-648-2122
http://www.utsouthwestern.edu/radiology<http://www.utsouthwestern.edu/education/medical-school/departments/radiology/>
________________________________
UT Southwestern
Medical Center
The future of medicine, today.
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