Ultrasound guided Distal Bicep Tendon injection using a posterior approach

Abstract

Distal biceps tendinopathy is an uncommon but increasingly diagnosed etiology in individuals with elbow pain. When traditional treatments are unsuccessful, practitioners have utilized ultrasound-guided tendon injections to this region using an anterior approach. Though there has been reported success, this approach may lead to a neurovascular injury. This is the first case report in the literature describing an ultrasound- guided distal bicep tendon injection via a posterior approach. The patient had an excellent clinical outcome with no adverse events. This outcome suggests that ultrasound guided posterior percutaneous tendon injection might be a safe, viable non-surgical option for recalcitrant distal biceps tendinopathy.