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Return to Collegiate Hockey After Repair of Chronic Biceps Femoris Tendon Transection at the Knee

A Case Report

Day, Molly A. MD, ATC1; Owens, Jessell M. MD1; Rosneck, James T. MD2; Westermann, Robert W. MD1

doi: 10.2106/JBJS.CC.18.00289
Case Reports

Case: A 22-year-old man sustained complete transection of his right distal biceps femoris tendon by a hockey skate. He experienced persistent pain and disability, symptoms of peroneal neuritis, and an inability to return to hockey. At 3-months postinjury, he underwent biceps femoris repair and peroneal neurolysis. At 9-months postoperatively, the patient returned to full activity and played a full season collegiate hockey.

Conclusions: Isolated distal biceps femoris transection is rare and may be associated with peroneal neuritis. Primary repair and peroneal neurolysis is a viable treatment option (even 3 months postinjury), with satisfactory outcomes and full return to high-level activity.

1Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa

2Department of Orthopaedic Surgery, Cleveland Clinic, Garfield Heights, Ohio

E-mail address for M.A. Day:

Investigation performed at Cleveland Clinic Sports Health Center, Garfield Heights, Ohio and the University of Iowa Hospitals & Clinics, Iowa City, Iowa

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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