Symptom >> Surgical >> General Surgery

Biceps Femoris Injury

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction The biceps femoris injury is more common in the clinic and is the first in sports injuries. The disease is mostly caused by indirect external force, and the proximal part of the injury site is the most common. Followed by the muscle abdomen, the distal tendon attachment point is more involved. Due to the violent running or sudden kicking, the quadriceps contraction suddenly, or due to violent hits, squats, bumps, etc. acting on the front of the thigh, can cause damage to the quadriceps. After the quadriceps injury, local bleeding, swelling, and pain occur, which reduces the muscle contraction ability, thus affecting the flexion and extension function of the hip and knee joints. The quadriceps injury caused severe fracture, and even the upper edge of the quadriceps tendon was torn, and the periosteum of the tibia was also avulsed, which could produce periosteal hemorrhage, and the hematoma of the long-term hematoma occurred, calcification and ossification.

Cause

Cause

The disease is mostly caused by indirect external forces.

Examine

an examination

Related inspection

Blood routine electromyography tenderness and rebound pain posture and gait bone and joint plain film

Diagnostic points

1. The disease is mostly caused by athletes and has a history of obvious damage.

2. The injured part is painful, swollen, hard, the lower extremity can not stretch and flex, and the pain of repeated injury is intensified.

3. The gait is lame, and the injured ischial tuberosity or injured muscle abdominal tenderness is obvious. Oldness can be indurated in the wound.

4. Muscle resistance test is positive.

Diagnosis

Differential diagnosis

Differential diagnosis of biceps injury:

1, quadriceps injury: due to strenuous running or sudden kicking, quadriceps contraction, or due to violent fight, squat, crash, etc. in front of the thigh, can cause damage to the quadriceps. After the quadriceps injury, local bleeding, swelling, and pain occur, which reduces the muscle contraction ability, thus affecting the flexion and extension function of the hip and knee joints. The quadriceps injury caused severe fracture, and even the upper edge of the quadriceps tendon was torn, and the periosteum of the tibia was also avulsed, which could produce periosteal hemorrhage, and the hematoma of the long-term hematoma occurred, calcification and ossification.

2, the triangle pain in the triangle: , , , , The skin temperature rises, the swelling can be from the lower abdomen, the lower back of the buttocks to the entire affected limb, and the inner thigh area of the thigh has obvious tenderness.

3, local swelling and deformation of the thigh: femoral shaft fractures, local swelling and deformation of the thighs are serious, the lower limbs are shortened, there are obvious abnormal activities and bone rubbing when moving.

4, anterior lateral numbness, ant sense: lateral femoral cutaneous neuritis, clinical manifestations of anterior lateral numbness, ant feeling, stinging, burning sensation, cold, sweating and heavy feelings can also appear, Most common with numbness. Lateral femoral cutaneous neuritis, also known as paresthesia, is not the same disease as the femoral cutaneous nerve compression syndrome. The disease is characterized by skin pain and paresthesia on the anterior lateral thigh, also known as Roth syndrome.