Lacertus fibrosus syndrome

Authors

  • Roberto Meléndez Clínica Reina Sofía
  • Gonzalo Martínez Universidad del Rosario
  • Natalia Salamanca Unidad Médica CECIMIN, Bogotá D.C., Colombia.

DOI:

https://doi.org/10.25214/28056272.1179

Keywords:

Anatomy, Median nerve, Median neuropathy

Abstract

The lacertus fibrosus of the biceps brachii or aponeurotic expansion of the biceps is a structure to which little attention is generally paid compared to other myotendinous units of outstanding importance such as the biceps or the triceps. For this reason, in general, little is known about it in regard to its anatomy, biomechanics, physiology, and much less in terms of her pathology. In descriptions of pronator teres syndrome, it is incidentally mentioned. This is a retrospective descriptive observational study with the purpose of reviewing its related anatomy, outline some biomechanical aspects and present the review of a series of 29 cases identified from 4100 medical records in a 5 year period from January 13 2015 to February 12 2020; during that period of time, we found the disease to affect more frequent women over 56 years of age, being the main reason for consultation pain on the anteromedial aspect of the proximal forearm and being frequently associated with pronator teres and posterior interosseus syndromes.

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Author Biographies

Roberto Meléndez, Clínica Reina Sofía

Clínica Reina Sofía, Cirugía de Mano, Bogotá D.C., Colombia.

Gonzalo Martínez, Universidad del Rosario

Universidad del Rosario, Especialización en Ortopedía y Traumatología, Bogotá D.C., Colombia.

Natalia Salamanca, Unidad Médica CECIMIN, Bogotá D.C., Colombia.

Unidad Médica CECIMIN, Bogotá D.C., Colombia.

References

Medical Dictionary. Farlex Partner Medical Dictionary; 2012 [citado octubre 28 2020]. Lacertus fibrosus. Disponible en: https://medical-dictionary.thefreedictionary.com/lacertus+fibrosus.

Caetano EB, Vieira LA, Almeida TA, Gonzales LAM, de Bona JE, Simonatto TM. Bicipital aponeurosis. Anatomical study and clinical implications. Rev Bras Ort. 2017;53(1),75-81. DOI: 10.1016/j.rboe.2017.11.014. https://doi.org/10.1016/j.rboe.2017.11.014

Testut L, Jacob O. Tratado de anatomía topográfica con aplicaciones medico quirúrgicas. Barcelona: Editorial Salvat; 1979.

Acland R. D. Acland's Video Atlas of Human Anatomy. The Upper Extremity. Vol 1. Lousiville: University of Louisville.

Snoeck O, Lefèvre P, Sprio E, Beslay R, Feipel V, Rooze M, Van Sint Jan S. The lacertus fibrosus of the biceps brachii muscle: an anatomical study. Surg Radiol Anat. 2014;36(7):713-9. DOI: 10.1007/s00276-013-1254-6. https://doi.org/10.1007/s00276-013-1254-6

Eames MHA, Bain GI, Fogg QA, van Riet RP. Distal biceps tendon anatomy: a cadaveric study. J Bone Joint Surg Am. 2007;89(5):1044-9. DOI: 10.2106/JBJS.D.02992. https://doi.org/10.2106/JBJS.D.02992

Kapandji IA. Fisiologia articular: Esquemas comentados de mecanica humana. Sao Paulo: Editora Manole; 1980.

Recio M, Martínez V, Hernández LC, Viaño J, López-Pino MA, Jiménez M, et al. Rotura del tendón distal del bíceps. Rincón de la Imagen Archivos de Medicina del deporte. 2001;18(86):635-7.

Spinner M. Injuries to the Major Branches of Peripheral Nerves of the Forearm. 2nd ed. Philadelphia: Saunders Company.

Meléndez R. Cirugía de la mano. Aspectos esenciales de la práctica clínica. Bogotá D.C.: Editorial Distribuna; 2015.

Eversmann WW Jr. Compression and entrapment neuropathies of the upper extremity. J Hand Surg Am. 1983;8(5 Pt 2):759-66. DOI: 10.1016/s0363-5023(83)80266-4. https://doi.org/10.1016/S0363-5023(83)80266-4

McCue FC, Alexander EJ, Baumgarten TE. Median nerve entrapment at the elbow in athletes. Operative Techniques in Sports Medicine. 1996;4(1):21-7. DOI: 10.1016/S1060-1872(96)80006-2. https://doi.org/10.1016/S1060-1872(96)80006-2

Vergara-Amador E, Castillo-Pérez S, Tovar-Cuellar W. Liberación endoscópica del nervio mediano en el tercio proximal del antebrazo. Nuevo abordaje. Rev Esp Cir Ortop Traumatol. 2019;63(6):439-46. DOI: 10.1016/j.recot.2019.05.001. https://doi.org/10.1016/j.recot.2019.05.001

Published

2021-09-11

How to Cite

Meléndez, Roberto, et al. “Lacertus Fibrosus Syndrome”. Cirugía De Mano Y Microcirugía, vol. 1, no. 1, Sept. 2021, pp. 25-34, doi:10.25214/28056272.1179.

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