Abstract
Antecubital pain can be caused by a myriad of pathologies. Abnormalities of the brachialis, in particular, tendinopathy at its insertion, are extremely rare, with no case report in the literature. We report the first case of tendinopathy of the brachialis tendon at its insertion in a 42-year-old male who presented with a year-long history of antecubital pain. The anatomy of the brachialis and the technique for ultrasound-guided steroid injection of the brachialis will also be described.
References
Schönberger TJ, Ernst MF (2011) A brachialis muscle rupture diagnosed by ultrasound; case report. Int J Emerg Med 4(1):46. https://doi.org/10.1186/1865-1380-4-46
Winblad JB, Escobedo E, Hunter JC (2015) Brachialis muscle rupture and hematoma. Radiol Case Rep 3(4):251. https://doi.org/10.2484/rcr.v3i4.251
Sharma P, Mehta N, Narayan A (2017) Isolated traumatic brachialis muscle tear: a case report and review of literature. Bull Emerg Trauma 5(4):307–310
Van den Berghe GR, Queenan JF (2001) Isolated rupture of the brachialis: a case report. J Bone Joint Surg Am 83-A:1074–1075
Nishida Y, Tsukushi S (2007) Brachialis muscle tear mimicking an intramuscular tumor: a report of two cases. J Hand Surg Am 32:1237–1241. https://doi.org/10.1016/j.jhsa.2007.06.002
Wasserstein D, White L (2010) Traumatic brachialis muscle injury by elbow hyperextension in a professional hockey player. Clin J Sport Med 20:211–212. https://doi.org/10.1097/JSM.0b013e3181df1ed4
Murugappan KS, Mohammed K (2012) Acute traumatic brachialis rupture in a young rugby player: a case report. J Shoulder Elbow Surg 21:e12–e14
Krych AJ, Kohen RB, Rodeo SA, Barnes RP, Warren RF, Hotchkiss RN (2012) Acute brachialis muscle rupture caused by closed elbow dislocation in a professional American football player. J Shoulder Elbow Surg 21(7):e1–e5
Leonello DT, Galley IJ, Bain GI, Carter CD (2007) Brachialis muscle anatomy: a study in cadavers. J Bone Joint Surg Am 89:1293–1297
Sanal HT, Chen L, Negrao P, Haghighi P, Trudell DJ, Resnick DL (2009) Distal attachment of the brachialis muscle: anatomic and MRI Study in Cadavers. Am J Roentgenol 192(2):468–472
Tagliafico A, Michaud J, Perez MM, Martinoli C (2013) Ultrasound of distal brachialis tendon attachment: normal and abnormal findings. Br J Radiol 86(1025):20130004
Hopkins C, Fu SC, Chua E, Hu X, Rolf C, Mattila VM, Qin L, Yung PS, Chan KM (2016) Critical review on the socio-economic impact of tendinopathy. Asia Pac J Sports Med Arthrosc Rehabil Technol 22(4):9–20. https://doi.org/10.1016/j.asmart.2016.01.002
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures in studies involving human participants were in accordance with ethical standard of the institutional and /or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
McLoughlin, E., Iqbal, A., Shamji, R. et al. Brachialis tendinopathy: a rare cause of antecubital pain and ultrasound-guided injection technique. J Ultrasound 24, 355–358 (2021). https://doi.org/10.1007/s40477-019-00378-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40477-019-00378-1