{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:57:31Z","timestamp":1775177851642,"version":"3.50.1"},"reference-count":12,"publisher":"Korean Shoulder and Elbow Society","issue":"4","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["cisejournal.org"],"crossmark-restriction":true},"short-container-title":["Clin Shoulder Elb"],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:p>Background: Little is known about the potential negative or positive effects of peritendinous infiltration with corticosteroids in the non-surgical treatment of partial distal biceps tendon tears. Peritendinous fluid, synovitis, and bursitis often accompany partial tears and can be a source of persistent pain. We hypothesize that peritendinous corticosteroid infiltration is a safe non-surgical treatment option for complaints related to a partial distal biceps tendon rupture.Methods: A single-center retrospective analysis was performed on a cohort of 52 patients with partial distal biceps tears (&lt;50% of the footprint involved), as confirmed by magnetic resonance imaging. All patients received an ultrasound-guided intrabursal peritendinous infiltration with 1 mL of triamcinolone acetonide (10 mg\/mL) and 4 mL of lidocaine (HCl 2%). Patient files were reviewed for demographic information, date of injury, injury mechanism, treatment modality (operative or nonoperative), clinical follow-up (2011\u20132021), and complications, including progression to a complete rupture. Results: The median duration of follow-up after infiltration was 15 months (1.2\u201345 months). No infiltration-related complications were observed following infiltration therapy. Surgical reconstruction was ultimately performed in 65% of the patients with a partial tear. One patient sustained a trauma to the elbow in the weeks following infiltration, resulting in a complete tear. Conclusions: Infiltration with corticosteroids is a safe treatment option for patients with a partial tear of the distal biceps who failed progressive exercise therapy. Surgical reconstruction was avoided in 35% of patients following infiltration treatment.Level of evidence: IV.<\/jats:p>","DOI":"10.5397\/cise.2025.00647","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:03:36Z","timestamp":1763683416000},"page":"475-479","update-policy":"https:\/\/doi.org\/10.5397\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Corticosteroid infiltration in partial distal biceps ruptures"],"prefix":"10.5397","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3092-3239","authenticated-orcid":true,"given":"Elisabeth A.","family":"W\u00f6rner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4656-6053","authenticated-orcid":true,"given":"Elisa L.","family":"Zwerus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2920-8564","authenticated-orcid":true,"given":"Ante","family":"Prkic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0778-850X","authenticated-orcid":true,"given":"Femke M.A.P.","family":"Claessen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0101-5346","authenticated-orcid":true,"given":"Bertram","family":"The","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3922-2949","authenticated-orcid":true,"given":"Denise","family":"Eygendaal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3351","reference":[{"key":"ref1","first-page":"468","volume-title":"","author":"Morrey","year":"1993"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2016.04.019"},{"key":"ref3","first-page":"193","volume-title":"Distal biceps tendon ruptures: a historical perspective and current concepts","author":"Bernstein","year":"2001"},{"key":"ref4","first-page":"1044","volume-title":"Distal biceps tendon anatomy: a cadaveric study","author":"Eames","year":"2007"},{"key":"ref5","volume-title":"","author":"Bain","year":"2020"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.6.200145"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.12.010"},{"key":"ref8","first-page":"421","volume-title":"","author":"Phadnis","year":"2020"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-095422"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.09.2808"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1758-5740.2011.00117.x"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.19661"}],"container-title":["Clinics in Shoulder and Elbow"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2025-00647.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2025.00647","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2025-00647.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T09:40:26Z","timestamp":1764322826000},"score":1,"resource":{"primary":{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2025.00647"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,12]]}},"URL":"https:\/\/doi.org\/10.5397\/cise.2025.00647","relation":{},"ISSN":["2288-8721"],"issn-type":[{"value":"2288-8721","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,1]]},"assertion":[{"value":"2025-06-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-21","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}