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📌 Anatomy of the Biceps Femoris Tendon
- Distal Biceps Femoris Tendon The distal tendon of the biceps femoris merges with the lateral collateral ligament (LCL) 1 cm above the fibular head, inserting as a single conjoined tendon onto the lateral aspect of the fibular head.
- The LCL inserts anteriorly and the biceps femoris tendon inserts posteriorly.
- Tendon Composition on Axial Imaging On axial imaging, the biceps femoris tendon does not appear as a single structure.
- Instead, it consists of different tendinous and fascial components, most attaching to the fibular head, with potential tibial attachment.
✅Long Head Tendon Arms The long head
- Anterior Arm - Inserts on lateral fibular head/neck
- Direct Arm - Inserts posteriorly on lateral fibular head/neck
✅ Short Head Tendon Arms
- Direct Arm - Inserts anteromedially on fibular head
- Anterior Arm - Does not attach to fibula, passes medial to LCL to attach on superolateral tibial condyle
★ Additional Point
- The anterior arm of the short head attaches posterior to Gerdy's tubercle, distal to the anterolateral ligament insertion.
- Therefore, a Segond fracture (avulsion of the mid-third lateral capsular ligament) may involve this tendon arm.
Radiol Clin North Am. 2018 Nov;56(6):935-951
RadioGraphics 2016; 36:1776–1791
Radiographics. 2016 Oct;36(6):1776-1791.
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#bicepsfemoristendon, #bicepsfemorisanatomy, #kneetendonanatomy, #lateralcollateralligament, #LCLanatomy, #fibularheadanatomy, #tibialcondyleanatomy, #segondfracture, #anterolateralligament,
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