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Citation |
Epstein SH, Sussmann AR, Katt BM, Epstein RE, Abboud JA. JSES Open Access 2019; 3(4): 361-364. |
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Affiliation |
Rothman Orthopaedic Institute, The Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA. |
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Copyright |
(Copyright © 2019, Elsevier Publishing) |
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DOI |
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PMID |
31891040 |
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PMCID |
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Abstract |
The vast majority of biceps injuries involve the long head of the biceps tendon. Less frequently, and typically in younger patients, the injury can occur through the muscle belly. Scattered case reports describe patients with a short head injury of the biceps alone.2 Concomitant ruptures of both the short head of the biceps and coracobrachialis muscles are even rarer, as, to our knowledge, this has only been mentioned once in the literature.11 In our case report, such an injury is presented, having occurred after a “skurfing” accident. Water skurfing is a recently popularized sport that is a form of water skiing. The participant rides a version of a surfboard, rather than skis, while being towed behind a motorboat.9, 12 This sport is similar to wakeboarding; however, in water skurfing, the participant's feet are not attached to the wakeboard, and the participant does not necessarily hold the rope at all times. Common wakeboarding injuries include head injuries, lacerations, anterior cruciate ligament tears, shoulder dislocations, fractures, and ankle sprains.1, 5 However, there are very limited reports detailing upper extremity injuries resulting from water skurfing.7 There may be potential for more severe injuries, as there is a greater risk of falls because the participant's feet are not fixed to the board. Furthermore, tricks are performed while obtaining slack in the rope, increasing the chance of entrapping an extremity and leading to injury through rope traction and compression. This mechanism of rope traction and compression itself is well described, especially in parachute jumpers and wake boarders; however, resultant ruptures of both the short head of the biceps and coracobrachialis muscles is rarely seen. Therefore, this case report aims to familiarize the reader with both this uncommon injury pattern and a successful treatment approach. Language: en |
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Keywords |
Coracobrachialis; biceps brachii; rope injury; rupture; skurfing; water sports |