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Unusual presentation of more common disease/injury
Biceps femoris tendon injuries sustained while playing hockey
  1. Christopher Watura1,
  2. William Harries2
  1. 1University of Birmingham Medical School, Birmingham, UK
  2. 2Department of Orthopaedics, North Bristol NHS Trust, Frenchay Hospital, Bristol, UK
  1. Correspondence to Christopher Watura, chris.watura{at}


A 42-year-old female nurse presented in March 2008 with a left proximal hamstring tendon injury sustained while playing hockey. At surgery, the proximal biceps femoris tendon and semitendonosus were found to be ruptured and were repaired. The patient made a good recovery but sustained a further hockey injury in January 2010 involving a complete tear and rupture of the biceps femoris tendon distally. This was managed conservatively and the patient was able to return to playing hockey 10 months later. Biceps femoris tendon injuries have been reported in sport but this is the first documented case of the injury occurring while playing hockey and is also the first reported case of a biceps tendon rupture proximally (hamstring tendon) followed by distal biceps femoris rupture at the knee in the same leg.

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  • Competing interests None.

  • Patient consent Obtained.