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Isolated avulsion of distal biceps femoris tendon is a rare occurrence. We report a case of a 34-year-old football coach with isolated avulsion of distal biceps tendon which occurred while kicking a ball backwards with his heel. He underwent surgical treatment and recovered fully. We obtained an MRI scan 22 months postoperative and found good tendon to bone healing. In reviewing other literature of similar injuries, we found 23 reported cases in 11 publications. 21 of the 24 cases (including our reported case) injured the tendon in a sporting activity. 21 cases underwent surgical treatment while 3 took conservative treatment. Both methods of treatment resulted in a good clinical outcome. Most of the cases were able to return to pre-injury level of sports. Any advantages of one method of treatment over the other could not be determined.
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