[Isolated rupture of the distal tendon of the biceps femoris muscle in a sport climber: an uncommon injury].

An isolated rupture of the distal tendon of the biceps femoris muscle without a direct trauma is an extremely rare injury. To date only a few case reports have been described in the literature. For sport climbers such an injury has never been described before. We report about a 41-year-old male sport climber complaining of such an injury after indoor rock-climbing. Unlike the previously described reports, the rupture occured during a phase of maximum static tension, without acceleration or movement of the knee joint. History and clinical characteristics, sonography and magnetic resonance imaging confirm the diagnosis and should always be performed to exclude other injuries. Early operative treatment with anatomic refixation of the ruptured tendon is necessary to restore function, although there are differences in the type of postoperative treatment.