Bicipital Groove Dislocation

For dislocation long head of biceps left i used code s46 112a for tenodesis long head biceps tendon bicipital groove. A conservative approach to this treatment is to reposition the bicipital tendon in its groove when tested and found displaced. The long head of biceps lhb tendon is usually located inferiorly in the bicipital groove held there by the biceps pulley the stabilization role of the transverse humeral ligament is controversial 3 as it moves superiorly it arches through the rotator cuff interval where it is held by a sling.

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Biceps tendon dislocation author.

Bicipital groove dislocation. Dislocation of the long head of biceps tendon is one of the complications of shoulder injury. Tendon of the long head of the biceps in the intertubercular groove was the medial portion. The cpt code was 23430. A palpable or audible and sometimes painful click may be noted as the biceps tendon is dislocated from its groove.

The long head of the biceps brachii tendon lhbt is a common source of pain in the shoulder. Biceps tendon pathology is often associated with rotator cuff rc pathology. Occasionally the soft tissue restraints that maintain the position of the long head of the biceps tendon within the groove can be injured allowing the tendon to sublux or partially dislocate in and out of. The groove is bordered on three sides by bone the bicipital ridge with a roof covered by the transverse humeral ligament.

The bicipital groove is typically 4 6 mm deep 1. The bicipital groove also known as the intertubercular sulcus or sulcus intertubercularis is the indentation between the greater and lesser tuberosities of the humerus that lodges the biceps tendon. As it exits the distal bicipital groove in the upper arm the lhbt. Direct palpation over the patient s bicipital groove elicits a painful response in the setting of pathology.

The elbow is slightly flexed and the. Dislocation with associated bicipital groove soft tissue stabilizer injury. Excision of the supratubercular medial insertion of the coracohumeral ikament allows medial displacement of the tendon of the long head of the biceps. Insurance carrier declined payment as potential diagnosis and cpt code mismatch.

A positive test consists of pain elicited in the bicipital groove when the patient attempts to forward elevate the shoulder against examiner resistance. Your help would be greatly appreciated. It contains the tendon of the long head of the biceps brachii muscle which is ensheathed in a synovial reflection of the. Biceps tendon dislocation and instability.

Find read and cite all the research you need on researchgate. Following this repositioning moist cryotherapy is recommended directly over the site of the lesion. Symbols as in figure 1. Dislocation of the tendon of the biceps brachii 75 figure 2.

Does anyone have any ideas as to what i should have coded. Varacallo m 1 mair sd 2. Biceps tendon pathology is often associated with.