Bicipital Groove Effusion

Clinical information shoulder pain.

Bicipital groove effusion. Ultrasound images clips loose body and effusion in the biceps tendon sheath in a patient with omarthrosis. The pain aggravates with shoulder flexion forearm supination or elbow flexion. Since the association of bpe with subacromial. In figure 1 a normal biceps tendon can be appreciated at the bicipital groove.

If the effusion was better seen in the long axis view its thickness was determined on the basis of the maximal thickness between the inferior border of the tendon and the tendon sheath closest to the floor of the bicipital groove fig. In figure 2 there s synovial thickening with an effusion surrounding the long head biceps muscle s tendon. Furthermore the authors performed mri in these patients to confirm biceps tendinitis and to rule out other pathologic conditions including rotator cuff tear. Loose bodies in the bicipital groove.

The anechoic fluid collection can be surrounding the. The software image j national institutes of health 9000 rockville pike bethesda md 20892 was used to. Injecting adjacent to the tendon within the bicipital groove in the absence of an effusion may be more difficult as there is little room for error potentially subjecting patients to inaccurate delivery of steroids outside the tendon sheath or possibly within the tendon itself. Long head of biceps tendon effusion on ultrasound.

Pain in the region of the anterior shoulder located over the bicipital groove occasionally radiating down to the elbow. However if the bicipital tendon or tendon sheath is pathologic then fluid is likely secondary to a local pathologic process. It is important to be aware that the subacromial subdeltoid bursa extends distally over the bicipital groove and fluid within the subacromial bursa can be mistaken for fluid within the bicipital tendon sheath. Us may assist in making the diagnosis.

Long head of biceps brachii tendon pathology can be examined both with ultrasound and or mri. Effusion within the biceps. The authors considered the diagnosis of biceps tendinitis in patients with point tenderness in the bicipital groove and positive findings on speed s test. Both instability and tears can result in pain and decreased function.

Overhead activities usually reproduce pain especially those positions that combine abduction and external rotation e g. Long head of biceps can be affected by numerous pathological processes 3.