Bicipital Groove Ligament

Dislocation of the long head of biceps tendon is one of the complications of shoulder injury. Commonly a rotatory injury of the shoulder in which forceful rotation of the arm externally is followed by symptoms of painful clicking or thumping in the shoulder is present in the history. The biceps tendon arises from the superior labrum at the top of the glenoid.

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Attrition of the tendon and changes in the transverse humeral ligament render it prone to displacement from the bicipital groove.

Bicipital groove ligament. 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. The long head of the biceps brachii tendon lhbt is a common source of pain in the shoulder. This test is used to check the ability of the transverse humeral ligament to hold the biceps tendon in the bicipital groove 1 patient sits while examiner stands in front. Biceps tendon pathology is often associated with rotator cuff rc pathology.

Bicipital tendinitis or biceps tendinitis is an inflammatory process of the long head of the biceps tendon and is a common cause of shoulder pain due to its position and function. 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. It passes underneath the transverse humerla ligament in the groove between the lesser and the greater tiuberosity of. The tendon is exposed on the anterior shoulder as it passes through the humeral bicipital groove and inserts onto the superior aspect of the labrum of the glenohu.

The groove is bordered on three sides by bone the bicipital ridge with a roof covered by the transverse humeral ligament. Inflammation of the biceps tendon within the intertubercular bicipital groove is called primary biceps. The spectrum of lhbt injuries includes primary and secondary tendinitis chronic tendinopathy superior labrum anterior and posterior slap lesions instability and partial or complete ruptures 1 2. 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.

It also transmits a branch of the anterior humeral. The bicipital groove is typically 4 6 mm deep 1. Biceps tendinitis is a disorder of the tendon around the long head of the biceps muscle. The bicipital groove intertubercular groove sulcus intertubercularis is a deep groove on the humerus that separates the greater tubercle from the lesser tubercle the bicipital groove lodges the long tendon of the biceps brachii between the tendon of the pectoralis major on the lateral lip and the tendon of the teres major on the medial lip.

It contains the tendon of the long head of the biceps brachii muscle which is ensheathed in a synovial reflection of the.