Bicipital Groove Long Head Biceps

For tendinopathy of long head of biceps.

Bicipital groove long head biceps. 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. Thus any shoulder joint movement causes severe pain along long head of biceps because of irritation of the inflamed long head tendon. The proximal long head tendon is approximately 9cm long and 5 to 6mm in diameter.

1 the long head tendon of biceps originates from the superior surface of shoulder joint known as glenoid tubercle. The shoulder is a ball and socket joint. Pathology of biceps tendon associated with shoulder pathology such as impingement syndrome or rotator cuff injury. The indications for tenodesis or tenotomy for biceps tendon injuries include partial tears of the long head of the biceps tendon affecting greater than 25 50 of the tendon diameter longitudinal tears affecting tendon gliding in the bicipital groove medial subluxation of the tendon disruption of the biceps sling and pain associated with.

While the ultrasound probe is placed directly over the bicipital groove the patient s shoulder is actively and passively moved allowing the physician to directly visualize changes in the biceps tendon s position. The long head of the biceps brachii tendon lhbt is a common source of pain in the shoulder. Ultrasound may provide a dynamic means by which long head biceps instability is detected. Isolated pathology of biceps tendon in bicipital groove no associated shoulder pathology reported in 5 of cases.

Tendons attach muscle to bone. Biceps tendinitis is a disorder of the tendon around the long head of the biceps muscle. The biceps is a muscle located at the front of your upper arm and it helps the elbow flex bend. The lhbt is unique as it has both an intra articular structure that originates inside the glenohumeral joint becoming extra synovial as it passes through the anterior rotator interval to enter the bicipital groove.

However retraction of the biceps tendon leading to popeye deformity and biceps muscle cramps are common. Primary biceps tendinopathy 1 2 3. 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. Long head of biceps tendinitis is a painful condition resulting from inflammation of the tendon of the long head biceps muscles.

Dislocation of the long head of biceps tendon is one of the complications of shoulder injury. Biceps tendon pathology is often associated with rotator cuff rc pathology. Bicipital tendinitis referred to also as biceps tendinitis and shoulder tendinitis is swelling of the long head of the biceps tendon.