Bicipital Groove Pain

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.

Bicipital groove pain. A tenotomy means to cut the tendon of the long head of the biceps so that the tendon retracts back into the arm and away from the shoulder where it can cause pain. Bicipital tenosynovitis can be a result of many small tears resulting in inflammation over a period of a number of years or due to an acute injury to the biceps region. If pain is felt in the bicipital groove during this action a positive test is confirmed and suggests a tear to the long head of the biceps. It is most commonly performed in adults over the age of 65.

With the patient sitting or lying the biceps tendon is identified in the groove and the point of insertion noted. Tenotomy refers to the cutting of the tendon off of the bone to improve pain. Bicipital tendonitis often happens due to repetitive strain injury overuse injury or it could be due to rotator cuff tears or complex injuries like shoulder blade impingement etc. 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.

Be indicated when the biceps has torn 25 50 off of the bone or the biceps tendon is chronically outside the bicipital groove. To inject into the area of the long head of the biceps tendon the needle is inserted directly into the most tender area over the bicipital groove. Pressure is placed on the forearm as it rises upwards until 60 degrees. Overhead activities usually reproduce pain especially those positions that combine abduction and external rotation e g.

A positive test is confirmed if pain is felt in the area. The neer test involves internal rotation of the arm while in the forward flexed position 16 figure 3. 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. In the speeds test the elbow is straightened and the forearm faces upwards.

Know what is bicipital tendonitis its causes symptoms treatment pathophysiology epidemiology and. The test is considered positive if pain is referred to the bicipital groove. Surgical treatments of the biceps tendon may be considered. Bicipital tenosynovitis is a pathological condition in which there is inflammation of the tendon sheaths that surround the biceps tendons.

The pain aggravates with shoulder flexion forearm supination or elbow flexion. Pain in the region of the anterior shoulder located over the bicipital groove occasionally radiating down to the elbow. Often with rest and following some simple treatments can heal the inflamed tendon causing bicipital tendonitis. The needle should enter the skin at 30 and be directed parallel to the groove.