Bicipital Groove Subscapularis

Image adapted from subscapularis footprint anatomy revisited with a 3 dimensional perspective and its relationship with the supraspinatus yoo j c et al. The important things to note from the anatomy we can use in imaging. Although a subscapularis tendon tear and or biceps tendon lesion is a common cause of anterior shoulder pain previously it was considered bicipital tendinitis in general and was treated nonoperatively with nonsteroidal anti inflammatory drugs physical therapy and or steroid injections into the bicipital groove around the biceps tendon.

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As The Shoulder Turns Understanding The Subscapularis Part I

The Shoulder Musculoskeletal Key

Macro Micro Observational Studies Of Fibres Maintaining The Biceps

Interdigitating Fibres Of The Subscapularis And Supraspinatus

Amicus Illustration Of Amicus Injury Shoulder Narrowed Distance

The Radiology Assistant Shoulder Anatomy Mri

And the middle.

Bicipital groove subscapularis. The superior level at the entrance of the lbt into the bicipital groove was defined as being shown on the most superior image that included the subscapularis tendon. Surgical neck of humerus yellow arrow in image below. J shoulder elbow surg 2016 25 384 389. 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.

The tendon of the subscapularis muscle attaches both to the lesser tubercle aswell as to the greater tubercle giving support to the long head of the biceps in the bicipital groove. Predictive factors of long head of the biceps tendon disorders the bicipital groove morphology and subscapularis tendon tear. J shoulder elbow surg. Urita a funakoshi t amano t matsui y kawamura d kameda y iwasaki n.

The subscapularis is a large triangular muscle which fills the subscapular fossa and inserts into the lesser tubercle of the humerus and the front of the capsule of the shoulder joint. Arthroscopic repair of isolated partial and full thickness upper third subscapularis tendon tears. Katthagen jc vap ar tahal ds horan mp millet pj. Dislocation of the long head of biceps tendon is one of the complications of shoulder injury.

Dislocation of the long head of the biceps will inevitably result in rupture of part of the subscapularis tendon. Biciptal tendinitis is a typical overuse sports injury and is common amongst athletes who perform an action that places strain on the shoulder. The long head of the biceps tendon bicipital groove morphology and subscapularis tendon tear. The most common finding of biceps tendon injury is bicipital groove point tenderness 1 during physical examination the patient stands or sits with the arm at his or her side in 10 degrees of.

The inferior level where the lbt exited from the bicipital groove was defined as being shown on the most inferior image that included the subscapularis tendon. Tendinous fibers extend to the greater tubercle with insertions into the bicipital groove. The biceps tendon is exposed at the front of the shoulder as it goes through the humeral bicipital groove intertubercular groove and attaches to the superior glenoid tubercle of the scapula. Bicipital groove green arrow in image below.