Bicipital Groove Surgery

Surgeons should consider performing a subpectoral biceps tenodesis as the bicipital groove portion of the tendon may be very degenerated especially in patients with rotator cuff disease. Biceps tenodesis is a surgery to repair the biceps tendon. The most common type of biceps tendon tear is a detachment partial or complete of one of the biceps tendons within the shoulder joint.

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Shoulder Biceps Tendonitis Orthopedic Surgeon Richmond Va

Figure 1 From Morphometric Analysis Of Bicipital Groove Of Humerus

Shoulder Biceps Tendonitis Orthopedic Surgeon Richmond Va

Figure 1 From Review Of Bicipital Groove Morphology And Its

Arthroscopic Treatment Of Biceps Tendinopathy Musculoskeletal Key

Biceps Tendonitis Orthopedic Surgery Algonquin Il Barrington

The most common treatment for bicipital tenosynovitis is conservative treatment with physical therapy and exercises.

Bicipital groove surgery. Rotator cuff patients showed the most degenerated tendon in the bicipital groove and these patients tended to be older and have higher vas and lower ases scores. When examining the biceps region radiologically in cases of bicipital tenosynovitis there will be significant calcification of the tendon and presence of bone spurs in the intertubercular groove. The most common treatments for biceps tendon problems include a biceps tenotomy and a biceps tenodesis. Inflammation of the biceps tendon within the intertubercular bicipital groove is called primary biceps.

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. 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. In some cases surgery is also. A torn transverse humeral ligament can also lead to biceps tendonitis.

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. As mentioned earlier the transverse humeral ligament holds the biceps tendon within the bicipital groove near the top of the humerus if this ligament is torn the biceps tendon is free to jump or slip out of the groove irritating and eventually inflaming the biceps tendon. The technique of hybrid double plate osteosynthesis using the bicipital groove as anatomic landmark may re establish shoulder function after complex proximal humerus fractures in two dimensions. Surgical treatments of the biceps tendon may be considered.

Firstly the anatomy is restored due to a proper reduction based on intraoperative landmarks. This procedure is typically used when the biceps tendon causes pain in and around the shoulder. 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. The groove is bordered on three sides by bone the bicipital ridge with a roof covered by the transverse humeral ligament.

Biceps tendinitis is a disorder of the tendon around the long head of the biceps muscle. There are two attachments of the biceps tendon at the shoulder one within the shoulder joint the long head of the biceps and the other is in front of the shoulder joint the short head of the biceps.