Bicipital Groove Tear

The groove is bordered on three sides by bone the bicipital ridge with a roof covered by the transverse humeral ligament. Bicipital tenosynovitis is a pathological condition in which there is inflammation of the tendon sheaths that surround the biceps tendons. 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.

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The bicipital groove is an anatomic landmark that sits between the greater and lesser tuberosities and its osseous and soft tissue components contribute to the inherent stability of the lhbt.

Bicipital groove tear. Even if the long head of biceps ruptures the short head remains attached to the shoulder blade. The depth width and medial wall angle have been studied in relation to overall bicipital groove stability with significant variability recognized in. A biceps tendon injury is a tear or rupture of connective tissue that connects the biceps muscle of the upper arm to bones at either the shoulder proximal tendon or elbow distal tendon. Proximal tears are more common than distal tears and usually are the the result of chronic overuse or an acute injury such as a direct blow to the shoulder or falling onto an outstretched arm.

The long head of the biceps is a more complicated structure. It also transmits a branch of the anterior humeral. It contains the tendon of the long head of the biceps brachii muscle which is ensheathed in a synovial reflection of the. What are the symptoms of a biceps tendon tear.

It travels in a groove on the front of the humerus bone underneath the rotator cuff tendon and into the shoulder joint attaching to the top of the socket and the superior labrum. On the front of the arm there s a groove for the tendon called the bicipital groove a trough in the bone that stabilizes the biceps tendon. You may hear or feel a pop when a tendon tears. On the top of the groove the rotator cuff holds the tendon in the groove when the arm rotates.

The most obvious symptom will be a sudden severe pain in the upper part of your arm or at the elbow depending on where the tendon is injured. The bicipital groove is typically 4 6 mm deep 1. 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. 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.

The biceps tendon comes up the front of the arm into the shoulder. Inflammation of the biceps tendon within the intertubercular bicipital groove is called primary biceps. 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. Biceps tendinitis is a disorder of the tendon around the long head of the biceps muscle.

A complete tear means the tendon has torn away from the bone.