Biceps Tendon Bicipital Groove

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. The bicipital groove is typically 4 6 mm deep 1. 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.

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The bicipital groove is empty with no biceps tendon arrowhead.

Biceps tendon bicipital groove. Bicipital tenosynovitis is a pathological condition in which there is inflammation of the tendon sheaths that surround the biceps tendons. Biceps tendinitis is a disorder of the tendon around the long head of the biceps muscle. An irregular tear of the superior glenoid labrum is also demonstrated short arrow. A thickened and edematous lbt arrows is identified anterior to the humerus at a level distal to the bicipital groove outlined by surrounding mild edema.

It contains the tendon of the long head of the biceps brachii muscle which is ensheathed in a synovial reflection of the. 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. 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. Inflammation of the biceps tendon within the intertubercular bicipital groove is called primary biceps.

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. Surgical treatments of the biceps tendon may be considered. 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 groove is bordered on three sides by bone the bicipital ridge with a roof covered by the transverse humeral ligament.

The long head of the biceps brachii tendon lhbt is a common source of pain in the shoulder. It also transmits a branch of the anterior humeral. 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. The most common treatments for biceps tendon problems include a biceps tenotomy and a biceps tenodesis.

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 tendon pathology is often associated with rotator cuff rc pathology.