Bicipital Groove And Tendon
Surgical treatments of the biceps tendon may be considered.
Bicipital groove and tendon. Direct palpation over the patient s bicipital groove elicits a painful response in the setting of pathology. The most common treatments for biceps tendon problems include a biceps tenotomy and a biceps tenodesis. A positive test consists of pain elicited in the bicipital groove when the patient attempts to forward elevate the shoulder against examiner resistance. Inflammation of the biceps tendon within the intertubercular bicipital groove is called primary biceps.
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. What is biceps tendon subluxation. Dislocation of the long head of biceps tendon is one of the complications of shoulder injury. At the shoulder one of the attachments is known as the long head a thin tendinous structure that runs in a groove at the front of the shoulder before entering the shoulder joint.
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 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. The bicipital groove is typically 4 6 mm deep 1. The elbow is slightly flexed and 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. Biciptal tendinitis is a typical overuse sports injury and is common amongst athletes who perform an action that places strain on the shoulder. Biceps tendinitis is a disorder of the tendon around the long head of the biceps muscle. Two at the shoulder and one in the elbow.
Frank subluxation of the biceps tendon out of the bicipital groove has been reported by many authors including meyer. The biceps muscle attaches to bone via tendons. 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 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.
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 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.