Bicipital Groove Calcification
Dfications ll biceps tendon groove radiographs also help to identify and localize small calcific deposits 12 mr imaging seems not to be a good method in this respect because of a relative lack mobile protons in calcifications 4 until now no large scale examination of the sono graphic findings of cuff calcifications had been undertaken.
Bicipital groove calcification. In pronation the radial tuberosity rotates posteriorly which compresses the bicipitoradial bursa between the biceps tendon and the radial cortex which consequently increases the pressure within the bursa. Loose bodies in the bicipital groove pitfalls. B radiograph of patient 1 obtained 3 weeks later. Bicipitoradial bursitis refers to inflammation of the bicipitoradial bursa.
Calcific tendinitis is a common cause of shoulder complaints. 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. Calcifications anterior of the biceps tendon longitudinal. The bicipitoradial bursa surrounds the biceps tendon in supination.
C computed tomography scan of patient 2 demonstrating a calcification at the insertion of the pectoralis major tendon on the. The calcification is reduced in size but the lytic lesion of the humeral shaft appears more pronounced. 2 3 the attachment of the biceps labral complex is an uncommon location for calcific tendinitis and it may be misdiagnosed as periarthritis of the shoulder joint. Formation of bony bridge over the bicipital groove may also be caused by repetitive strain on the subscapularis supraspinatus muscles and pectoralis major muscle resulting in microtrauma during biomechanical movements of the shoulder and ultimately leading to calcification and ossification of these fibres.
The most common treatment for bicipital tenosynovitis is conservative treatment with physical therapy and exercises. Inflammation of the biceps tendon within the intertubercular bicipital groove is called primary biceps. Biceps tendinitis is a disorder of the tendon around the long head of the biceps muscle. Calcifications in the pectoralis major insertion that should not be mistaken for loose bodies in the biceps tendon sheath.
Marked tenderness to palpation was present at the biceps tendon adjacent to the bicipital groove. 1 it is characterized by the presence of calcific deposits in the tendons mostly affecting the rotator cuff especially the supraspinatus tendon. 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.