Bicipital Groove Effusion

The authors considered the diagnosis of biceps tendinitis in patients with point tenderness in the bicipital groove and positive findings on speed s test.

Bicipital groove effusion. Long head of biceps brachii tendon pathology can be examined both with ultrasound and or mri. Ultrasound images clips loose body and effusion in the biceps tendon sheath in a patient with omarthrosis. Since the association of bpe with subacromial. Injecting adjacent to the tendon within the bicipital groove in the absence of an effusion may be more difficult as there is little room for error potentially subjecting patients to inaccurate delivery of steroids outside the tendon sheath or possibly within the tendon itself.

Although precise quantification of effusion is not possible the width of the hypoechoic rim ranged from 2 mm to 5 mm. Tenderness and effusion suggest synovitis of the glenohumeral joint. In figure 2 there s synovial thickening with an effusion surrounding the long head biceps muscle s tendon. Effusion within the biceps.

Bicipital peritendinous effusion bpe is the most common biceps tendon abnormality and can be related to various shoulder ultrasonographic findings. Us may assist in making the diagnosis. Furthermore the authors performed mri in these patients to confirm biceps tendinitis and to rule out other pathologic conditions including rotator cuff tear. Using ventral transverse and longitudinal scanning at the bicipital groove with the shoulder in neutral position the vascularity near and or inside the bicipital tendon sheath was visualized by pds figure 1.

Clinical information shoulder pain. Tenderness or pain against resistance occurs with tenosynovitis of the bicipital tendon sheath tendinitis or biceps tendon rupture. If the effusion was better seen in the long axis view its thickness was determined on the basis of the maximal thickness between the inferior border of the tendon and the tendon sheath closest to the floor of the bicipital groove fig. The software image j national institutes of health 9000 rockville pike bethesda md 20892 was used to.

In figure 1 a normal biceps tendon can be appreciated at the bicipital groove. Long head of biceps can be affected by numerous pathological processes 3. Loose body and effusion in the biceps tendon sheath in a patient with omarthrosis. Both instability and tears can result in pain and decreased function.

Tive technique when no tendon sheath effusion is seen. However if the bicipital tendon or tendon sheath is pathologic then fluid is likely secondary to a local pathologic process.