Bicipital Groove Long Head Biceps
The biceps is a muscle located at the front of your upper arm and it helps the elbow flex bend.
Bicipital groove long head biceps. Thus any shoulder joint movement causes severe pain along long head of biceps because of irritation of the inflamed long head tendon. The shoulder is a ball and socket joint. For tendinopathy of long head of biceps. Isolated pathology of biceps tendon in bicipital groove no associated shoulder pathology reported in 5 of cases.
Dislocation of the long head of biceps tendon is one of the complications of shoulder injury. 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. 1 the long head tendon of biceps originates from the superior surface of shoulder joint known as glenoid tubercle.
The proximal long head tendon is approximately 9cm long and 5 to 6mm in diameter. The lhbt is unique as it has both an intra articular structure that originates inside the glenohumeral joint becoming extra synovial as it passes through the anterior rotator interval to enter the bicipital groove. Secondary biceps tendinopathy 2 3. The indications for tenodesis or tenotomy for biceps tendon injuries include partial tears of the long head of the biceps tendon affecting greater than 25 50 of the tendon diameter longitudinal tears affecting tendon gliding in the bicipital groove medial subluxation of the tendon disruption of the biceps sling and pain associated with.
Ultrasound may provide a dynamic means by which long head biceps instability is detected. Bicipital tendinitis referred to also as biceps tendinitis and shoulder tendinitis is swelling of the long head of the biceps tendon. Inflammation of the biceps tendon within the intertubercular bicipital groove is called primary biceps. While the ultrasound probe is placed directly over the bicipital groove the patient s shoulder is actively and passively moved allowing the physician to directly visualize changes in the biceps tendon s position.
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 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. Biceps tendinitis is a disorder of the tendon around the long head of the biceps muscle. Biceps tendon pathology is often associated with rotator cuff rc pathology.
Long head of biceps tendinitis is a painful condition resulting from inflammation of the tendon of the long head biceps muscles. Pathology of biceps tendon associated with shoulder pathology such as impingement syndrome or rotator cuff injury.