Bicipital Groove Radiology
However today the transverse ligament is not purely considered a ligament but represents the expansion of the subscapularis tendon joined with the supraspinatus tendon.
Bicipital groove radiology. High t2 fluid signal intensity is noted around the thickened biceps tendon which is seen within its groove suggestive of tenosynovitis. 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. Discussion the intra articular lhbt is innervated by sensory sym pathetic nerve fibers and is a substantial pain generator in the anterior shoulder 7 pain from the lhbt is typically located over the anterior aspect of the shoulder over the bicipital groove. Described at the beginning of the xx th century this structure does not play a significant role in lhb stability.
Thickened with intermediate high t2 signal intensity noted at the supraspinatus tendon suggestive of tendinosis. Both to the lesser tubercle aswell as to the greater tubercle giving support to the long head of the biceps in the bicipital groove. The lbt was evaluated by two independent musculoskeletal radiologists f m b. 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.
Dislocation of the long head of biceps tendon is one of the complications of shoulder injury. Reader 1 and t j d. It contains the tendon of the long head of the biceps brachii muscle which is ensheathed in a synovial reflection of the. Reader 2 with 2 years of experience in musculoskeletal radiology at three levels of the bicipital groove superior middle and inferior with the shoulder in neutral position in external rotation and in internal rotation.
The bicipital groove is typically 4 6 mm deep 1. In the proximal portion of the bicipital groove the tendon appears to be covered by the transverse ligament. High t2 signal intensity noted at the of this humeral head at the biceps groove.