Long head biceps tendon instability: diagnostic performance of known and new MRI diagnostic signs

Zappia, Marcello; Ascione, Francesco; Pietto, Francesco Di; Fischetti, Michele; Romano, Alfonso Maria; Castagna, Alessandro; Brunese, Luca

doi:10.1007/s00256-021-03710-1

Cited by 6 publications

(8 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding the diagnostic value of various MRI signs for BP lesions, the LHB displacement sign showed the highest accuracy in our study, which was consistent with previous studies (74.4%–87.2%) 14,20 . In contrast, Kang et al 21 reported an accuracy of 65.6%–66.7% for the LHB displacement sign.…”

Section: Discussionsupporting

confidence: 92%

“…Multiple studies 13,14,17,20,24,25 have reported that the biceps tendon may remain within the bicipital groove, particularly in minor forms of BP lesions, which may explain the low sensitivity observed in our study and in these previous studies. However, high specificity was observed in our results, as well as in previous studies 14,20,26 …”

Section: Discussioncontrasting

confidence: 77%

See 1 more Smart Citation

Biceps Pulley Lesions: Diagnostic Accuracy of Nonarthrographic Shoulder MRI and the Value of Various Diagnostic Signs

Nada,

Almalki,

Basha

et al. 2023

Magnetic Resonance Imaging

View full text Add to dashboard Cite

BackgroundThere is limited data in the literature regarding the role of nonarthrographic MRI for detecting biceps pulley (BP) lesions.PurposeTo assess the accuracy of nonarthrographic MRI for detecting BP lesions, and to evaluate the diagnostic value of various MRI signs (superior glenohumeral ligament discontinuity/nonvisibility, long head of biceps (LHB) displacement sign or subluxation/dislocation, LHB tendinopathy, and supraspinatus and subscapularis tendon lesions) in detecting such lesions.Study TypeRetrospective.Population84 patients (32 in BP‐lesion group and 52 in BP‐intact group‐as confirmed by arthroscopy).Field Strength/Sequence1.5‐T, T1‐weighted turbo spin echo (TSE), T2‐weighted TSE, and proton density‐weighted TSE spectral attenuated inversion recovery (SPAIR) sequences.AssessmentThree radiologists independently reviewed all MRI data for the presence of BP lesions and various MRI signs. The MRI signs and final MRI diagnoses were tested for accuracy regarding detecting BP lesions using arthroscopy results as the reference standard. Furthermore, the inter‐reader agreement (IRA) between radiologists was determined.Statistical TestsStudent's t‐tests, Chi‐squared, and Fisher's exact tests, and 4‐fold table test were used. The IRA was calculated using Kappa statistics. A P‐value <0.05 was considered statistically significant.ResultsThe sensitivity, specificity, and accuracy of nonarthrographic MRI for detecting BP lesions were 65.6%–78.1%, 90.4%–92.3%, and 81%–86.9%, respectively. The highest accuracy was noticed for the LHB displacement sign (84.5%–86.9%), and the highest sensitivity was registered for the LHB tendinopathy sign (87.5%). Furthermore, the highest specificity was observed for the LHB displacement sign and LHB subluxation/dislocation sign (98.1%–100%). The IRA regarding final MRI diagnosis and MRI signs of BP lesions was good to very good (κ = 0.76–0.98).Data ConclusionNonarthrographic shoulder MRI may show good diagnostic accuracy for detecting BP lesions. The LHB displacement sign could serve as the most accurate and specific sign for diagnosis of BP lesions.Level of Evidence3Technical EfficacyStage 2

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 77%

Biceps Pulley Lesions: Diagnostic Accuracy of Nonarthrographic Shoulder MRI and the Value of Various Diagnostic Signs

Nada,

Almalki,

Basha

et al. 2023

Magnetic Resonance Imaging

View full text Add to dashboard Cite

show abstract

“…New and existing diagnostic signs have allowed for enhanced investigation of the PLHB tendon and its surrounding structures, making MRI an effective tool in investigating these structural relationships. 20 , 22 …”

Section: Discussionmentioning

confidence: 99%

Correlation between superior humeral head migration and proximal long head of biceps tendon pathology in patients with and without rotator cuff tears using magnetic resonance imaging and radiography

et al. 2022

View full text Add to dashboard Cite

“…In addition, the use of novel US technique could help in this difficult diagnostic process, such as echo intensity [ 24 ]. When clinical and ultrasonography evaluation are discordant, or for muscles not accessible to US examination, in elite athletes, Magnetic Resonance Imaging (MRI) may be required to confirm or exclude minor structural injuries, since this technique is often used as a second-line investigation in musculoskeletal diseases [ 25 , 26 ]. MRI plays only a marginal role in the follow-up and monitoring of structural injuries because the images do not correlate well enough with the clinical evaluation, causing a potential late return to play (RTP) for the athlete.…”

Section: Muscle Injuries Rehabilitationmentioning

confidence: 99%

“…Over time small tears may fill with echogenic material, likely representing scar tissue visible at US [ 84 , 85 ]. More extensive scarring results in increased likelihood of recurrent injury [ 25 ].…”

Section: Muscle Injuries Rehabilitationmentioning

confidence: 99%

Indirect Structural Muscle Injuries of Lower Limb: Rehabilitation and Therapeutic Exercise

Palermi

Massa

Vecchiato

et al. 2021

JFMK

View full text Add to dashboard Cite

Muscle injuries are the most common trauma in team and individual sports. The muscles most frequently affected are those of the lower limb, and in particular hamstrings, adductors, rectus femoris and calf muscles. Although several scientific studies have tried to propose different rehabilitation protocols, still too often the real rehabilitation process is not based on scientific knowledge, especially in non-elite athletes. Moreover, the growing use of physical and instrumental therapies has made it increasingly difficult to understand what can be truly effective. Therefore, the aim of the present paper is to review proposed therapeutic algorithms for muscle injuries, proposing a concise and practical summary. Following a three-phase rehabilitation protocol, this review aims to describe the conservative treatment of indirect structural muscle injuries, which are the more routinely found and more challenging type. For each phase, until return to training and return to sport are completed, the functional goal, the most appropriate practitioner, and the best possible treatment according to current evidence are expressed. Finally, the last section is focused on the specific exercise rehabilitation for the four main muscle groups with a structured explanatory timetable.

show abstract

Long head biceps tendon instability: diagnostic performance of known and new MRI diagnostic signs

Cited by 6 publications

References 19 publications

Biceps Pulley Lesions: Diagnostic Accuracy of Nonarthrographic Shoulder MRI and the Value of Various Diagnostic Signs

Biceps Pulley Lesions: Diagnostic Accuracy of Nonarthrographic Shoulder MRI and the Value of Various Diagnostic Signs

Correlation between superior humeral head migration and proximal long head of biceps tendon pathology in patients with and without rotator cuff tears using magnetic resonance imaging and radiography

Indirect Structural Muscle Injuries of Lower Limb: Rehabilitation and Therapeutic Exercise

Contact Info

Product

Resources

About