Attachment Types of the Long Head of the Biceps Tendon to the Glenoid Labrum and Their Relationships with the Glenohumeral Ligaments

Tuoheti, Yilihamu; Itoi, Eiji; Minagawa, Hiroshi; Yamamoto, Nobuyuki; Saito, Hidetomo; Seki, Nobutoshi; Okada, Kyoji; Shimada, Yasuhiro; Abé, Hiroshi

doi:10.1016/j.arthro.2005.07.006

Cited by 68 publications

(40 citation statements)

References 15 publications

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“…However, developmental studies on the origin of the LHBT from the glenoid labrum and the scapula are scarce. Some studies describe the LHBT as originating from the glenoid labrum and the supraglenoid tubercle in all specimens, both in fetuses [Aboul-Mahasen and Sadek, 2002;Lapner et al, 2010] and in adults [Pal et al, 1991;Tuoheti et al, 2005]. Other authors have stated that the LHBT is not attached to the supraglenoid tubercle [Gigis et al, 1995] and even have described it as originating only from the supraglenoid tubercle in 6.4% of the cases [Demondion et al, 2001].…”

Section: Introductionmentioning

confidence: 99%

“…The long head of the biceps brachii tendon (LHBT) has been the subject of numerous studies, not only due to its pathology but also due to variations in its origin [Bergman et al, 2015;Egea et al, 2010;Hyman and Warren,Schwartz, 2003;Tuoheti et al, 2005;Vangsness et al, 1994;Wahl and MacGillivray, 2007;Yeh et al, 1999]. Some authors have described the absence of the LHBT [Franco et al, 2005;Ghakayini et al, 2007;Glueck et al, 2003;Macalister, 1875;Mariani et al, 1997].…”

Section: Introductionmentioning

confidence: 99%

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Development of the Human Biceps Brachii Tendon and Coracoglenoid Ligament (7th-12th Week of Development)

Arráez-Aybar¹,

Murillo-González²,

Herrera-Lara³

et al. 2017

Cells Tissues Organs

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The goal of this study is to clarify the development of the long head of the biceps brachii tendon (LHBT) and to verify the existence and development of the coracoglenoid ligament. Histological preparations of 22 human embryos (7-8 weeks of development) and 43 human fetuses (9-12 weeks of development) were studied bilaterally using a conventional optical microscope. The articular interzone gives rise to the LHBT, glenoid labrum, and articular capsule. During the fetal period, it was observed that in 50 cases (58%), the LHBT originated from both the glenoid labrum and the scapula, while in 36 cases (42%), it originated only from the glenoid labrum. The coracoglenoid ligament, first described by Sappey in 1867, is a constant structure that originates at the base of the coracoid process and projects toward the glenoid labrum zone, which is related to the origin of the LHBT. The coracoglenoid ligament was more easily identifiable in the 36 cases in which the LHBT originated only from the glenoid labrum. We suggest that the coracoglenoid ligament is a constant anatomical structure, is not derived from the articular interzone unlike the LHBT, and contributes to the fixation of the glenoid labrum in the scapula in cases in which the LHBT originated only from the glenoid labrum. We postulate that, when the LHBT is fixed only at the glenoid labrum, alterations in the coracoglenoid ligament could lead to a less sufficient attachment of the glenoid labrum to the scapula which could predispose to a superior labral lesion.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of the Human Biceps Brachii Tendon and Coracoglenoid Ligament (7th-12th Week of Development)

Arráez-Aybar¹,

Murillo-González²,

Herrera-Lara³

et al. 2017

Cells Tissues Organs

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“…Rearrangement between the muscle fibers and connective tissue seems to occur during postnatal development under mechanical demands as well as a result of the posterior shift of the scapular plate with flattening of the thorax. Finally, as Touheti et al [4] have suggested in adults, the fetal topographical anatomy of the biceps tendon is also likely to determine the postnatal development of the middle and inferior glenohumeral ligament.…”

Section: Discussionmentioning

confidence: 90%

“…There are many reports of individual variations of the middle and inferior glenohumeral ligaments in the adult shoulder [2][3][4][5][6]. Touheti et al [4] considered that the morphology of the inferior glenohumeral ligament was determined by the attachment site of the biceps tendon. When the anteriorsuperior labrum is absent and replaced by a cord-like middle glenohumeral ligament, the morphology is known as the "Buford complex" [7].…”

Section: Introductionmentioning

confidence: 99%

Variation of the subscapularis tendon at the fetal glenohumeral joint

Abe

Aoki

Nakao

et al. 2014

Okajimas Folia Anat. Jpn.

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Summary:We examined the topohistology of the subscapularis tendon at the glenohumeral joint in 10 mid-term (15-16 weeks of gestation) and 10 late-stage (27-32 weeks) human fetuses. At both stages, there were two patterns of terminal course of the subscapularis tendon: 1) the tendon was tightly attached to the medial part of the joint capsule and extended anterosuperiorly along the capsule to the lesser tubercle (7/10 mid-term fetuses; 5/10 late-stage fetuses); 2) the tendon passed superiorly through the joint cavity for a long distance in combination with the subcoracoid bursa opening widely to the joint cavity (3/10 mid-term fetuses; 5/10 late-stage fetuses). The lower glenoid labrum tended to be well developed in the former pattern because the subscapularis tendon did not interfere with the superior extension of the labrum. With only one exception (late stage), the capsule-attaching tendon was seen in fetuses in which the coracoid process was located on the superior side of the lesser tubercle, whereas the intra-articular tendon accompanied the coracoid process at the same supero-inferior level of the tubercle. Thus, the topographical relationship between the coracoid process and lesser tubercle in fetuses seemed to determine the courses of the subscapularis tendon at the glenohumeral joint. The present variation in the subscapularis tendon was likely connected with the adult morphologies of the middle and inferior glenohumeral ligaments or folds, whose variations are well known.

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“…In another large cadaveric series, Vangsness et al (1994) demonstrated that the biceps originates evenly from both the superior labrum and the supraglenoid tubercle. Tuoheti et al (2005) ascribed a classification system to the soft tissue origin of the long head in the sagittal plane, occurring either anterior or posterior to the midline.…”

Section: Introductionmentioning

confidence: 99%

The anatomy of the superior labrum and biceps origin in the fetal shoulder

Lapner

Uhthoff

2010

Clinical Anatomy

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The presence of a sublabral recess has been observed in adult shoulders. It is unclear whether this occurrence is a developmental variation or is acquired. The primary objective of the study was to determine if a cleft exists between the superior labrum and the superior cartilaginous glenoid anlage during the second trimester. The secondary objective was to define the origin of the long head of the biceps in the human fetus in the second trimester. Shoulders of 11 fetuses, 11-20 weeks old, were sectioned in the coronal plane. The superior labrum was observed to be continuous with the superior glenoid anlage, and a cleft was not observed at any stage of development. The biceps tendon originated from the superior labrum and the superior glenoid tubercle anlage in all specimens. Fibers extending in the direction of superior glenoid tubercle anlage were always very prominent.

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Attachment Types of the Long Head of the Biceps Tendon to the Glenoid Labrum and Their Relationships with the Glenohumeral Ligaments

Cited by 68 publications

References 15 publications

Development of the Human Biceps Brachii Tendon and Coracoglenoid Ligament (7th-12th Week of Development)

Development of the Human Biceps Brachii Tendon and Coracoglenoid Ligament (7th-12th Week of Development)

Variation of the subscapularis tendon at the fetal glenohumeral joint

The anatomy of the superior labrum and biceps origin in the fetal shoulder

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