Biceps Adhesion to the Rotator Cuff

Hammond, James; Bryant, Brandon

doi:10.1177/0363546512471182

Cited by 3 publications

(2 citation statements)

References 10 publications

(10 reference statements)

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“…Throughout its intra-articular course, the tendon was adherent to and contiguous with the undersurface of the rotator cuff. Hammond and Bryant 13 reported a patient serving in the Navy who presented with symptoms and examinations consistent with a SLAP tear. They planned to perform a SLAP repair and/or capsular release for him.…”

Section: Discussionmentioning

confidence: 99%

“…3,11 Only a few case reports have demonstrated a unusual lesion of LHBT confluent with the intra-articular rotator cuff. [12][13][14] The purpose of this series is to present the clinical and imaging findings and results of treatment in patients with intra-articular LHBT adhesion to the undersurface of the rotator cuff found incidentally during shoulder arthroscopy. We hypothesized that release of the adherent portion of biceps with or without tenodesis would yield satisfactory results.…”

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confidence: 99%

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Adhesion of the Long Head of the Biceps Tendon: A Case Series

Chiu

Lin

Chen

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose To present the clinical and imaging findings and results of treatment in patients with intra-articular long head of the biceps tendon (LHBT) adhesion to the undersurface of the rotator cuff found incidentally during shoulder arthroscopy. Methods Patients with intra-articular LHBT adhesion to the undersurface of the rotator cuff found incidentally during arthroscopy were included with a minimal 2-year follow-up. Demographic data, images, and physical examinations were recorded. LHBT release, tenotomy, or tenodesis were performed according to the patient’s age and surgeon’s preference. Results Twelve patients were included in the study. All of them presented with chronic anterior shoulder pain and positive Speed and O’Brien tests. The average age was 46.8 ± 17 years (range 20-79 years) and the pain sustained from 6 to 96 (average 25.5 ± 28.6) months. Before the operation, 6 patients had a positive Jobe’s test, 1 had a positive lift-off test, and all had positive O’Brien and Speed tests and tenderness over the LHBT. Three release, 4 tenotomy, and 5 LHBT tenodesis were done in addition to other procedures if needed. All range of motion except external rotation, pain visual analog score, and functional outcome scores showed significant improvement at 6 months after surgery. There were no significant differences in range of motion and functional scores between 6 months and 12 months postoperatively. No difference was found in LHBT scores at 6 and 12 months after the operation. Magnetic resonance imaging revealed thickened coracohumeral ligament overlying the LHBT. Conclusions Patients who had intra-articular LHBT adhesion to the undersurface of the rotator cuff and underwent release of the adhesion around LHBT, tenotomy, or tenodesis all had good clinical outcomes. The lesion was observed in 2.2% of all shoulder arthroscopies. Although difficult to diagnose before surgery, surgeons should be aware of this unusual condition in patients with chronic and insidious anterior shoulder pain. Level of Evidence Level IV, Therapeutic case series.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Adhesion of the Long Head of the Biceps Tendon: A Case Series

Chiu

Lin

Chen

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Abnormal origins of the long head of the biceps tendon can lead to rotator cuff pathology: a report of two cases

et al. 2014

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Previous case reports have highlighted various anomalous origins of the long head of the biceps tendon (LHBT) that do not originate from the superior glenoid labrum or supraglenoid tubercle. Yet, these cases were all reported as incidental findings and were not thought to cause any significant shoulder pathology. We present the magnetic resonance (MR) imaging and clinical treatment of two cases where aberrant intra-articular origins of the long head of the biceps tendon from the anterior edge of the supraspinatus tendon may have contributed to symptomatic rotator cuff pathology. Arthroscopy confirmed MR findings of partial articular-sided supraspinatus lesions in close proximity to the anomalous origins and treatment with tenodesis of the LHBT successfully relieved symptoms. Although rare occurrences with subtle and potentially misleading imaging findings, it is important to be aware of aberrant origins of the LHBT that may contribute to concomitant rotator cuff pathology.

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Extra-articular origin of long head of biceps brachii that is attached to the rotator cuff

Yi¹,

Son²

2014

aosm

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Biceps Adhesion to the Rotator Cuff

Cited by 3 publications

References 10 publications

Adhesion of the Long Head of the Biceps Tendon: A Case Series

Adhesion of the Long Head of the Biceps Tendon: A Case Series

Abnormal origins of the long head of the biceps tendon can lead to rotator cuff pathology: a report of two cases

Extra-articular origin of long head of biceps brachii that is attached to the rotator cuff

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