Long tendon of the biceps brachii: Sites of predilection for degenerative lesions

Refior, H. J.; Sowa, David T.

doi:10.1016/s1058-2746(05)80035-7

Cited by 121 publications

(88 citation statements)

References 8 publications

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“…Inflammatory and degenerative causes of biceps tendinosis are typically related to chronic repetitive overuse due to traction and friction forces on the tendon. This results in predominantly noninflammatory histologic changes to the tendon architecture (ie, tendinosis), including fibrosis, mucopolysaccharide deposition, and collagen disorganization, which commonly occur at the distal bicipital groove and near the LHBT origin at the superior glenoid labrum (8,18,19).…”

Section: Common Indications and Diseasesmentioning

confidence: 99%

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Lee¹,

Sheehan²,

Orwin³

et al. 2016

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1Shoulder pain is one of the most common musculoskeletal conditions encountered in primary care and specialty orthopedic clinic settings. Although magnetic resonance (MR) imaging is typically the modality of choice for evaluating the soft-tissue structures of the shoulder, ultrasonography (US) is becoming an important complementary imaging tool in the evaluation of superficial softtissue structures such as the rotator cuff, subacromial-subdeltoid bursa, and biceps tendon. The advantages of US driving its recent increased use include low cost, accessibility, and capability for realtime high-resolution imaging that enables dynamic assessment and needle guidance. As more radiologists are considering incorporating shoulder US into their practices, the development of a standardized approach to performing shoulder US should be a priority to facilitate the delivery of high-quality patient care. Familiarity with and comfort in performing a standardized shoulder US examination, as well as knowledge of the types of anomalies that can be evaluated well with US, will enhance the expertise of those working in musculoskeletal radiology practices and add value in the form of increased patient and health care provider satisfaction. This review describes the utility and benefits of shoulder US as a tool that complements MR imaging in the assessment of shoulder pain. A standardized approach to the shoulder US examination is also described, with a review of the basic technique of this examination, normal anatomy of the shoulder, common indications for shoulder US, and characteristic US findings of common shoulder diseases-with select MR imaging and arthroscopic correlation. Abbreviations: AC = acromioclavicular, IST = infraspinatus tendon, LHBT = long head of the biceps tendon, RC = rotator cuff, SASD = subacromial-subdeltoid, SST = supraspinatus tendon, SubST = subscapularis tendon

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Section: Common Indications and Diseasesmentioning

confidence: 99%

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Lee¹,

Sheehan²,

Orwin³

et al. 2016

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Section: Introductionmentioning

confidence: 90%

“…Improvement of pain following tenotomy of the LHB has been documented by several authors, since this is an important source of pain in the joint (1,(4)(5)(6) . There is concordance in the literature that LHB lesions should not be neglected, or else the final result from treating rotator cuff injuries may be impaired (1)(2)(3)(4)(5)(6)(7)(8) . However, tenotomy has consequences regarding upper-arm esthetics, with distal migration of the LHB (5,6,9) , loss of one of the stabilizing factors of the joint (7,10,11) and loss of muscle strength relating to elbow flexion and supination (12)(13)(14) .…”

Section: Introductionmentioning

confidence: 90%

Análise comparativa da força muscular entre pacientes tenotomizados artroscopicamente da cabeça longa do bíceps com relação à deformidade estética

Almeida¹,

Valin²,

Almeida³

et al. 2012

Rev. bras. ortop.

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Objective: To determine whether there was any discrepancy in elbow flexion strength among patients with and without evident clinical deformity resulting from arthroscopic tenotomy on the long head of the biceps. Method: A group of 120 patients who underwent this procedure were evaluated. After applying the exclusion criteria, 89 patients remained in the analysis. Eighteen months after the operation (median), the elbow flexion strength was measured in newtons using a digital dynamometer. Three consecutive measurements were made and the average was used. The dominant and non-dominant sides were compared. Sex, age and mean elbow flexion strength in the operated and contralateral arms of patients with and without apparent clinical deformity were evaluated. The authors declare that there was no conflict of interest in conducting this work This article is available online in Portuguese and English at the websites: www.rbo.org.br and www.scielo.br/rbort patients with evident clinical deformity was 17.78 N for the dominant arm and 20.87 N for the non-dominant arm. The difference was 2.51 N. In the group without evident clinical deformity, the difference was 2.14 N. The median muscle strength in the operated arm was 17.26 N, while the median was 20.06 N in the non-operated arm, thus suggesting that there was a significant loss of muscle strength (p = 0.005). The difference in muscle strength loss between the patients with and without evident deformity was not considered statistically significant (p = 0.977). Conclusion: The patients who underwent arthroscopic tenotomy on the long head of the biceps with or without apparent clinical deformity from distal migration presented similar elbow flexion muscle strength.

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“…A cabeça longa do bíceps (CLB) está comprometida com freqüência nos pacientes com afecções do ombro e é reconhecida como fonte de dor (1)(2)(3)(4)(5)(6) . Nos casos em que uma lesão é encontrada, ela deve ser devidamente abordada para não comprometer o resultado final do tratamento (5) .…”

Section: Introductionunclassified

Avaliação da deformidade estética após a tenotomia da cabeça longa do bíceps na artroscopia do ombro

Almeida¹,

Roveda²,

Valin³

et al. 2008

Rev. bras. ortop.

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Long tendon of the biceps brachii: Sites of predilection for degenerative lesions

Cited by 121 publications

References 8 publications

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Análise comparativa da força muscular entre pacientes tenotomizados artroscopicamente da cabeça longa do bíceps com relação à deformidade estética

Avaliação da deformidade estética após a tenotomia da cabeça longa do bíceps na artroscopia do ombro

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