Sympathetic and Sensory Neural Elements in the Tendon of the Long Head of the Biceps

Alpantaki, Kalliopi; McLaughlin, David J.; Καραγωγεωσ, Δομνα; Hadjipavlou, Alexander; Kontakis, George

doi:10.2106/00004623-200507000-00021

Cited by 51 publications

(76 citation statements)

References 15 publications

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“…Alpantaki et al showed that the LHBT is innervated by a network of sensory sympathetic fibers, which may play a role in the pathogenesis of shoulder pain [9]. However, the innervation of the tendon is not well documented.…”

Section: Anatomymentioning

confidence: 99%

Long Head of the Biceps Pathology Combined with Rotator Cuff Tears

Δίτσιος

Agathangelidis

Boutsiadis

et al. 2012

Advances in Orthopedics

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The long head of the biceps tendon (LHBT) is an anatomic structure commonly involved in painful shoulder conditions as a result of trauma, degeneration, or overuse. Recent studies have pointed out the close correlation between LHBT lesions and rotator cuff (RCT) tears. Clinicians need to take into account the importance of the LHBT in the presence of other shoulder pathologies. This paper provides an up-to-date overview of recent publications on anatomy, pathophysiology, diagnosis, classification, and current treatment strategies.

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Section: Anatomymentioning

confidence: 99%

Long Head of the Biceps Pathology Combined with Rotator Cuff Tears

Δίτσιος

Agathangelidis

Boutsiadis

et al. 2012

Advances in Orthopedics

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“…Alpantaki et al 59 analysed four cadaveric LHBT in humans using IHC. An extensive neural network was demonstrated along the tendon, with the densest innervation being present proximally and decreasing distally.…”

Section: Basic Building Blocks Of Painmentioning

confidence: 99%

Why does my shoulder hurt? A review of the neuroanatomical and biochemical basis of shoulder pain

2013

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If a patient asks 'why does my shoulder hurt?' the conversation will quickly turn to scientific theory and sometimes unsubstantiated conjecture. Frequently, the clinician becomes aware of the limits of the scientific basis of their explanation, demonstrating the incompleteness of our understanding of the nature of shoulder pain. This review takes a systematic approach to help answer fundamental questions relating to shoulder pain, with a view to providing insights into future research and novel methods for treating shoulder pain. We shall explore the roles of (1) the peripheral receptors, (2) peripheral pain processing or 'nociception', (3) the spinal cord, (4) the brain, (5) the location of receptors in the shoulder and (6) the neural anatomy of the shoulder. We also consider how these factors might contribute to the variability in the clinical presentation, the diagnosis and the treatment of shoulder pain. In this way we aim to provide an overview of the component parts of the peripheral pain detection system and central pain processing mechanisms in shoulder pain that interact to produce clinical pain.

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“…15,16,46 The LHB tendon is certainly a pain generator in the anterior aspect of the shoulder receiving both sensory and sympathetic innervations. 47 Selective injections may further aid diagnosis of shoulder pathology associated with LHB tendinitis. 48 …”

Section: Overviewmentioning

confidence: 99%

Ultrasound-Guided Interventional Procedures in Pain Medicine

Peng

Cheng

2011

Regional Anesthesia and Pain Medicine

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Application of ultrasound for musculoskeletal injections is increasingly popular. The common targets for shoulder injection are the subacromial subdeltoid bursa, glenohumeral joint, acromioclavicular joint, and the long head of biceps tendon. This review describes and summarizes the anatomy and sonoanatomy relevant to the injection of these structures. The feasibility, accuracy, and effectiveness of the injections into and around these shoulder structures, as well as the injection techniques, are also described in detail.

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Sympathetic and Sensory Neural Elements in the Tendon of the Long Head of the Biceps

Cited by 51 publications

References 15 publications

Long Head of the Biceps Pathology Combined with Rotator Cuff Tears

Long Head of the Biceps Pathology Combined with Rotator Cuff Tears

Why does my shoulder hurt? A review of the neuroanatomical and biochemical basis of shoulder pain

Ultrasound-Guided Interventional Procedures in Pain Medicine

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