The Biceps Muscle from Shoulder to Elbow

Stevens, Kathryn J.; Kwak, Andrew; Poplawski, Stephen

doi:10.1055/s-0032-1327004

Cited by 23 publications

(4 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1A ) [2] . Clinical symptoms and physical examinations have shown poor sensitivity for detecting biceps tendinopathy and ultrasound has been recommended as the first-line diagnostic image modality [6] , [7] . However, the lack of useful quantitative criteria usually makes the sonographic diagnosis of biceps tendinopathy vary between investigators.…”

Section: Introductionmentioning

confidence: 99%

Quantitative Ultrasound Facilitates the Exploration of Morphological Association of the Long Head Biceps Tendon with Supraspinatus Tendon Full Thickness Tear

et al. 2014

View full text Add to dashboard Cite

BackgroundsPathology of the long head biceps tendon (LHBT) is associated with rotator cuff tears but whether the LHBT texture changes following supraspinatus tendon full thickness tear (SSFT) can be detected at the extra-articular segment remains unknown. This cross-sectional study aimed to explore the morphological differences of the LHBT in shoulders with and without deficient rotator cuffs by using quantitative ultrasound.Materials and MethodsWe selected 145 cases with SSFT and 145 age-and- gender-matched controls. The width, thickness, flattening ratio, cross-sectional area, and echogenicity ratio of the LHBT were measured and a general linear model was used to clarify the relationship between rotator cuff pathology and LHBT morphology. The receiver operating characteristic curves of each parameter were constructed for SSFT discrimination and the maximal Youden indexes were used to define the best cut-off points.ResultsWe found increased thickness and cross-sectional area but decreased flattening ratio in shoulders with SSFT, and no between-group differences in the width and echogenicity ratio. The LHBT appearance was modified by biceps peritendinous effusion and medial subluxation, but not by the size of SSFT. The flattening ratio was the best discriminator for SSFT with an area under curve of 0.81 (95% confidence interval, 0.76–0.86). The cut-off values to differentiate between the non-tear and tear groups were 2.00 mm of the thickness, 1.73 of the flattening ratio and 10.53 mm2 of the cross-sectional area.ConclusionQuantitative ultrasound facilitated the detection of the LHBT morphological changes following SSFT and demonstrated its potential utility in discriminating rotator cuff deficiency.

show abstract

Section: Introductionmentioning

confidence: 99%

Quantitative Ultrasound Facilitates the Exploration of Morphological Association of the Long Head Biceps Tendon with Supraspinatus Tendon Full Thickness Tear

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Indeed, in the Rehab group, a lower incidence of inflammatory pathologies, such as subacromial-subdeltoid adhesive bursitis, tenosynovitis of the long head of the biceps, or both, were observed at the US examination after 6 weeks. These pathologies can be ascribed to the impingement syndrome that produces the compression and irritation of the soft tissues (mainly the SSB) during elevation of the arm [ 23 ] and to the overload of the long head of the biceps [ 24 ]. Other possible explanations could be poor stretching or conditioning before exercise, and the strength and flexibility imbalance of the scapula muscles which may lead to impingement of the SSB that then becomes inflamed, swollen and thick [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Usefulness of Rehabilitation in Patients with Rotator Cuff Calcific Tendinopathy after Ultrasound-Guided Percutaneous Treatment

2014

View full text Add to dashboard Cite

Objective: To evaluate the efficacy of a specific rehabilitation program for patients in whom ultrasound-guided percutaneous treatment (UGPT) was performed for rotator cuff calcific tendinopathy (RCCT). Subjects and Methods: In this prospective observational study, 86 patients (22 males and 64 females) with shoulder calcific tendinopathy treated with UGPT were enrolled. At the end of the procedure, a corticosteroid injection into the subacromial-subdeltoid bursa was performed. The patients were then asked to follow a specific rehabilitation protocol (2 times/week for 5 weeks) that focused on mobility, strength and function. At baseline and after 6 weeks, clinical parameters, visual analog scale (VAS) and Constant-Murley scale (CMS) scores and ultrasound (US) features were collected. Results: The mean age of the patients was 48.9 ± 8.4 years and their mean BMI was 22.7 ± 2.1. Considering the whole cohort, the treatment was effective, with a significant decrease in the VAS score and an improvement in the CMS score. Thereafter, on the basis of the compliance to the rehabilitation program (by self-report), 53 and 33 patients were included in the rehabilitation group (Rehab group; performed exercises ≥2 times/week) and the No Rehab group (performed exercises <2 times/week), respectively. The comparison between the groups showed that the subjects who performed the exercises regularly had better results in terms of pain and functional recovery, and less associated diseases (e.g. adhesive bursitis and tenosynovitis of the long head of the biceps) than those who were less compliant with the program. Conclusions: UGPT, followed by a specific postprocedure rehabilitation program, was an effective treatment for RCCT.

show abstract

“…The tendon may also appear flattened or thickened within the interval or in the intertubercular groove. Signal changes in the intrarticular part of the biceps tendon are nonspecific due to the magic angle effect and partial volume averaging [ 82 129 140 141 142 143 144 ].…”

Section: Anterosuperior Instabilitymentioning

confidence: 99%

What can the Radiologist do to Help the Surgeon Manage Shoulder Instability?

Pouliart

Doering

Shahabpour

2016

Journal of the Belgian Society of Radiology

View full text Add to dashboard Cite

Imaging of the shoulder forms an important adjunct in clinical decision making in patients with shoulder instability. The typical lesions related with classic anterior and anteroinferior shoulder dislocation are an anteroinferior labral avulsion with or without bony fragment of bone loss – a (bony) Bankart lesion – and a posterolateral humeral head impaction fracture – the Hill-Sachs lesions. These are relatively straightforward to identify on imaging, although normal variants of the inferior labrum and variants of labral damage may cause confusion. Other capsuloligamentous lesions, often associated with less typical types of instability, are much more difficult to identify correctly on imaging, as they occur in the anterosuperior part of the glenohumeral joint with its many normal variants or because they result in more subtle, and therefore easily overlooked, changes in morphology or signal intensity. This paper aims at describing the appearance of the normal and pathologic glenohumeral joint related to shoulder instability. Ample reference will be given as to why identification of abnormalities, whether normal or pathologic, is important to the surgeon facing a treatment decision.

show abstract

The Biceps Muscle from Shoulder to Elbow

Cited by 23 publications

References 54 publications

Quantitative Ultrasound Facilitates the Exploration of Morphological Association of the Long Head Biceps Tendon with Supraspinatus Tendon Full Thickness Tear

Quantitative Ultrasound Facilitates the Exploration of Morphological Association of the Long Head Biceps Tendon with Supraspinatus Tendon Full Thickness Tear

Usefulness of Rehabilitation in Patients with Rotator Cuff Calcific Tendinopathy after Ultrasound-Guided Percutaneous Treatment

What can the Radiologist do to Help the Surgeon Manage Shoulder Instability?

Contact Info

Product

Resources

About