• Title/Summary/Keyword: Biceps tendon

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THE BICEPS : TREATMENT AND CONTROVERSIES

  • Rhee Yong Girl
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2001.03a
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    • pp.123-128
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    • 2001
  • in young, active, strenuous patients $\blacksquare$ stabilization for unstable SLAP lesion $\blacksquare$ tenodesis for ruptured biceps tendon above the groove $\blacksquare$ repair for ruptured biceps tendon below the groove $\blacksquare$ relocation for biceps instability in old, inactive patients $\blacksquare$ no need stabilization for unstable SLAP lesion $\blacksquare$ debride/tenotomy for partial ruptured biceps tendon $\blacksquare$ leave alone/trimming of stump for complete ruptured biceps tendon $\blacksquare$ tenodesis/in-site fixation for biceps instability

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Increased Biceps Translation: A Clinical Sign of Complete Distal Biceps Tendon Rupture

  • Malhotra, Karan;Waheed, Abdul
    • Clinics in Shoulder and Elbow
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    • v.19 no.1
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    • pp.48-50
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    • 2016
  • Various tests to help in the clinical diagnosis of distal biceps tendon ruptures have been described. In our experience these tests are painful in the acute setting. We suggest a simple alternative test wherein the biceps muscle belly is held by the examiner and translated medially and laterally. This is done with the forearm flexed to 90 degrees. It is first performed with the biceps relaxed and subsequently performed with the forearm flexed against resistance. In the relaxed forearm the biceps easily translates over 50% of its width. When placed under tension (by flexing against resistance) this translation is significantly reduced. In cases of complete distal biceps tendon rupture, the biceps still translates, even under resisted flexion of the forearm. This simple test is less painful than other described tests, is easy to perform, and aids in clinical diagnosis of distal biceps tendon ruptures.

Subscapularis Tendon Rupture with Medial Dislocation of Biceps Tendon - Case Report - (견갑하근 건 파열과 동반된 상완 이두근 건 탈구)

  • Lee Byung-Ill;Kim Dong-Wook;Kim Dong-Jin;Min Kyung-Dae;Rah Soo-Kyoon
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.147-153
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    • 1998
  • Biceps tendon dislocation combined with rupture of subscapularis tendon is not a common lesion and there has been few case reported in Korea. We experienced one fifty Six years old male patient who shows typical features on physical examination and roentgenographic finding. He was injured by direct trauma on his right shoulder in adducted and external rotated position. He showed positive findings on passive external rotation test and lift-off test. On MR!, the subscpaularis tendon was totally ruptured and the biceps tendon was dislocated to anteromedial aspect of the glenoid labrum, which was typical finding. On the arthroscopic examination, the subscapularis tendon was totally ruptured from its humeral attachment and the biceps tendon was not seen in its normal anatomical position and it was dislocated antermedially to the glenoid labrum. We repaired the subscapularis tendon to humerus by use of suture anchor and the biceps tendon was relocated to its normal anatomical position in the intertubercular groove. On the post operative 6 months follow up, the patient shows improvements in his subjective symptoms and active range of motion.

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Distal biceps tendon injection

  • van der Vis, Jacqueline;Janssen, Stein J.;Bleys, Ronald L.A.W.;Eygendaal, Denise;van den Bekerom, Michel P.J.
    • Clinics in Shoulder and Elbow
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    • v.24 no.2
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    • pp.93-97
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    • 2021
  • Background: Injection therapy around the distal biceps tendon insertion is challenging. This therapy may be indicated in patients with a partial distal biceps tendon tear, bicipitoradial bursitis and tendinopathy. The primary goal of this study was to determine the accuracy of manually performed injections without ultrasound guidance around the biceps tendon. Methods: Seven upper limb specialists, two general orthopedic specialists, and three orthopedic surgical residents manually injected a cadaver elbow with acrylic dye using an anterior and a lateral infiltration approach. After infiltration the cadaveric elbows were dissected to determine the location of the acrylic dye. Results: In total, 79% of the injections were localized near the biceps tendon. Of these injections, 20% were localized on the radius near the bicipitoradial bursa. In total, 53% of the performed infiltrations were injected by anterior and 47% by lateral approaches. Of the injections near the distal biceps (79%), 47% were injected by an anterior and 53% by a lateral approach. Of the injections on the radius (20%), 33% were injected by anterior and 67% by lateral approach. Of the inaccurate injections (21%), 75% were injected anterior and 25% lateral. Conclusions: Manual infiltration without ultrasound guidance for distal biceps pathology lacks accuracy. We therefore recommend ultrasound guidance for more accurate infiltration.

Ultrasonographic Diagnosis of the Long Head of Biceps Tendon (이두건 장두의 초음파 진단)

  • Song, Hyun Seok
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.8 no.1
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    • pp.31-37
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    • 2015
  • Lesion of long head of biceps tendon is one of the causes making an anterior shoulder pain. According to the anthropometric study of the bicipital groove the meanings of the width, depth and the medial wall angle were suggested. Confirming the images and location of the long head of biceps tendon itself would be helpful in diagnosis.

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Acute Traumatic Medial Dislocation of the Tendon of the Long Head of the Biceps Brachii with Concomitant Subscapularis Rupture - A Case Report - (견갑하근 파열과 동반된 상완 이두근 장두의 외상성 내측 탈구 -1례보고-)

  • Kim Seung Key;Park Jong Beom;Choi Woo-Sung;Kim Ho- Tae;Chang Han
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.154-159
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    • 1998
  • Medial dislocation of the long head of the biceps brachii is a rare condition that usually occurs in association with tears of the subscapularis, chronic impingement, capsular defects or a fracture of the lesser tuberosity. Less commonly, a biceps tendon dislocation may occur after an acute traumatic event. Following a dislocation, the biceps tendon will assume either an intra- or extra-articular position depending on whether or not the subscapularis tendon detaches from its humeral insertion. Magnetic resonance imaging has been found to provide valuable information concerning the location of the biceps tendon and the integrity of the subscapularis tendon. We present a patient with a traumatic dislocation of the biceps brachii tendon in which the diagnosis remained elusive for an extended period of time. In this case, he was evaluated using MRI and reconstruction was performed by restoring the tendon to its anatomical position.

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Shoulder instability with congenital absence of bilateral long head of biceps tendon - A Case Report - (양측성 상완이두장건 결손과 견관절 불안정성 - 증례 보고 -)

  • Rah, Jung-Ho;Chung, Hoi-Jeong;Kim, Doo-Sup
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.3
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    • pp.188-191
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    • 2010
  • Absence of long head of biceps tendon is a very rare anomaly. We encountered a 19 year-old male patient who had right shoulder subluxation. On magnetic resonance imaging, shallow intertubercular groove on right humerus was observed, and absence of long head of biceps tendon was discovered. Arthroscopically, labral rupture and absence of long head of biceps tendon were also evident. Left shoulder had a similar symptom as right 5 months after the initial development of the symptom on the right shoulder. Both MRI and arthroscopy revealed absence of long head of biceps tendon and labral ruptre. Arthroscopic labral repair was performed for both shoulders, and, postoperatively, they were fixated with abduction brace. In this case, it is considered that the absence of long head of biceps tendon triggered the instability of shoulder found in our patient.

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Unusual Isolated Complete Tear of Subscapularis and Biceps Long Head Tendon Associated with Heterotopic Ossification

  • Sohn, Hoon-Sang;Baek, Duck In;Shon, Min Soo
    • Clinics in Shoulder and Elbow
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    • v.17 no.3
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    • pp.127-133
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    • 2014
  • Heterotopic ossification (HO) within the substance of the subscapularis tendon is a rare lesion which remains a poorly described condition with little known of the exact mechanisms involved. Furthermore, its clinical importance remains still unclear. To our knowledge, there are no studies present to data regarding HO within the substance of the subscapularis tendon, even with resultant isolated complete tear of the subscapularis tendon. Here we present a case of huge HO associated with unusual isolated complete tear of subscapularis tendon concomitant with tear of biceps long head tendon. After arthroscopic debridement for the complete tear site of biceps long head tendon, mini-open excision of the ossification and subscapularis repair with suture anchor fixation were performed. The patient showed complete recovery of strength and function of the subscapularis at subsequent 24 months follow up.

Biceps long head tendon revisited: a case report of split tendon arising from single origin

  • Kim, Kyung-Cheon;Rhee, Kwang-Jin;Shin, Hyun-Dae;Byun, Ki-Yong
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.165-165
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    • 2008
  • A 27-year-old, right-hand-dominant woman with a posttraumatic anterior shoulder dislocation 3 months earlier after traYc accident presented because of pain and limited range of motion in the right shoulder. On physical examination, the patient had negative instability tests and a sulcus sign. On arthroscopic examination, a bifurcate long biceps tendon with two limbs was observed about 1 cm distal to the origin in the supraglenoid tubercle. We found no evidence of a tear in the long biceps tendon on probing, and the margin of each limb was smooth and round. Although this anatomic variant may be benign, its presence might be associated with other shoulder pathology. It is interesting to speculate whether the aberrant biceps anatomy in our patient contributed to transfer of injury at dislocation to the rotator cuff rather than to the classic anterior-inferior capsulolabral complex. In addition, recognition of the described anatomic variant on arthroscopy can aid the shoulder surgeon in focusing treatment on the actual pathology.

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Magnetic resonance imaging features of the biceps tendon rupture in a Labrador retriever dog

  • Cho, Hyunju;Choi, Hojung;Lee, Youngwon
    • Korean Journal of Veterinary Research
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    • v.60 no.4
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    • pp.233-236
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    • 2020
  • A five-year-old spayed female Labrador retriever presented with right forelimb lameness one day earlier. Radiographs and computed tomography of the right shoulder joint revealed conspicuous enthesophytes, bone cyst, and bone fragment at the intertubercular groove. Magnetic resonance imaging showed a loss of continuity of the biceps tendon and inhomogeneous hyperintense signal of the surrounding soft tissue and moderate synovial fluid on T2- and proton density-weighted images with contrast enhancement on the postcontrast T1-weighted images. The dog was diagnosed with tenosynovitis and biceps tendon rupture with osteoarthritis based on a comprehensive evaluation of the computed tomography and magnetic resonance imaging features.