Title
The proximal biceps tendon: tricks and pearls
UMMS Affiliation
Department of Orthopedics and Physical Rehabilitation
Publication Date
2008-08-16
Document Type
Article
Subjects
Arthroscopy; Chronic Disease; Female; Follow-Up Studies; Humans; Injury Severity Score; Joint Instability; Male; Muscle, Skeletal; Orthopedic Procedures; Pain Measurement; Range of Motion, Articular; Risk Assessment; Rotator Cuff; Rupture; Sensitivity and Specificity; Shoulder Impingement Syndrome; Shoulder Pain; Tendon Injuries; Tendon Transfer; Tenodesis; Treatment Outcome
Disciplines
Orthopedics | Rehabilitation and Therapy
Abstract
The diagnosis and treatment of proximal biceps tendon injuries continue to be a challenge. The difficulty lies on determining if there is isolated biceps pathology versus concomitant rotator cuff tears or instability. Imaging modalities, such as magnetic resonance imaging, continue to provide us with the extra tool to help us confirm our suspicion of additional pathology. Symptomatic biceps tendon tears can undergo debridement, tenotomy, or tenodesis if nonoperative measures fail to provide relief. Reports from performing a biceps tenotomy often give similar functional outcomes compared with tenodesis. Cosmetic deformity on the lateral arm may be noted with tenodesis and initial fatigue. Tenodesis may subject the patient to a longer rehabilitation process and increased pain. The decision of which one should be performed lies between the physician and the patient's expectations.
DOI of Published Version
10.1097/JSA.0b013e318183c134
Source
Sports Med Arthrosc. 2008 Sep;16(3):187-94. Link to article on publisher's site
Journal/Book/Conference Title
Sports medicine and arthroscopy review
Related Resources
PubMed ID
18703980
Repository Citation
Busconi, Brian D.; Deangelis, Nicola; and Guerrero, Patrick, "The proximal biceps tendon: tricks and pearls" (2008). Orthopedics and Physical Rehabilitation Publications and Presentations. 37.
https://escholarship.umassmed.edu/ortho_pp/37