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Long Head of Biceps Tendon: Current Concepts and Controversie

Volume 6 | Issue 2 | May-Aug 2018 | Page 3-6 | Sandesh Madi S, Vivek Pandey, Kiran Acharya, Prajwal Mane.


Authors: Sandesh Madi S [1], Vivek Pandey [1], Kiran Acharya [1], Prajwal Mane [1].

[1] Department of Orthopaedics, Kasturba Hospital, Manipal Academy of Higher Education, Manipal.

Address of Correspondence
Dr. Sandesh Madi S,

Department of Orthopaedics,

Kasturba Hospital, Manipal Academy of Higher Education, Manipal.

Email: sandesh.madi@gmail.com


Abstract

The peculiar anatomical location of the long head of the biceps tendon (LHBT) and pathological changes with or without rotator cuff pathology has generated much interest for a long time which has subsequently resulted in contradictory results and controversies. This review highlights the evolution of changing concepts in understanding the role of LHBT in normal function, its pathology, clinical presentation,and management. The scope for future clinical studies in Biceps pathology is also briefly outlined.

Keywords: Biceps, tenotomy, tenodesis, shoulder, arthroscopy.


References

1. Kukkonen J, Rantakokko J, Virolainen P, Aärimaa V. The effect of biceps procedure on the outcome of rotator cuff reconstruction. ISRN Orthop 2013;2013:840965.

2. Khazzam M, George MS, Churchill RS, Kuhn JE. Disorders of the long head of biceps tendon. J Shoulder Elbow Surg 2012;21:13645.

3. Ahrens PM, Boileau P. The long head of biceps and associated tendinopathy. J Bone Joint Surg Br 2007;89:1001-9.

4. Cheng NM, Pan WR, Vally F, Le Roux CM, Richardson MD. The arterial supply of the long head of biceps tendon: Anatomical study with implications for tendon rupture. Clin Anat 2010;23:683-92.

5. Krupp RJ, Kevern MA, Gaines MD, Kotara S, Singleton SB. Long head of the biceps tendon pain: Differential diagnosis and treatment. J Orthop Sports Phys Ther 2009;39:55-70.

6. Ryu JH, Pedowitz RA. Rehabilitation of biceps tendon disorders in athletes. Clin Sports Med 2010;29:229-46, vii-viii.

7. Pandey V, van Laarhoven SN, Arora G, Rao S. Bifurcated intraarticular long head of biceps tendon. Indian J Orthop 2014;48:432-4.

8. Dierickx C, Ceccarelli E, Conti M, Vanlommel J, Castagna A. Variations of the intra-articular portion of the long head of the biceps tendon: A classification of embryologically explained variations. J Shoulder Elbow Surg 2009;18:556-65.

9. Lippman RK. Bicipital tenosynovitis. N Y State J M 1944:2235-41.

10. Kumar VP, Satku K, Balasubramaniam P. The role of the long head of biceps brachii in the stabilization of the head of the humerus. Clin Orthop Relat Res 1989;244:172-5.

11. Pandey V, Vijayan S, Hafiz N, Deepika N, Acharya K. Does congenital absence of the long head of biceps tendon render shoulder unstable leading to bony bankart and posterior labral tear: A case report and review of the literature. J Musculoskelet Res 2016;19:1672001.

12. Abboud JA, Bartolozzi AR, Widmer BJ, DeMola PM. Bicipital groove morphology on MRI has no correlation to intra-articular biceps tendon pathology. J Shoulder Elbow Surg 2010;19:790-4.

13. Takahashi N, Sugaya H, Matsumoto M, Miyauchi H, Matsuki K, Tokai M, et al. Progression of degenerative changes of the biceps tendon after successful rotator cuff repair. J Shoulder Elbow Surg 2017;26:424-9.

14. Holtby R, Razmjou H. Accuracy of the speed’s and yergason’s tests in detecting biceps pathology and SLAP lesions: Comparison with arthroscopic findings. Arthroscopy 2004;20:231-6.

15. Hedtmann A, Fett H. Ultrasound diagnosis of the rotator cuff. Orthopade 2002;31:236-46.

16. Lafosse L, Reiland Y, Baier GP, Toussaint B, Jost B. Anterior and posterior instability of the long head of the biceps tendon in rotator cuff tears: A new classification based on arthroscopic observations. Arthroscopy 2007;23:73-80.

17. Dubrow SA, Streit JJ, Shishani Y, Robbin MR, Gobezie R. Diagnostic accuracy in detecting tears in the proximal biceps tendon using standard nonenhancing shoulder MRI. Open Access J Sports Med 2014;5:81-7.

18. Armstrong A, Teefey SA, Wu T, Clark AM, Middleton WD, Yamaguchi K, et al. The efficacy of ultrasound in the diagnosis of long head of the biceps tendon pathology. J Shoulder Elbow Surg 2006;15:7-11.

19. Creech MJ, Yeung M, Denkers M, Simunovic N, Athwal GS, Ayeni OR, et al. Surgical indications for long head biceps tenodesis: A systematic review. Knee Surg Sports Traumatol Arthrosc 2016;24:2156-66.

20. Patte D, Walch G, Boileau P. Luxation de la longue portion du biceps et rapture de la cauffe des rotateurs. Revue de Chirurgie Orthopedique 1990;76:95.

21. Bradbury T, Dunn WR, Kuhn JE. Preventing the popeye deformity after release of the long head of the biceps tendon: An alternative technique and biomechanical evaluation. Arthroscopy 2008;24:1099-102.

22. Kane P, Hsaio P, Tucker B, Freedman KB. Open subpectoral biceps tenodesis: Reliable treatment for all biceps tendon pathology. Orthopedics 2015;38:37-41.

23. Werner BC, Brockmeier SF, Gwathmey FW. Trends in long head biceps tenodesis. Am J Sports Med 2015;43:570-8.

24. Abraham VT, Tan BH, Kumar VP. Systematic review of biceps tenodesis: Arthroscopic versus open. Arthroscopy 2016;32:365-71.

25. Gialanella B, Grossetti F, Mazza M, Danna L, Comini L. Functional recovery after rotator cuff repair: The role of biceps surgery. J Sport Rehabil 2018;27:83-93.

26. Chen CH, Hsu KY, Chen WJ, Shih CH. Incidence and severity of biceps long head tendon lesion in patients with complete rotator cuff tears. J Trauma 2005;58:1189-93.

27. Peltz CD, Hsu JE, Zgonis MH, Trasolini NA, Glaser DL, Soslowsky LJ, et al. Biceps tendon properties worsen initially but improve over time following rotator cuff tears in a rat model. J Orthop Res 2011;29:874-9.

28. Moon YL, Ha SH, Lee YK, Park YK. Comparative studies of platelet-rich plasma (PRP) and prolotherapy for proximal biceps tendinitis. Clin Shoulder Elbow 2011;14:153-8.


How to Cite this article: Madi S S, Pandey V, Acharya K, Mane P. Long Head of Biceps Tendon: Current Concepts and Controversies. J Kar Orth Assoc. May-Aug 2018; 6(2): 3-6.

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