The effect of bicipital groove morphology on the stability of the biceps long head tendon

doi:10.1007/s00402-021-03760-z

. 2021 Aug;141(8):1325-1330.

doi: 10.1007/s00402-021-03760-z. Epub 2021 Jan 23.

The effect of bicipital groove morphology on the stability of the biceps long head tendon

Coskun Ulucakoy¹, Ahmet Yigit Kaptan², Aliekber Yapar³, Ozlem Orhan⁴, Mustafa Ozer⁵, Ulunay Kanatli⁶

Affiliations

¹ Department of Orthopaedics and Traumatology, Dr. Abdurrahman Yurtaslan Oncology Hospital, 06430, Ankara, Turkey. coskunulucakoy@gmail.com.
² Department of Orthopaedics and Traumatology, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey.
³ Department of Orthopaedics and Traumatology, Dr. Abdurrahman Yurtaslan Oncology Hospital, 06430, Ankara, Turkey.
⁴ Department of Orthopaedics and Traumatology, Sanliurfa Regional Training and Research Hospital, Şanlıurfa, Turkey.
⁵ Department of Orthopaedics and Traumatology, Necmettin Erbakan University Meram Medical School, Konya, Turkey.
⁶ Department of Orthopaedics and Traumatology, Gazi University School of Medicine, Ankara, Turkey.

PMID: 33484303
DOI: 10.1007/s00402-021-03760-z

The effect of bicipital groove morphology on the stability of the biceps long head tendon

Coskun Ulucakoy et al. Arch Orthop Trauma Surg. 2021 Aug.

. 2021 Aug;141(8):1325-1330.

doi: 10.1007/s00402-021-03760-z. Epub 2021 Jan 23.

Authors

Coskun Ulucakoy¹, Ahmet Yigit Kaptan², Aliekber Yapar³, Ozlem Orhan⁴, Mustafa Ozer⁵, Ulunay Kanatli⁶

Affiliations

¹ Department of Orthopaedics and Traumatology, Dr. Abdurrahman Yurtaslan Oncology Hospital, 06430, Ankara, Turkey. coskunulucakoy@gmail.com.
² Department of Orthopaedics and Traumatology, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey.
³ Department of Orthopaedics and Traumatology, Dr. Abdurrahman Yurtaslan Oncology Hospital, 06430, Ankara, Turkey.
⁴ Department of Orthopaedics and Traumatology, Sanliurfa Regional Training and Research Hospital, Şanlıurfa, Turkey.
⁵ Department of Orthopaedics and Traumatology, Necmettin Erbakan University Meram Medical School, Konya, Turkey.
⁶ Department of Orthopaedics and Traumatology, Gazi University School of Medicine, Ankara, Turkey.

PMID: 33484303
DOI: 10.1007/s00402-021-03760-z

Abstract

Background: Long head of biceps tendon (LHBT) instability is an important source of pain and disability for the shoulder. Supraspinatus and subscapularis tendons contribute to the formation of the biceps pulley system, which maintains biceps stability during shoulder movements. The aim of this study is to evaluate the effect of morphology of bicipital groove on the stability of LHBT. Also, to evaluate the relationship between bicipital groove morphology and subscapularis rupture and supraspinatus rupture.

Material and methods: Surgical images and magnetic resonance images of 200 patients who underwent shoulder arthroscopy surgery in our clinic between January 2016 and December 2017 were retrospectively analyzed. The depth of groove, medial wall angle and opening angle values of 200 patients were measured on MRI. The stability of the biceps long head tendon, rotator cuff tear and SLAP lesions was recorded by monitoring the shoulder arthroscopy records in each groups.

Results: There were 200 patients, 131 male and 69 female, with an average age of 40.9 ± 14.2 (range: 17.0-79.0) years. In 69 (34.5%) patients, long head of the biceps tendon (LHBT) instability was detected. The patients were divided into two groups according to LHBT instability.The subscapularis rupture was significantly more frequent in the group with LHBT instability (52.2%) than the group without LHBT instability (4.6%) (p < 0.001). The supraspinatus tear was observed in 72.5% in the group with instability and 56.5% in the non-instability group, which shows a statistical difference between the two groups (p = 0.027). The presence of SLAP was observed in similar rates in both groups (p = 0.053). Mean depth of groove, medial wall angle, and opening angle measurements were similar in both groups (p = 0.568, p = 0.393 and p = 0.598, respectively).

Conclusion: To conclude, the morphology of the bicipital groove is not related to the stability of LHBT, and the soft tissue factors above the bicipital groove rather than bone morphology are important in stability. In addition, subscapularis rupture is a pre-disposing factor for LHBT instability; therefore, we recommend a more careful examination of LHBT in patients with subscapularis rupture.

Level of evidence: III.

Keywords: Arthroscopy; Bicipital groove; Long head of the biceps tendon; Shoulder.

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References

1. Abboud JA et al (2010) Bicipital groove morphology on MRI has no correlation to intra-articular biceps tendon pathology. J Shoulder Elbow Surg 19(6):790–794 - DOI
1. Ahovuo J (1985) Radiographic anatomy of the intertubercular groove of the humerus. Eur I Radio 1(5):83–86
1. Ataoglu MB, Cetinkaya M, Ozer M, Ayanoglu T, Kanatli U (2018) The high frequency of superior labrum, biceps tendon, and superior rotator cuff pathologies in patients with subscapularis tears: a cohort study. J Orthop Sci 23(2):304–309 - DOI
1. Barber FA, Field LD, Ryu RK (2007) Biceps tendon and superior labrum injuries: decision-making. JBJS 89(8):1844–1855 - DOI
1. Chen CH, Hsu KY, Chen WJ, Shih CH (2005) Incidence and severity of biceps long head tendon lesion in patients with complete rotator cuff tears. J Trauma 58(6):1189–1193 - DOI

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[1] Abboud JA et al (2010) Bicipital groove morphology on MRI has no correlation to intra-articular biceps tendon pathology. J Shoulder Elbow Surg 19(6):790–794 - DOI

[2] Abboud JA et al (2010) Bicipital groove morphology on MRI has no correlation to intra-articular biceps tendon pathology. J Shoulder Elbow Surg 19(6):790–794 - DOI

[3] Ahovuo J (1985) Radiographic anatomy of the intertubercular groove of the humerus. Eur I Radio 1(5):83–86

[4] Ahovuo J (1985) Radiographic anatomy of the intertubercular groove of the humerus. Eur I Radio 1(5):83–86

[5] Ataoglu MB, Cetinkaya M, Ozer M, Ayanoglu T, Kanatli U (2018) The high frequency of superior labrum, biceps tendon, and superior rotator cuff pathologies in patients with subscapularis tears: a cohort study. J Orthop Sci 23(2):304–309 - DOI

[6] Ataoglu MB, Cetinkaya M, Ozer M, Ayanoglu T, Kanatli U (2018) The high frequency of superior labrum, biceps tendon, and superior rotator cuff pathologies in patients with subscapularis tears: a cohort study. J Orthop Sci 23(2):304–309 - DOI

[7] Barber FA, Field LD, Ryu RK (2007) Biceps tendon and superior labrum injuries: decision-making. JBJS 89(8):1844–1855 - DOI

[8] Barber FA, Field LD, Ryu RK (2007) Biceps tendon and superior labrum injuries: decision-making. JBJS 89(8):1844–1855 - DOI

[9] Chen CH, Hsu KY, Chen WJ, Shih CH (2005) Incidence and severity of biceps long head tendon lesion in patients with complete rotator cuff tears. J Trauma 58(6):1189–1193 - DOI

[10] Chen CH, Hsu KY, Chen WJ, Shih CH (2005) Incidence and severity of biceps long head tendon lesion in patients with complete rotator cuff tears. J Trauma 58(6):1189–1193 - DOI

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The effect of bicipital groove morphology on the stability of the biceps long head tendon

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The effect of bicipital groove morphology on the stability of the biceps long head tendon

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