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. 2021 Oct 25;9(10).
doi: 10.2106/JBJS.RVW.21.00092.

Long Head of the Biceps Tendon Ruptures: Biomechanics, Clinical Ramifications, and Management

Leighann Panico  1 , Trinava Roy  2 , Surena Namdari  3
Affiliations

Long Head of the Biceps Tendon Ruptures: Biomechanics, Clinical Ramifications, and Management

Leighann Panico et al. JBJS Rev. .

Abstract

»: Pathology of the long head of the biceps tendon is a common source of shoulder pain and often occurs in combination with other shoulder disorders.

»: Nonsurgical management, including rest and activity modification, use of nonsteroidal anti-inflammatory drugs, physical therapy, and corticosteroid injections, is usually the first line of treatment.

»: Patients with symptoms that are refractory to nonsurgical management are indicated for biceps tenotomy or various tenodesis procedures.

»: Although several studies have reported a higher incidence of "Popeye" deformity, muscle cramping, and pain in the bicipital groove postoperatively with tenotomy compared with tenodesis, there are no substantial differences in functional scores or patient satisfaction between the 2 techniques.

»: To date, both tenotomy and tenodesis have been shown to be effective options in the management of long head of the biceps tendinopathy, and there are advantages to each procedure.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A770).

References

    1. Nho SJ, Strauss EJ, Lenart BA, Provencher MT, Mazzocca AD, Verma NN, Romeo AA. Long head of the biceps tendinopathy: diagnosis and management. J Am Acad Orthop Surg. 2010 Nov;18(11):645-56.
    1. Eliasberg CD, Maas JT, O’Brien SJ, Taylor SA. Anatomy of the Biceps Tendon: From Origin to Insertion. In: Romeo AA, Erickson BJ, Griffin JW, editors. The Management of Biceps Pathology: A Clinical Guide from the Shoulder to the Elbow. 1st ed. Springer; 2021. p 3-14.
    1. Khazzam M, George MS, Churchill RS, Kuhn JE. Disorders of the long head of biceps tendon. J Shoulder Elbow Surg. 2012 Jan;21(1):136-45.
    1. Elser F, Braun S, Dewing CB, Giphart JE, Millett PJ. Anatomy, function, injuries, and treatment of the long head of the biceps brachii tendon. Arthroscopy. 2011 Apr;27(4):581-92.
    1. Ahrens PM, Boileau P. The long head of biceps and associated tendinopathy. J Bone Joint Surg Br. 2007 Aug;89(8):1001-9.

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