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The biceps brachii primarily serves to supinate the forearm at the elbow joint. [1] The muscle belly is composed of two heads. The short head is more medial and highlighted in green. The long head is more lateral and highlighted in red. A biceps tendon rupture or bicep tear is a complete or partial rupture of a tendon of the biceps brachii muscle.
All of the tests take advantage of the fact that the labrum meets the tendon of the long head of the biceps muscle, and thus will normally produce pain in the region if a tear is present. Additionally, clinicians may order an MRI ( Magnetic Resonance Imaging ) or CT ( Computed Tomography ) scan to be conducted utilizing contrast injections to ...
It identifies the presence of a pathology involving the biceps tendon or glenoid labrum. The specific positive findings to the test include pain in the bicipital groove indicating biceps tendinitis, [2] [3] subluxation of the long head of the biceps brachii muscle, [3] and presence of a SLAP tear. [4]
Complications can include fracture of the humerus or biceps tendon rupture. [2] The cause in most cases is unknown. [1] The condition can also occur after injury or surgery to the shoulder. [2] Risk factors include diabetes and thyroid disease. [1] [4] [5] The underlying mechanism involves inflammation and scarring.
Rupture of the SHORT HEAD of the biceps can decrease elbow flexion strength, where the brachialis muscle is intact. Rupture of the LONG HEAD of the biceps results in mild weakening of forearm supination as long as the supinator muscle is intact. Electromyography test is negative. [7]
Shoulder arthrography can be used to study tears of the rotator cuff, glenoid labrum and biceps. [2] The type of contrast injected into the joint depends on the subsequent imaging that is planned. For pneumoarthrography, gas is used, for CT or radiographs, a water-soluble radiopaque contrast, and for MRI, gadolinium. Double-contrast ...
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The supraglenoid tubercle is a region of the scapula from which the long head of the biceps brachii muscle originates. [1] [2] It is a small, rough projection superior to the glenoid cavity near the base of the coracoid process. The term supraglenoid is from the Latin supra, meaning above, and glenoid, meaning socket or cavity. [3]