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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.
A SLAP tear or SLAP lesion is an injury to the superior glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity in the shoulder blade) that initiates in the back of the labrum and stretches toward the front into the attachment point of the long head of the biceps tendon.
Biceps tendinitis or subluxation of the biceps tendon can normally be addressed by palpating the long head of the biceps tendon in the bicipital groove. [2] The patient will exhibit a pain response, snapping or both in the bicipital groove. Pain with no associated popping might indicate bicipital tendinopathy.
Biceps tenotomy and tenodesis are often performed concomitantly with rotator cuff repair or as separate procedures, and can also cause shoulder pain. Tenodesis, which may be performed as an arthroscopic or open procedure, generally restores pain free motion it the biceps tendon, or attached portion of the labrum, but can cause pain.
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Recommended treatment for this injury consists of the RICE protocol — rest, ice, compression and elevation. [3] The RICE method is primarily used to reduce bleeding and damage within the muscle tissue. Lower grade strains can easily become worse if the hamstring is not rested properly. Complete ruptures require surgical repair and rehabilitation.
The biceps muscle has two heads, the short head and the long head, distinguished according to their origin at the coracoid process and supraglenoid tubercle of the scapula, respectively. [1] From its origin on the glenoid, the long head remains tendinous as it passes through the shoulder joint and through the intertubercular groove of the ...
When performing the Neer impingement test, the elbow should be extended, humerus in internal rotation and the forearm pronated. When the examiner is passively flexing the arm forward, it is causing compression of the structures between the greater tuberosity, inferior acromion process and the acromioclavicular joint.