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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.
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.
If the athlete is fatigued or has not warmed up properly he/she may suffer a hamstring strain/rupture, which is the tearing of the hamstring muscle. Avulsion of the biceps femoris tendon is the complete pulling away of the tendon from the bone. This most commonly occurs where the long head attaches to the ischial tuberosity.
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.
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. [8]
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The short head of the biceps also has 3 important arms in the posterolateral corner. The capsular arm attaches to the posterolateral capsule as well as the fibula, just lateral to the styloid and provides a strong attachment to the capsule, lateral gastrocnemius tendon, and capsuloosseus layer of the IT band. The fabellofibular ligament is ...
Hamstring injuries can also come with a hip injury from sprinting. Symptoms for a hip injury are pain, aching and discomfort while running or any physical exercise. The biceps femoris long head is at the most risk for injury, possibly due to its reduced moment of knee and hip flexion as compared to the medial hamstrings. [2]