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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.
Bicipital tenosynovitis is tendinitis or inflammation of the tendon and sheath lining of the biceps muscle. It is often the result of many years of small tears or other degenerative changes in the tendon first manifesting in middle age, but can be due to a sudden injury.
Tendinopathy is a type of tendon disorder that results in pain, swelling, and impaired function. [2] The pain is typically worse with movement. [2] It most commonly occurs around the shoulder (rotator cuff tendinitis, biceps tendinitis), elbow (tennis elbow, golfer's elbow), wrist, hip, knee (jumper's knee, popliteus tendinopathy), or ankle (Achilles tendinitis).
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.
Tears of the biceps brachii may occur during athletic activities, however avulsion injuries of the distal biceps tendon are frequently occupational in nature and sustained during forceful, eccentric contraction of the biceps muscle while lifting. [20] Treatment of a biceps tear depends on the severity of the injury.
repair of the biceps long head anchor or SLAP lesion; tightening of the shoulder capsule (capsulorrhaphy or capsular shift) Open Repairs (for dislocations with fractures, etc.) Biceps Tenodesis Surgery; Surgical treatment of the shoulder due to potential biceps tendonitis or a tear of the labrum otherwise known as a SLAP tear.
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