Long head of biceps brachii tendon pathology

Dr Henry Knipe and Assoc Prof Frank Gaillard et al.

Long head of biceps brachii tendon pathology can be examined both with ultrasound and/or MRI. Both instability and tears can result in pain and decreased function. 


Long head of biceps can be affected by numerous pathological processes 3:

  • tendinosis
  • tenosynovitis
  • tendon sheath effusion
  • tears/rupture
  • instability/dislocation
  • intra-articular ganglion cyst originating from the intertubercular groove

Radiographic features


The findings on ultrasound indicating tendinopathy are the same as with other tendons:

  • tendon sheath effusion: non-specific as it communicates with the glenohumeral joint
  • thickening or thinning of the tendon
  • irregularity of the tendon borders
  • absence of the normal fibrillary appearance (note: beware anisotropy)

Article information

rID: 1598
Synonyms or Alternate Spellings:
  • LHB tendon pathology

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