Long head of biceps brachii tendon pathology

Changed by Yuranga Weerakkody, 1 Nov 2022
Disclosures - updated 10 May 2022: Nothing to disclose

Updates to Article Attributes

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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. 

Clinical presentation

Clinical tests

Pathology

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

Radiographic features

Ultrasound

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

  • -<p><strong>Long head of biceps brachii tendon pathology</strong> can be examined both with ultrasound and/or MRI. Both instability and tears can result in pain and decreased function. </p><h4>Clinical presentation</h4><h5>Clinical tests</h5><ul><li><a href="/articles/speed-test-shoulder">Speed test (shoulder)</a></li></ul><h4>Pathology</h4><p>Long head of biceps can be affected by numerous pathological processes <sup>3</sup>:</p><ul>
  • -<li>tendinosis</li>
  • -<li>tenosynovitis</li>
  • -<li>tendon sheath effusion</li>
  • -<li>tears/<a href="/articles/proximal-biceps-tendon-injury">rupture</a>
  • -</li>
  • -<li>instability/<a href="/articles/long-head-of-biceps-tendon-dislocation">dislocation</a>
  • -</li>
  • -<li>intra-articular ganglion cyst originating from the intertubercular groove</li>
  • +<p><strong>Long head of biceps brachii tendon pathology</strong> can be examined both with ultrasound and/or MRI. Both instability and tears can result in pain and decreased function. </p><h4>Clinical presentation</h4><h5>Clinical tests</h5><ul><li><p><a href="/articles/speed-test-shoulder">Speed test (shoulder)</a></p></li></ul><h4>Pathology</h4><p>Long head of biceps can be affected by numerous pathological processes <sup>3</sup>:</p><ul>
  • +<li><p>tendinosis</p></li>
  • +<li><p>tenosynovitis</p></li>
  • +<li><p>tendon sheath effusion - <a href="/articles/long-head-of-biceps-tendon-sheath-effusion" title="Long head of biceps tendon sheath effusion">long head of biceps tendon sheath effusion</a></p></li>
  • +<li><p>tears/<a href="/articles/proximal-biceps-tendon-injury">rupture</a></p></li>
  • +<li><p>instability/subluxation/<a href="/articles/long-head-of-biceps-tendon-dislocation">dislocation</a> - <a href="/articles/long-head-of-biceps-tendon-dislocation" title="long head of biceps tendon dislocation">long head of biceps tendon dislocation</a></p></li>
  • +<li><p>intra-articular ganglion cyst originating from the intertubercular groove</p></li>
  • -<li>tendon sheath effusion: non-specific as it communicates with the <a href="/articles/glenohumeral-joint">glenohumeral joint</a>
  • -</li>
  • -<li>thickening or thinning of the tendon</li>
  • -<li>irregularity of the tendon borders</li>
  • -<li>absence of the normal fibrillary appearance (note: beware <a href="/articles/anisotropy">anisotropy</a>)</li>
  • +<li><p><a href="/articles/long-head-of-biceps-tendon-sheath-effusion" title="long head of biceps tendon sheath effusion">long head of biceps tendon sheath effusion</a>: non-specific as it communicates with the <a href="/articles/glenohumeral-joint">glenohumeral joint</a></p></li>
  • +<li><p>thickening or thinning of the tendon</p></li>
  • +<li><p>irregularity of the tendon borders</p></li>
  • +<li><p>absence of the normal fibrillary appearance (note: beware <a href="/articles/anisotropy">anisotropy</a>)</p></li>

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