Bifid biceps tendon

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Right shoulder pain.

Patient Data

Age: 65 years
Gender: Female
mri
This study is a stack
Axial PD
fat sat
This study is a stack
Sagittal
PD fat sat
This study is a stack
Sagittal
T2
This study is a stack
Coronal
T1
This study is a stack
Coronal PD
fat sat
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Info

The long head of the biceps brachii muscle is bifid, located in the bicipital groove.

The larger head of the bifid biceps tendon shows abnormal intrasubstance increased fluid signal and thickening due to tendinosis.

Fluid signal also is seen around the bifid biceps tendon due to tenosynovitis.

Abnormal intrasubstance increased signal and thickening is present along the course of the supraspinatus, subscapularis and infraspinatus tendons due to tendinosis.

A subacromial-subdeltoid bursa is present.

There is capsular hypertrophy, as well as degenerative changes in the capsule and the acromioclavicular joint. Type II acromion.

Case Discussion

Case of a congenitally bifid biceps brachii tendon with tendinosis.

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