Tenosynovitis of biceps tendon

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis almost certain


Chronic right shoulder pain radiating to the right arm and hand with the limitation of movement.

Patient Data

Age: 40 years.
Gender: Male

Right shoulder


High T2 fluid signal intensity is noted around the thickened biceps tendon which is seen within its groove suggestive of tenosynovitis.

High T2 signal intensity noted at the of this humeral head at the biceps groove.

Thickened with intermediate-high T2 signal intensity noted at the supraspinatus tendon suggestive of tendinosis. No tendon retraction.

Degenerative changes are noted at the acromioclavicular joint indenting fat plane superior to the supraspinatus tendon.

Case Discussion

Tenosynovitis is a term describing the inflammation of the synovial membrane surrounding a tendon. It may be seen with or without tendinosis/tendinitis. The synovial membrane is part of a fluid-filled sheath that surrounds a tendon.

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