Absence of the long head of the biceps tendon associated with glenoid dysplasia and posterior labral tear

2008 ◽  
Vol 21 (7) ◽  
pp. 728-732 ◽  
Author(s):  
Siraj A. Sayeed ◽  
Jay P. Shah ◽  
Mark S. Collins ◽  
Diane L. Dahm
2018 ◽  
Vol 21 (4) ◽  
pp. 240-245
Author(s):  
Sung Hyun Yoon ◽  
Kang Heo ◽  
Jae Sung Yoo ◽  
Sung Joon Kim ◽  
Joong Bae Seo

Rare cases of a congenital absence of the long head of the biceps tendon (LHBT) have been reported, and its incidence is unknown. In a literature review of the congenital absence of the LHBT, only 1 case was associated with posterior shoulder instability and severe posterior glenoid dysplasia. This paper reports the first case of a patient with a bilateral congenital absence of the LHBT with posterior shoulder instability without glenoid dysplasia or posterior glenoid tilt. The patient experienced a traffic accident while holding the gear stick with his right hand. After the accident, a posteroinferior labral tear with paralabral cysts was detected on the magnetic resonance images. The congenital absence of the LHBT was assumed to have affected the posterior instability that possibly increased the susceptibility to a subsequent traumatic posterior inferior labral tear. This case was identified as a posterior inferior tear caused by a traumatic ‘gear stick injury’.


2016 ◽  
Vol 19 (01) ◽  
pp. 1672001 ◽  
Author(s):  
Vivek Pandey ◽  
Sandeep Vijayan ◽  
Nazar Hafiz ◽  
N. Deepika ◽  
Kiran Acharya

Congenital absence of the long head of biceps tendon (LHBT) is a very rare entity. With its debatable role in shoulder stability, the literature provides few reports of absent LHBT and its association with shoulder instability or pain. Reports of instability are associated with labral tear or attenuation of glenohumeral ligaments. We are first time reporting a case of congenital absence of the LHBT and associated bony Bankart’s lesion and posterior labral tear.


2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097753
Author(s):  
Brian J. Kelly ◽  
Alan W. Reynolds ◽  
Patrick J. Schimoler ◽  
Alexander Kharlamov ◽  
Mark Carl Miller ◽  
...  

Background: Lesions of the long head of the biceps can be successfully treated with biceps tenotomy or tenodesis when surgical management is elected. The advantage of a tenodesis is that it prevents the potential development of a cosmetic deformity or cramping muscle pain. Proponents of a subpectoral tenodesis believe that “groove pain” may remain a problem after suprapectoral tenodesis as a result of persistent motion of the tendon within the bicipital groove. Purpose/Hypothesis: To evaluate the motion of the biceps tendon within the bicipital groove before and after a suprapectoral intra-articular tenodesis. The hypothesis was that there would be minimal to no motion of the biceps tendon within the bicipital groove after tenodesis. Study Design: Controlled laboratory study. Methods: Six fresh-frozen cadaveric arms were dissected to expose the long head of the biceps tendon as well as the bicipital groove. Inclinometers and fiducials (optical markers) were used to measure the motions of the scapula, forearm, and biceps tendon through a full range of shoulder and elbow motions. A suprapectoral biceps tenodesis was then performed, and the motions were repeated. The motion of the biceps tendon was quantified as a function of scapular or forearm motion in each plane, both before and after the tenodesis. Results: There was minimal motion of the native biceps tendon during elbow flexion and extension but significant motion during all planes of scapular motion before tenodesis, with the most motion occurring during shoulder flexion-extension (20.73 ± 8.21 mm). The motion of the biceps tendon after tenodesis was significantly reduced during every plane of scapular motion compared with the native state ( P < .01 in all planes of motion), with a maximum motion of only 1.57 mm. Conclusion: There was a statistically significant reduction in motion of the biceps tendon in all planes of scapular motion after the intra-articular biceps tenodesis. The motion of the biceps tendon within the bicipital groove was essentially eliminated after the suprapectoral biceps tenodesis. Clinical Relevance: This arthroscopic suprapectoral tenodesis technique can significantly reduce motion of the biceps tendon within the groove in this cadaveric study, possibly reducing the likelihood of groove pain in the clinical setting.


Author(s):  
Bernardo Barcellos Terra ◽  
Tannous Jorge Sassine ◽  
Benno Ejnisman ◽  
Alberto de Castro Pochini ◽  
Paulo Santoro Belangero

Author(s):  
Pier Paolo Mariani ◽  
Alberto Bellelli ◽  
Carolina Botticella
Keyword(s):  

2019 ◽  
Vol 43 (10) ◽  
pp. 2361-2365 ◽  
Author(s):  
Ion-Andrei Popescu ◽  
Frédéric Teboul ◽  
Jean-Nöel Goubier ◽  
Amir Ghazanfari

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