Long head of the biceps tendinopathy: diagnosis and management.
Tendinopathy of the long head of the biceps brachii encompasses a spectrum of pathology ranging from inflammatory tendinitis to degenerative tendinosis. Disorders of the long head of the biceps often occur in conjunction with other shoulder pathology. A thorough patient history, physical examination, and radiographic evaluation are necessary for diagnosis. Nonsurgical management, including rest, nonsteroidal anti-inflammatory drugs, physical therapy, and injections, is attempted first in patients with mild disease. Surgical management is indicated for refractory or severe disease. In addition to simple biceps tenotomy, a variety of tenodesis techniques has been described. Open biceps tenodesis has been used historically. However, promising results have recently been reported with arthroscopic tenodesis.
Department of Orthopaedic Surgery, Section of Shoulder and Elbow Surgery, Division of Sports Medicine, Rush University Medical Center, Chicago, IL, USA.
Shane J
SJ
Nho
Eric J
EJ
Strauss
Brett A
BA
Lenart
Matthew T
MT
Provencher
Augustus D
AD
Mazzocca
Nikhil N
NN
Verma
Anthony A
AA
Romeo
D000465:Algorithms; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001182:Arthroscopy; D003646:Debridement; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries; D008279:Magnetic Resonance Imaging; D010808:Physical Examination; D011859:Radiography; D012782:Shoulder / Q000000981:diagnostic imaging; D052256:Tendinopathy / Q000175:diagnosis* / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D013710:Tendons / Q000000981:diagnostic imaging / Q000601:surgery; D053656:Tenodesis; D058971:Tenotomy
D000894:Anti-Inflammatory Agents, Non-Steroidal