The Role of the Biceps Tendon in the Overhead Athlete

2021 ◽  
pp. 87-95
Author(s):  
Peter N. Chalmers ◽  
Jun Kawakami
Keyword(s):  
Biceps Tendon ◽  
Overhead Athlete

scholarly journals AB1072 ROLE OF ULTRASOUND IN DETECTION OF SHOULDER JOINT PATHOLOGIES IN ASYMPTOMATIC RHEUMATOID ARTHRITIS PATIENTS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1825.2-1825
Author(s):  
M. G. Abdelzaher ◽  
S. Tharwat ◽  
A. Abdelkhalek ◽  
A. Abdelsalam
Keyword(s):  
Rheumatoid Arthritis ◽  
Glenohumeral Joint ◽  
Biceps Tendon ◽  
Joint Destruction ◽  
Chronic Inflammatory Disease ◽  
University Hospital ◽  
High Rate ◽  
Subscapularis Tendon ◽  
Cross Sectional

Background:Rheumatoid arthritis (RA) is a chronic inflammatory disease that results in progressive destruction of structural components of the joints1.It commonly affects the shoulder leading to pain, tenderness and decreased range of motion2.Increased shoulder pain has been found to correlate strongly with disease severity3, however there is little information available in the literature regarding shoulder pathologies in asymptomatic RA patients.Objectives:To determine the prevalence of pathologies in asymptomatic shoulders in rheumatoid arthritis patients and role of ultrasound to detect it.Methods:A cross-sectional study including two groups, first group included 36 RA patients, meeting the ACR/EULAR classification criteria for RA with no shoulder complaints. The second group included 36 healthy control subjects of similar age groups and sex, with no shoulder complaints. They were recruited from rheumatology outpatient clinic in Mansoura University Hospital. Only asymptomatic shoulders of both groups were examined clinically by inspection, palpation and special tests, then examined by ultrasound using Toshiba Xario 200 machine with 13 MHz superficial probe including biceps tendon, subscapularis tendon, supraspinatus tendon, subacromial subdeltoid (SASD) bursa, infraspinatus tendon, posterior glenohumeral joint for effusion or synovitis, acromioclavicular joint and humeral head for erosions. Findings of both groups were compared to each other.Results:Asymptomatic shoulders in RA patients showed significant number of pathologies in 72% of the examined patients in comparison with healthy subjects (17%). According to frequency, humeral erosions were detected in 12 patients (33%), acromioclavicular osteoarthritis in 8 patients (22%), biceps tenosynovitis, supraspinatus tendinopathy, glenohumeral effusion in 6 patients (17%), subscapularis tendinopathy in 4 patients (11.%), SASD bursitis in 2 patients (6%), Infraspinatus tendinopathy in 1 patient (3%).The healthy group showed less number of pathologies including supraspinatus tendinopathy 3 (8%), acromioclavicular osteoarthritis 2 (6%), humeral erosions 1 (3%).Conclusion:A significant high rate of different pathologies can be present in shoulders of RA patients despite negative history and normal physical examination. Ultrasound can be used for early detection and better management before irreversible joint destruction.References:[1]Weishaupt D, Schweitzer ME (2004) MR imaging of septic arthritis and rheumatoid arthritis of the shoulder. Magn Reson Imaging Clin N Am 12:111–124[2]Varache S, Cornec D, Morvan J, et al. Diagnostic accuracy of acr/eular 2010 criteria for rheumatoid arthritis in a 2-year cohort. The Journal of rheumatology. 2011; 38(7): 1250-1257.[3]Van de Sande MA, De Groot JH, Rozing PM. Clinical implications of rotator cuff degeneration in the rheumatic shoulder. Arthritis care & research. 2008; 59(3): 317-324.Disclosure of Interests:None declared

The Role of the Scapula in the Overhead Athlete

2019 ◽  
pp. 151-164
Author(s):  
W. Ben Kibler ◽  
Stephen J. Thomas ◽  
Aaron D. Sciascia
Keyword(s):  
Overhead Athlete

The Role of the Musculocutaneous and Radial Nerves in Elbow Flexion and Forearm Supination: A Biomechanical Study

2008 ◽  
Vol 33 (2) ◽  
pp. 201-204 ◽  
Author(s):  
S. ROUKOZ ◽  
N. NACCACHE ◽  
G. SLEILATY
Keyword(s):  
Nerve Block ◽  
Tendon Rupture ◽  
Biceps Tendon ◽  
Hand Surgery ◽  
Elbow Flexion ◽  
Biomechanical Study ◽  
Biceps Tendon Rupture ◽  
Before And After ◽  
Flexion Force

The intention of this prospective study was to evaluate the role of the musculocutaneous and radial nerves in elbow flexion and forearm supination. The study included 29 patients having loco-regional anaesthesia for minor hand surgery. Elbow flexion and forearm supination forces were evaluated before and after an isolated musculocutaneous nerve block in one group and an isolated radial nerve block in another group. The results showed that the biceps tendon is responsible for 47% of the forearm supination force and the combination of brachioradialis and the supinator for 64% of this force. It showed also that the musculocutaneous and radial nerves contribute by 42% and 27.5%, respectively, to the flexion force of the elbow. These results are intended to help surgeons in decision making when treating chronic biceps tendon rupture, in repair of traumatic brachial plexus neuropathy and in using tendon transfers, such as the Steindler transfer, around the elbow.

The Role of Sonography in Differentiating Full Versus Partial Distal Biceps Tendon Tears: Correlation With Surgical Findings

2013 ◽  
Vol 200 (1) ◽  
pp. 158-162 ◽  
Author(s):  
Lucas Da Gama Lobo ◽  
David P. Fessell ◽  
Bruce S. Miller ◽  
Aine Kelly ◽  
Jee Young Lee ◽  
...  
Keyword(s):  
Biceps Tendon ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Tendon Tears

Role of the Biceps Tendon as a Humeral Head Depressor

2021 ◽  
pp. 77-85
Author(s):  
Rishi Garg ◽  
Seth M. Boydstun ◽  
Barry I. Shafer ◽  
Michelle H. McGarry ◽  
Gregory J. Adamson ◽  
...  
Keyword(s):  
Humeral Head ◽  
Biceps Tendon

The role of negative intraarticular pressure and the long head of biceps tendon on passive stability of the glenohumeral joint

2013 ◽  
Vol 22 (1) ◽  
pp. 94-101 ◽  
Author(s):  
Susan Alexander ◽  
Dominic F.L. Southgate ◽  
Anthony M.J. Bull ◽  
Andrew L. Wallace
Keyword(s):  
Glenohumeral Joint ◽  
Biceps Tendon ◽  
Passive Stability ◽  
Long Head Of Biceps ◽  
Long Head

The role of the bicipital groove in tendopathy of the long biceps tendon

1999 ◽  
Vol 8 (5) ◽  
pp. 419-424 ◽  
Author(s):  
M Pfahler ◽  
S Branner ◽  
H.J Refior
Keyword(s):  
Biceps Tendon ◽  
Bicipital Groove

Poster 327 Role of Ultrasonography in the Detection of Biceps Tendon Dislocation: A Case Report

PM&R ◽  
2015 ◽  
Vol 7 ◽  
pp. S198-S198
Author(s):  
Yasin Demir ◽  
Berke Aras ◽  
Koray Aydemir ◽  
Arif K. Tan
Keyword(s):  
Case Report ◽  
Biceps Tendon

Role of dynamic ultrasound in assessment of the snapping elbow and distal biceps tendon injury

Ultrasound ◽  
2021 ◽  
pp. 1742271X2110572
Author(s):  
Michelle Wei Xin Ooi ◽  
Jun-Li Tham ◽  
Zeid Al-Ani
Keyword(s):  
Ulnar Nerve ◽  
Biceps Tendon ◽  
Elbow Flexion ◽  
Tendon Injury ◽  
Medial Epicondyle ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Dynamic Ultrasound ◽  
Ulnar Nerve Instability

Introduction Ultrasound is useful in assessing patients with snapping syndromes around the elbow joint. The dynamic nature of the examination allows for direct visualisation of the underlying causative factor. Topic description: We discuss the role of dynamic ultrasound in assessing various snapping syndromes around the elbow, such as ulnar nerve instability, snapping triceps and less commonly, snapping brachialis. Ultrasound is also useful in evaluating the distal biceps tendon, particularly in differentiating partial from complete tendon injury. Discussion Ulnar nerve instability and snapping triceps can be assessed via a medial approach with the transducer placed transversely between the medial epicondyle and the olecranon. In ulnar nerve instability, the nerve can be seen crossing over the medial epicondyle on elbow flexion. In snapping triceps syndrome, both the ulnar nerve and the distal triceps can be seen dislocating over the medial epicondyle. Dynamic assessment of the distal biceps tendon using a lateral approach minimises anisotropy artefact often seen on the anterior approach. Passive pronation and supination of the forearm will reveal little or no movement in a completely torn tendon whereas moving tendon fibres will be appreciated in partial tears. In a snapping brachialis, the medial portion of brachialis will be seen abnormally translocating anterolateral to the medial border of the trochlea during elbow flexion and snapping back into its normal position on elbow extension. Conclusion Dynamic ultrasound of the elbow is valuable in diagnosing patients with snapping sensations around the joint and in evaluating the integrity of the distal biceps tendon.

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