Bilateral Congenital Agenesis of the Long Head of the Biceps Tendon: The Beginning

The biceps brachii muscle is prone to variants but absence of the long head of the biceps (LHB) tendon is an exceptionally rare anomaly. This report concerns the fourth case of bilateral congenital absence of the LHB tendon and presents the ultrasonography (US) and magnetic resonance (MR) findings. Our case has the peculiarity of being the first in which bilateral LHB tendon agenesis is not associated with rotator cuff or labral tears.

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Instability of the long head of the biceps tendon in patients with rotator cuff tear: evaluation on magnetic resonance arthrography of the shoulder with arthroscopic correlation

Skeletal Radiology ◽

10.1007/s00256-017-2669-7 ◽

2017 ◽

Vol 46 (10) ◽

pp. 1335-1342 ◽

Cited By ~ 4

Author(s):

Yusuhn Kang ◽

Joon Woo Lee ◽

Joong Mo Ahn ◽

Eugene Lee ◽

Heung Sik Kang

Keyword(s):

Magnetic Resonance ◽

Rotator Cuff ◽

Rotator Cuff Tear ◽

Biceps Tendon ◽

Magnetic Resonance Arthrography ◽

Cuff Tear ◽

Long Head

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What happens to the long head of the biceps tendon after arthroscopic rotator cuff repair?

The Bone & Joint Journal ◽

10.1302/0301-620x.102b9.bjj-2020-0076.r1 ◽

2020 ◽

Vol 102-B (9) ◽

pp. 1194-1199

Author(s):

Hyo-Jin Lee ◽

Eung-Sic Kim ◽

Yang-Soo Kim

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Repair ◽

Biceps Brachii ◽

Morphological Changes ◽

Biceps Tendon ◽

Cross Sectional ◽

Postoperative Changes ◽

Long Head ◽

Arthroscopic Rotator Cuff ◽

Cuff Repair

Aims The purpose of this study was to identify the changes in untreated long head of the biceps brachii tendon (LHBT) after a rotator cuff tear and to evaluate the factors related to the changes. Methods A cohort of 162 patients who underwent isolated supraspinatus with the preservation of LHBT was enrolled and evaluated. The cross-sectional area (CSA) of the LHBT on MRI was measured in the bicipital groove, and preoperative to postoperative difference was calculated at least 12 months postoperatively. Second, postoperative changes in the LHBT including intratendinous signal change, rupture, dislocation, or superior labral lesions were evaluated with seeking of factors that were correlated with the changes or newly developed lesions after rotator cuff repair. Results The postoperative CSA (12.5 mm2 (SD 8.3) was significantly larger than preoperative CSA (11.5 mm2 (SD 7.5); p = 0.005). In total, 32 patients (19.8%) showed morphological changes in the untreated LHBT 24 months after rotator cuff repair. Univariate regression analysis revealed that the factor chiefly related to the change in LHBT status was an eccentric LHBT position within the groove found on preoperative MRI (p = 0.011). Multivariate analysis using logistic regression also revealed that an eccentric LHBT position was a factor related to postoperative change in untreated LHBTs (p = 0.011). Conclusion The CSA of the LHBT inside the biceps groove increased after rotator cuff repair. The preoperative presence of an eccentrically positioned LHBT was associated with further changes of the tendon itself after rotator cuff repair. Cite this article: Bone Joint J 2020;102-B(9):1194–1199.

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A Rare Anomaly of the Long Head of the Biceps Brachii Muscle

Journal of Gandaki Medical College-Nepal ◽

10.3126/jgmcn.v11i1.20796 ◽

2018 ◽

Vol 11 (1) ◽

pp. 56-57

Author(s):

S Kumar ◽

R Baidya ◽

P Baral

Keyword(s):

Congenital Anomalies ◽

Elbow Joint ◽

Biceps Brachii ◽

Biceps Tendon ◽

Biceps Brachii Muscle ◽

Rare Anomaly ◽

Long Head Of Biceps ◽

Long Head

Introduction: Biceps brachii is a muscle of arm which brings about supination when fore-arm is flexed and flexion of elbow joint. Proximally it is attached with two heads: long and short heads.Case report: The absence of long head of biceps brachii muscle is very rare anomaly. It may be unilateral or bilateral with or without other congenital anomalies. The exact prevalence of this anomaly is unknown. This anomaly has been reported to occur as the result of an insult to the fetus during the sixth or seventh week of gestation, at which time the long head of the biceps tendon is developing. J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page:56-57

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SLAP Tears

Video Journal of Sports Medicine ◽

10.1177/26350254211000754 ◽

2021 ◽

Vol 1 (3) ◽

pp. 263502542110007

Author(s):

Steven B. Cohen ◽

John R. Matthews

Keyword(s):

Rotator Cuff ◽

Shoulder Arthroscopy ◽

Biceps Tendon ◽

Full Range ◽

Contralateral Side ◽

Highly Active ◽

Slap Repair ◽

Biceps Tenotomy ◽

Labral Tears ◽

Anterior Posterior

Background: Superior labral tears are frequently encountered during shoulder arthroscopy. Outcomes following superior labral anterior-posterior (SLAP) repairs in young athletes have been well documented. Superior labral repairs in older patient population continue to remain controversial due to concerns of postoperative complications including persistent preoperative symptoms, pain, stiffness, and higher rates of revision surgery. Indications: We present a case of a highly active 38-year-old woman who failed 1½ years of nonoperative management of a type IIB SLAP tear with extension to the posterior labrum. Her symptoms continued to limit her hobbies and work. Technique: A knotless single-anchor SLAP repair was performed along with debridement of the posterior frayed labrum. No biceps tenotomy or tenodesis was performed after full evaluation of the tendon failed to demonstrate evidence of synovitis, tendinopathy, or tear. The patient also did not have any concomitant shoulder pathology, including a rotator cuff tear or chondral lesion. Results: At 6 months, the patient had regained full range of motion similar to the contralateral side. She had returned to her normal activities and sports, including tennis. Discussion/Conclusion: Successful outcomes following SLAP repairs in patients over 35 years can be achieved, but treatment should be individualized with particular attention to concomitant pathology involving the rotator cuff, chondral surface, or biceps tendon which may require tenodesis or tenotomy.

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Classification and analysis of pathology of the long head of the biceps tendon in complete rotator cuff tears

Biomedical Journal ◽

10.4103/2319-4170.106145 ◽

2012 ◽

Vol 35 (3) ◽

pp. 263 ◽

Cited By ~ 2

Author(s):

Chih-Hwa Chen ◽

Chih-Hsiang Chang ◽

Chun-I Su ◽

Kun-Chung Wang ◽

I-Chun Wang ◽

...

Keyword(s):

Rotator Cuff ◽

Biceps Tendon ◽

Rotator Cuff Tears ◽

Long Head

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Long Head of the Biceps Tendon Tenotomy versus Subpectoral Tenodesis in Rotator Cuff Repair

Clinics in Orthopedic Surgery ◽

10.4055/cios19168 ◽

2020 ◽

Vol 12 (3) ◽

pp. 371

Author(s):

Jangwoo Kim ◽

Ji Hoon Nam ◽

Yuna Kim ◽

Jong Seop Kim ◽

Sae Hoon Kim

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Repair ◽

Biceps Tendon ◽

Long Head ◽

Cuff Repair

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Long Head of the Biceps Pathology Combined with Rotator Cuff Tears

Advances in Orthopedics ◽

10.1155/2012/405472 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 15

Author(s):

Konstantinos Ditsios ◽

Filon Agathangelidis ◽

Achilleas Boutsiadis ◽

Dimitrios Karataglis ◽

Pericles Papadopoulos

Keyword(s):

Rotator Cuff ◽

Biceps Tendon ◽

Treatment Strategies ◽

Close Correlation ◽

Current Treatment ◽

Rotator Cuff Tears ◽

Anatomic Structure ◽

Long Head ◽

Diagnosis Classification ◽

Shoulder Pathologies

The long head of the biceps tendon (LHBT) is an anatomic structure commonly involved in painful shoulder conditions as a result of trauma, degeneration, or overuse. Recent studies have pointed out the close correlation between LHBT lesions and rotator cuff (RCT) tears. Clinicians need to take into account the importance of the LHBT in the presence of other shoulder pathologies. This paper provides an up-to-date overview of recent publications on anatomy, pathophysiology, diagnosis, classification, and current treatment strategies.

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