Abstract
Long head biceps (LHB) tendon pathologies are becoming increasingly recognized causes of shoulder pain in the published literature. Instability of LHB presenting as dislocation or subluxation has been recently recognized as a possible cause of disabling pain or discomfort of the shoulder. A clinical diagnosis of LHB instability is very difficult and often confounding because of association with other shoulder pathologies. However, an early diagnosis of LHB instability is important in order to prevent the evolution of lesions of the biceps pulley until an internal anterosuperior impingement of the shoulder (ASI) and subscapular tear occur. The advent of arthroscopy contributed to enhance understandings. The goal of this article is to describe an arthroscopic sign, the chondral print on the humeral head, associated with a LHB instability, that when present can be very useful to help the surgeon to make the diagnosis of unstable LHB tendon.
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References
Castagna A, Conti M, Mouhsine E, Bungaro P, Garofalo R (2005) Arthroscopic biceps tendon tenodesis: the anchorage technical note. Knee Surg Sports Traumatol Arthrosc1–5 (Epub)
Gerber C, Sebesta A (2000) Impingement of the deep surface of the subscapularis tendon and reflection pulley on the anterosuperior glenoid rim a preliminary report. J Shoulder Elbow Surg 9:483–490
Gill TJ, McIrvin E, Mair SD, Hawkins RJ (2001) Results of biceps tenotomy for treatment of pathology of the long head of biceps brachii. J Shoulder Elbow Surg 10:247–249
Gleason PD, Beall DP, Sanders TG, Bond JL, Ly JQ, Holland LL, Pasque CB (2006) The transverse humeral ligament: a separate anatomical structure or a continuation of the osseous attachment of the rotator cuff? Am J Sports Med 34:72–77
Habermeyer P, Magosch P, Pritsch M, Scheibel MT, Lichtenberg S (2004) Anterosuperior impingement of the shoulder as a result of pulley lesions: a prospective artroscopic study. J Shoulder Elbow Surg 13: 5–12
Hitchcock JJ, Bechtol CO (1948) Painful shoulder: observations on the role of the tendon of the long head of the biceps brachii in its causation. J Bone Joint Surg Am 30:263–273
Le Huec JC, Liquois F, Schaeverbecke T, Zipoli B, Chauveaux D, Le Rebeller A (1996) Traumatic tear of the rotator interval. J Shoulder Elbow Surg 5:41–46
O’Donoghue DH Subluxing biceps tendon in the athlete (1982) Clin Orthop 26–29
Railhac JJ, Poey C, Maquin P et al (1991) Luxations traumatiques du tendon du long biceps. Encycl Med Chir Instantanes Medicaux
Sakurai G, Ozaki J, Tomita Y, Kondo T, Tamai S (1998) Incomplete tears of the subscapularis tendon associated with tears of the supraspinatus tendon: cadaveric and clinical studies. J Shoulder Elbow Surg 7:510–515
Slatis P, Aalto K (1979) Medial dislocation of the tendon of the long head of the biceps brachii. Acta Orthop Scand 1:73–77
Walch G, Nove-Josserand L, Boileau P, Levigne C (1998) Subluxatoins and dislocations of the tendon of the long head of the biceps. J Shoulder Elbow Surg 7:100–108
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Castagna, A., Mouhsine, E., Conti, M. et al. Chondral print on humeral head: an indirect sign of long head biceps tendon instability. Knee Surg Sports Traumatol Arthrosc 15, 645–648 (2007). https://doi.org/10.1007/s00167-006-0211-x
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DOI: https://doi.org/10.1007/s00167-006-0211-x