Journal of Shoulder and Elbow Surgery
Volume 19, Issue 6 , Pages 790-794 , September 2010

Bicipital groove morphology on MRI has no correlation to intra-articular biceps tendon pathology

  • Joseph A. Abboud, MD

      Affiliations

    • 3B Orthopaedics, University of Pennsylvania Health System, Pennsylvania Hospital, Philadelphia, PA
    • Corresponding Author InformationReprint requests: Joseph A. Abboud, MD, University of Pennsylvania Health System, 3B Orthopaedics, Pennsylvania Hospital, 800 Spruce Street, 8th Floor Preston, Philadelphia, PA 19107.
  • ,
  • Arthur R. Bartolozzi, MD

      Affiliations

    • 3B Orthopaedics, University of Pennsylvania Health System, Pennsylvania Hospital, Philadelphia, PA
  • ,
  • Benjamin J. Widmer, MD

      Affiliations

    • University of Pennsylvania Health System, Penn Orthopaedic Institute, Philadelphia, PA
  • ,
  • Philip M. DeMola, DO, USAF

      Affiliations

    • 3B Orthopaedics, University of Pennsylvania Health System, Pennsylvania Hospital, Philadelphia, PA

References 

  1. Ahovuo J, Paavolainen P, Slatis P. Radiographic diagnosis of biceps tendinitis. Acta Orthop Scand. 1985;56:75–78
  2. Armstrong A, Teefey SA, Wu T, Clark AM, Middleton WD, Yamaguchi K, et al. The efficacy of ultrasound in the diagnosis of long head of the biceps tendon pathology. J Shoulder Elbow Sur. 2006;15:7–11
  3. Baumann B, Genning K, Bohm D, Rolf O, Gohlke F. Arthroscopic prevalence of pulley lesions in 1007 consecutive patients. J Shoulder Elbow Surg. 2008;17:14–20
  4. Beason DP, Kuntz AF, Hamamdzic D, Wilensky R, Mohler E, Abboud JA, et al. High cholesterol adversely affects biceps tendon mechanical properties in a porcine model. Paper presented at: Orthopaedic Research Society, 2009; Las Vegas, NV.
  5. Boileau P, Ahrens PM, Hatzidakis AM. Entrapment of the long head of the biceps tendon: the hourglass biceps–a cause of pain and locking of the shoulder. J Shoulder Elbow Surg. 2004;13:249–257
  6. Codman EA, Akerson IB. The pathology associated with rupture of the supraspinatus tendon. Ann Surg. 1931;1:348–359
  7. Erickson SJ, Fitzgerald SW, Quinn SF, Carrera GF, Black KP, Lawson TL. Long bicipital tendon of the shoulder: normal anatomy and pathologic findings on MR imaging. AJR Am J Roentgenol. 1992;158:1091–1096
  8. Forthman CL, Zimmerman RM, Sullivan MJ, Gabel GT. Cross-sectional anatomy of the bicipital tuberosity and biceps brachii tendon insertion: relevance to anatomic tendon repair. J Shoulder Elbow Surg. 2008;17:522–526
  9. Guckel C, Nidecker A. MR arthrographic findings in tenosynovitis of the long bicipital tendon of the shoulder. Skeletal Radiol. 1998;27:7–12
  10. Hitchcock HH, Bechtol CO. 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. 1948;30:263–273
  11. Jost B, Koch PP, Gerber C. Anatomy and functional aspects of the rotator interval. J Shoulder Elbow Surg. 2000;9:336–341
  12. Levinsohn EM, Santelli ED. Bicipital groove dysplasia and medial dislocation of the biceps brachii tendon. Skeletal Radiol. 1991;20:419–423
  13. Murthi AM, Vosburgh CL, Neviaser TJ. The incidence of pathologic changes of the long head of the biceps tendon. J Shoulder Elbow Surg. 2000;9:382–385
  14. Neer CS. Anterior acromioplasty for the chronic impingement syndromein the shoulder. J Bone Joint Surg Am. 1972;54:41–50
  15. Pfahler M, Branner S, Refior HJ. The role of the bicipital groove in tendopathy of the long biceps tendon. J Shoulder Elbow Surg. 1999;8:419–424
  16. Refior HJ, Krodel A, Melzer C. Examinations of the pathology of the rotator cuff. Arch Orthop Trauma Surg. 1987;106:301–308
  17. Refior HJ, Melzer C. [Macroscopic and microscopic autopsy findings in the rotator cuff–a study of 195 shoulder joints]. Z Unfallchir Versicherungsmed Berufskr. 1984;77:139–142
  18. Refior HJ, Sowa D. Long tendon of the biceps brachii: sites of predilection for degenerative lesions. J Shoulder Elbow Surg. 1995;4:436–440
  19. Singaraju VM, Kang RW, Yanke AB, McNickle AG, Lewis PB, Wang VM, et al. Biceps tendinitis in chronic rotator cuff tears: a histologic perspective. J Shoulder Elbow Surg. 2008;17:898–904
  20. Smith AL. Morphologic classification of the bicipital groove. Paper presented at: American Academy of Orthopaedic Surgeons, 2007; San Diego, CA.
  21. Toshiaki A, Itoi E, Minagawa H, Yamamoto N, Tuoheti Y, Seki N, et al. Cross-sectional area of the tendon and the muscle of the biceps brachii in shoulders with rotator cuff tears: a study of 14 cadaveric shoulders. Acta Orthop. 2005;76:509–512
  22. Tuckman DV, Dines DM. Long head of the biceps pathology as a cause of anterior shoulder pain after shoulder arthroplasty. J Shoulder Elbow Surg. 2006;15:415–418

 Institutional review board approval for this study was given by the Pennsylvania Hospital under protocol # 808545.

PII: S1058-2746(10)00190-4

doi: 10.1016/j.jse.2010.04.044

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 6 , Pages 790-794 , September 2010