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Long head of biceps

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https://www.readbyqxmd.com/read/28808728/-subpectoral-tenodesis-of-the-long-head-of-the-biceps-tendon-with-an-interference-screw-and-a%C3%A2-cortical-button-clinical-and-cosmetic-results-after-1-year
#1
P-C Nolte, N Pister, F Holz, M Egenolf, T Chatterjee
BACKGROUND: Pathologies of the long head of biceps tendon (LHB) can cause anterior shoulder pain. Surgical treatment includes tenotomy and tenodesis (TD), however TD causes fewer cosmetic deformities and less cramping of the biceps muscle. To date, numerous techniques for TD have been described but the "gold standard" has not yet been established. OBJECTIVES: The purpose of this study is to evaluate the functional and cosmetic outcome following subpectoral biceps TD with an interference screw and a cortical-button (STLHB-IC) after 1 year...
August 14, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28795411/does-ultrasound-enhanced-instruction-of-musculoskeletal-anatomy-improve-physical-examination-skills-of-first-year-medical-students
#2
Bryant J Walrod, Allison Schroeder, Mark J Conroy, Laura C Boucher, Marcia Bockbrader, David P Way, Kendra L McCamey, Clinton A Hartz, Michael A Jonesco, David P Bahner
OBJECTIVES: Ultrasound imaging is commonly used to teach basic anatomy to medical students. The purpose of this study was to determine whether learning musculoskeletal anatomy with ultrasound improved performance on medical students' musculoskeletal physical examination skills. METHODS: Twenty-seven first-year medical students were randomly assigned to 1 of 2 instructional groups: either shoulder or knee. Both groups received a lecture followed by hands-on ultrasound scanning on live human models of the assigned joint...
August 10, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28795071/distal-musculotendinous-t-junction-injuries-of-the-biceps-femoris-an-mri-case-review
#3
Tom Entwisle, Yuan Ling, Alex Splatt, Peter Brukner, David Connell
BACKGROUND: Injury to the distal musculotendinous T junction (DMTJ) of the biceps femoris is a distinct clinical entity that behaves differently from other hamstring injuries due to its complex, multicomponent anatomy and dual innervation. Injury in this region demonstrates a particularly high rate of recurrence, even with prolonged rehabilitation times. PURPOSE: To describe the anatomy of the DMTJ of the biceps femoris and analyze the injury patterns seen on magnetic resonance imaging (MRI) to aid prognosis and rehabilitation and minimize the risk of recurrence...
July 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28779798/editorial-commentary-does-size-matter-drill-holes-in-subpectoral-biceps-tenodesis
#4
EDITORIAL
Brian B Gilmer
Proximal humerus fracture after subpectoral tenodesis (SPBT) of the long head of the biceps tendon is a rare but serious complication. Examination of the biceps tendon diameter after preparation for SPBT in vivo suggests that the use of a smaller tenodesis screw is technically possible. However, questions remain about the biomechanical strength of the tenodesis construct with a smaller interference screw and about whether or not the size of a drill hole is the predominant factor in determining the risk of fracture...
August 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28755488/bilateral-quadriceps-and-hamstrings-muscle-volume-asymmetries-in-healthy-individuals
#5
Anthony S Kulas, Randy J Schmitz, Sandra J Shultz, Justin P Waxman, Hsin-Min Wang, Robert A Kraft, Heath S Partington
Determining the magnitude of quadriceps and hamstring muscle volume asymmetries in healthy individuals is a critical first step toward interpreting asymmetries as compensatory or abnormal in pathological populations. The purpose of this study was to determine the magnitude of whole and individual muscle volume asymmetries, quantified as right-left volume differences, for the quadriceps and hamstring muscles in a young and healthy population. Twenty-one healthy individuals participated: Eleven females age = 22...
July 29, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/28751995/-monocept-a-brief-report-of-congenital-absence-of-the-long-head-of-the-biceps-tendon-and-literature-review
#6
Benjamin A Winston, Katlyn Robinson, Dennis Crawford
The long head of the biceps tendon plays an important role in shoulder stability and its functional absence has been shown to contribute to glenohumeral instability. Congenital absence of the long head to the biceps tendon is rare, although described in the literature. We report the case of an 18-year-old recreational athlete with recurrent shoulder instability and congenital absence of the long head of the biceps tendon (which we term "monocept") and mild ipsilateral upper extremity hemimelia. The patient was treated surgically with posterior capsular shift with anterior Bankart repair without complication...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28744052/ultrasonography-of-the-shoulder-asymptomatic-findings-from-working-age-women-in-the-general-population
#7
Roberto Meroni, Daniele Piscitelli, Sansone Valerio, Paola Boria, Cecilia Perin, Giovanni De Vito, Cesare Maria Cornaggia, Cesare Giuseppe Cerri
[Purpose] The aim of this study was to estimate the prevalence of abnormal shoulder ultrasonographic findings in a sample of asymptomatic women. [Subjects and Methods] A secondary analysis of a cross-sectional study was performed. We recruited 305 women (aged 18-56 years). All the subjects had a structured interview screening for self-reported symptoms and underwent a shoulder ultrasonographic examination, in which both shoulders were examined. The radiologist was blinded to the clinical history of the participants...
July 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28706821/arthroscopic-transtendinous-biceps-tenodesis-with-all-suture-anchor
#8
Chien-An Shih, Florence L Chiang, Chih-Kai Hong, Cheng-Wei Lin, Ping-Hui Wang, I-Ming Jou, Wei-Ren Su
There are several methods for long head of the biceps (LHB) tenodesis, yet the optimal option is still debatable. Here we introduce a technique for arthroscopic suprapectoral biceps tenodesis with an all-suture anchor, the transtendinous biceps tenodesis technique. The LHB tenodesis is performed by using the Y-Knot anchor (1.3-mm). A standard suprapectoral approach is used for the tenodesis. A 1.3-mm drill bit is used to drill through the midportion of the biceps tendon and underlying bone to make a pilot hole...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706810/a-simple-all-arthroscopic-knotless-suture-lasso-loop-technique-for-suprapectoral-biceps-tenodesis
#9
David Saper, Xinning Li
A variety of pathology of the long head of the biceps tendon can contribute to anterior shoulder pain in adults that can be managed with either arthroscopic tenotomy or tenodesis when conservative treatment fails. Biceps deformity or the Popeye sign is a major concern in patients after tenotomy. Biceps tenodesis can be performed in a variety of ways with different sized anchors and at different locations (suprapectoral or subpectoral). Several studies have shown that patient outcomes and complication rates are similar between all-arthroscopic suprapectoral biceps tenodesis and open subpectoral biceps tenodesis...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28702386/disorders-of-the-long-head-of-the-biceps-tenotomy-versus-tenodesis
#10
Fabiano Rebouças Ribeiro, André Petry Sandoval Ursolino, Vinicius Ferreira Lima Ramos, Fernando Hovaguim Takesian, Antonio Carlos Tenor Júnior, Miguel Pereira da Costa
Disorders of the long head of biceps tendon are common in clinical practice. Their causes could be degenerative, inflammatory, instability (subluxation or luxation) or traumatic. They are generally associated to other diseases of the shoulder, mainly rotator cuff injuries. Currently, there is controversy in the literature regarding the indications for surgical treatment and the choice of the best technique for each case, due to the possibility of esthetic deformity, loss of muscle strength, and residual pain...
May 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28684148/in%C3%A2-vivo-analysis-of-biceps-tendon-characteristics-in-subpectoral-tenodesis
#11
Raffy Mirzayan, Tadashi Takara, Michael Batech, Christopher L McCrum
PURPOSE: To report the in vivo characteristics of the long head of the biceps tendon (LHBT); to evaluate the relation of age, gender, height, weight, and body mass index to the length and sutured and tubularized diameter of the LHBT; and to determine the smallest possible tunnel diameter for a subpectoral biceps tenodesis (SPBT) that can accommodate most patients. METHODS: The study included 66 patients (33 men and 33 women) with an average age of 54 years (range, 29-73 years) undergoing SPBT...
August 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28670360/pain-and-the-pathogenesis-of-biceps-tendinopathy
#12
REVIEW
Elise B Raney, Finosh G Thankam, Matthew F Dilisio, Devendra K Agrawal
Biceps tendinopathy is a relatively common ailment that typically presents as pain, tenderness, and weakness in the tendon of the long head of the biceps brachii. Though it is often associated with degenerative processes of the rotator cuff and the joint, this is not always the case, thus, the etiology remains considerably unknown. There has been recent interest in elucidating the pathogenesis of tendinopathy, since it can be an agent of chronic pain, and is difficult to manage. The purpose of this article is to critically evaluate relevant published research that reflects the current understanding of pain and how it relates to biceps tendinopathy...
2017: American Journal of Translational Research
https://www.readbyqxmd.com/read/28669468/editorial-commentary-when-you-have-a-hammer-everything-looks-like-a-nail-tenodesis-of-a-normal-biceps-tendon-at-the-time-of-arthroscopic-rotator-cuff-repair-should-be-avoided
#13
EDITORIAL
Brian B Gilmer
Because of difficulties in diagnosis of pathology of the long head of the biceps tendon and a desire to prevent later complications, there may be a tendency to perform a biceps tenodesis even when pathology is mild. Surprisingly, in this multivariate analysis of a large database, tenodesis of the biceps was associated with increased odds of revision rotator cuff repair. Although the statistical power of these findings must be viewed in light of the limitations of "big data," surgeons must still use all available tools to avoid treatment of normal anatomy...
July 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28659056/the-influence-of-bicipital-groove-morphology-on-the-stability-of-the-long-head-of-the-biceps-tendon
#14
Jae Chul Yoo, Geethan Iyyampillai, Dongjun Park, Kyoung-Hwan Koh
PURPOSE: We aimed to evaluate the influence of the bony morphology of the bicipital groove on the stability of the long head of the biceps tendon (LHBT). METHODS: Among the patients who underwent magnetic resonance imaging of the shoulder at our outpatient clinic in 2012, those aged >40 years were included. After excluding cases with complete tear or unclear positioning of the biceps tendon, 464 shoulders were analyzed according to the position of the LHBT with respect to the bicipital groove...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28634854/micrornas-associated-with-inflammation-in-shoulder-tendinopathy-and-glenohumeral-arthritis
#15
Finosh G Thankam, Chandra S Boosani, Matthew F Dilisio, Devendra K Agrawal
Inflammation is associated with glenohumeral arthritis and rotator cuff tendon tears. Epigenetically, miRNAs tightly regulate various genes involved in the inflammatory response. Alterations in the expression profile of miRNAs and the elucidation of their target genes with respect to the pathophysiology could improve the understanding of their regulatory role and therapeutic potential. Here, we screened key miRNAs that mediate inflammation and linked with JAK2/STAT3 pathway with respect to the coincidence of glenohumeral arthritis in patients suffering from rotator cuff injury (RCI)...
June 20, 2017: Molecular and Cellular Biochemistry
https://www.readbyqxmd.com/read/28623414/tenodesis-is-not-superior-to-tenotomy-in-the-treatment-of-the-long-head-of-biceps-tendon-lesions
#16
Roberto Castricini, Filippo Familiari, Marco De Gori, Daria Anna Riccelli, Massimo De Benedetto, Nicola Orlando, Olimpio Galasso, Giorgio Gasparini
PURPOSE: To compare the effectiveness of tenodesis and tenotomy in the treatment of long head of the biceps tendon (LHBT) lesions. The null hypothesis was that there is no difference in functional scores between the tenotomy and tenodesis groups. METHODS: A total of 69 patients with a combined supraspinatus tear and LHBT lesion aged over 40 years entered this prospective comparative study and were randomly assigned to the arthroscopic LHB tenotomy or tenodesis group...
June 16, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28606648/reliability-of-sonographic-assessment-of-biceps-femoris-distal-tendon-strain-during-passive-stretching
#17
Eleftherios Kellis, Athanasios Ellinoudis, Konstantina Intziegianni
The purpose of this study was to determine the intra-rater, inter-examiner and inter-observer reliability of biceps femoris long head (BFlh) tendon strain using ultrasound imaging. Nineteen patients (age: 20.4 ± 0.35 y) were tested twice with a 1-wk interval. Each session included passive stretching from three different hip positions. Tests were performed independently by two examiners while BFlh tendon displacement (mm) and strain (%) were manually extracted from ultrasound video footages by two observers...
June 9, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28594489/diagnosis-and-management-of-the-biceps-labral-complex
#18
Robert J Thorsness, Anthony A Romeo
The long head of the biceps tendon (LHBT) is a common source of pathology. The biceps-labral complex (BLC) is the collective anatomic and clinical features shared by the biceps tendon and the superior labrum. LHBT pathology can be caused by inflammation, instability, or trauma. Numerous tests can be performed to determine the existence of biceps tendon and superior labrum anterior to posterior (SLAP) lesions; however, many of these tests do not have high sensitivity and specificity, which limit their clinical utility...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28583056/the-impact-of-body-mass-index-on-outcomes-following-open-sub-pectoralis-major-biceps-tenodesis
#19
William Rossy, Alan McGee, Steven Shamah, Eric Lepkowsky, Michael Alaia, Laith Jazrawi, Eric Strauss
PURPOSE: Traditionally, biceps tenotomy has been recommended for obese, older, and less active patient populations, while tenodesis is preferred in younger, thinner, and more active individuals. In an effort to better understand the impact obesity has on the surgical management of long head of the biceps tendinopathy, the current study analyzed the effect body mass index had on surgical outcomes following open subpectoralis major biceps tenodesis. METHODS: Patients who underwent biceps tenodesis between June 2006 and December 2013 were identified from our institution's surgical database...
April 2017: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/28567319/anterior-interosseous-nerve-neuropraxia-secondary-to-shoulder-arthroscopy-and-open-subpectoral-long-head-biceps-tenodesis
#20
Jeremiah T Steed, Kathlyn Drexler, Adam N Wooldridge, Matthew Ferguson
Arthroscopic rotator cuff tendon repair is a common elective procedure performed by trained orthopaedic surgeons with a relatively low complication rate. Specifically, isolated neuropraxia of the anterior interosseous nerve (AIN) is a very rare complication of shoulder arthroscopy. An analysis of peer-reviewed published literature revealed only three articles reporting a total of seven cases that describe this specific complication following standard shoulder arthroscopic procedures. This article reports on three patients diagnosed with AIN neuropraxia following routine shoulder arthroscopy done by a single surgeon within a three-year period...
2017: Case Reports in Orthopedics
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