Objective
Evaluating humeral head bone profile inside biceps reflection pulley area in order to identify possible anatomical variants and any causes predisposing to tendon’s instability of the long head of the biceps.
Materials and methods
This retrospective study analyzed 326 patients, 183 males and 143 females (age 15–88 years; average 51.5 years), who underwent MRI examination between 2013 and 2019. Biceps pulley reflection area morphology of 192 right shoulders and 134 left shoulders was assessed analyzing 309 MRI and 17 MR arthrography (MRA) shoulder exams. We investigated age and gender and the frequency of morphological variants among the patient groups.
Results
Four possible morphological variants were identified: 95 with convex shape; 127 with flat shape; 77 with spiculated shape; and 12 with mixed morphology. Fifteen humeral bone profiles were not classifiable.
Conclusions
MRI was effective in defining humeral head anatomic variants inside the biceps pulley reflection area. The most frequent variants were flat or convex types.
Anatomical variants of the long head of biceps (LHB) tendon are widely discussed in the literature. As one of the few intra-articular tendons, magnetic resonance arthroscopy can quickly evaluate the proximal part of LHB morphology. It provides good assessment of both intra-articular and extra-articular portions of the tendons. In-depth knowledge about imaging of the anatomical LHB variants discussed in this article is useful preoperatively for orthopaedists and also helps avoid potential diagnostic misinterpretations.
The role of agricultural activities in countries with mature economies suggests, on the one hand, the traditional role of producing foodstuffs and dietary fibers; on the other, it speaks to the offering of landscape, cultural, recreational, and environmental services. The member states of the European Union have for some time derogated the control of agricultural processes to EU decision-making, within an overarching vision that recalls both roles of this primary activity. The COVID-19 pandemic and the Russia–Ukraine military crisis have heightened the urgency to protect national agricultural production and guarantee minimum levels of agricultural provisions. In Italy, this orientation clashes with practices of unauthorized construction, favored by policies of “building amnesties”, and the pressure exercised on urban growth that, particularly in fringe areas, modifies the mercantile nature of agricultural lands. This paper examines the theme in operative terms, analyzing an urban fringe in the city of Bari. The use of multiple regression analysis, applied to the agricultural land market, evidenced how prices in these areas are clearly impacted by their potential transformation into buildable terrains, even when urban plans do not foresee this use.
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