Disorders of the long head of biceps tendon

Khazzam, Michael; George, Michael S.; Churchill, R. Sean; Kuhn, John E.

doi:10.1016/j.jse.2011.07.016

Cited by 83 publications

(88 citation statements)

References 64 publications

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“…[1][2][3][4] There remains much controversy over the exact function of the LHBT, the ideal treatment of its pathology, and the ramifications of the treatment options. Patient history and examination findings, along with imaging studies, can lead the surgeon to a certain preoperative plan, but arthroscopic examination of the tendon can aid in the final determination of which surgical procedure, if any, to perform.…”

Section: Discussionmentioning

confidence: 99%

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Long Head of the Biceps Tendon Allis Clamp Evaluation Technique

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Dilisio

Miller

et al. 2014

Arthroscopy Techniques

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Disorders of the long head of the biceps brachii are a common finding in conjunction with other causes of shoulder pathology. Nonoperative means as first-line treatment are often successful; however, surgery can be indicated for refractory tendinopathy. There is debate as to the best surgical treatment of the long head of the biceps tendon (LHBT) with different types of arthroscopic and open techniques. The decision on what treatment option to perform is often made at the time of surgery after arthroscopic evaluation of the LHBT. Certain examples of tendon disease are easily visible intra-articularly; however, a large portion of the tendon is not intra-articular and not readily viewed during routine arthroscopy. This study describes a simple arthroscopic technique for evaluation of an increased portion of the LHBT using an Allis clamp. The clamp is inserted through the anterior portal, placed around the LHBT, and rotated such that the tendon is wrapped around itself, bringing the distal tendon into the joint for arthroscopic viewing. This procedure is a routine part of our assessment of the LHBT during arthroscopy.

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Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Although nonoperative means can be a successful treatment option, surgery is often indicated for refractory cases of tendinopathy. 5 There is considerable debate as to the surgical treatment of the long head of the biceps tendon (LHBT), with arthroscopic and open techniques of tenotomy and tenodesis available.…”

mentioning

confidence: 99%

Long Head of the Biceps Tendon Allis Clamp Evaluation Technique

Parada

Dilisio

Miller

et al. 2014

Arthroscopy Techniques

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show abstract

“…Although many classifications of LHBT pathologies exist, three main groups are commonly distinguished: inflammation, instability and trauma [10]. Data from numerous studies demonstrated that isolated LHBT injuries are typically found in young athletes competing in javelin throw and are rather uncommon in general population.…”

Section: Introductionmentioning

confidence: 99%

“…Data from numerous studies demonstrated that isolated LHBT injuries are typically found in young athletes competing in javelin throw and are rather uncommon in general population. Nevertheless, there is a large group of patients in whom LHBT lesions are associated with other shoulder pathologies, typically rotator cuff tears; some studies demonstrated strong correlations between these disorders [1,10].…”

Section: Introductionmentioning

confidence: 99%