Long Head of the Biceps Pathology Combined with Rotator Cuff Tears

Abstract

The long head of the biceps tendon (LHBT) is an anatomic structure commonly involved in painful shoulder conditions as a result of trauma, degeneration, or overuse. Recent studies have pointed out the close correlation between LHBT lesions and rotator cuff (RCT) tears. Clinicians need to take into account the importance of the LHBT in the presence of other shoulder pathologies. This paper provides an up-to-date overview of recent publications on anatomy, pathophysiology, diagnosis, classification, and current treatment strategies.

Process of neovascularisation compared with pain intensity in tendinopathy of the long head of the biceps brachii tendon associated with concomitant shoulder disorders, after arthroscopic treatment. Microscopic evaluation supported by immunohistochemical

“…This is supported by data from the literature, which indicates that certain tendons tend to fail in hypovascular or critical zones e.g. Achilles tendon, rotator cuff tendons, tibialis posterior tendon [6,7,8]; similarly, in the LHBT a hypovascular area was demonstrated about 1-3 cm from its origin [4].…”

“…Up to 90% of cases of the LHBT tendinopathies are accompanied by additional shoulder disorders, such as massive rotator cuff tears (RCTs); in numerous cases treatment of this condition is difficult [4,5].…”

Sonography in the instability of the long head of the biceps tendon confronted with histopathologic and arthroscopic findings

“…Advancements in shoulder arthroscopy emphasized the importance of LHB tendinopathy in the development of shoulder pain and contributed to a wide use of tenotomy and tenodesis in its management [4]. Microscopic studies of pathological LHBT demonstrated the presence of a degenerative process without pronounced inflammation.…”

Arthroscopic Correction of the Injuries of the Complex «tendon of the Biceps Long Head - The Articular Lip» in Treatment of Patients With Full-Layer Ruptures of the Rotator Cuff

“…Вопросы диагностики и лечения повреж-дений комплекса «суставная губа -длинная головка двуглавой мышцы плеча» приобрета-ют особую актуальность ввиду их частого (40-87%) сочетания с частичными и полнослойны-ми разрывами вращающей манжеты плеча [5,14]. Недооценка этой патологии при выполне-нии реконструкции вращающей манжеты, по данным разных авторов, отрицательно влияет на функциональный исход лечения [1,4].…”