Primary Tendinitis of the Long Head of the Biceps

Disorders of the long head of biceps tendon

“…65 A number of authors 12,41,44,53,54,56,58,62 have further subclassified biceps tendon lesions according to anatomic location, 12,62 pathologic process, 58 and the status of the biceps tendon. 12 Burkhead et al 12 and Walch et al 62 classified lesions of the LHB by the anatomic location of the pathology.…”

The anatomy and histology of the bicipital tunnel of the shoulder

“…Whereas some authors have begun to recognize the clinical relevance of the extra-articular bicipital tunnel, 9,13,20 the literature has overwhelmingly neglected zone 2 lesions in favor of more proximal disease, which is more readily visualized arthroscopically. 6,15,16 LHBT, long head of the biceps tendon. Parentheses indicate the number of specimens in which the finding occurred relative to the total number of specimens.…”

Nonoperative Management of Common Shoulder Conditions

“…Continued mechanical irritation leads to progressive inflammation and early tendinosis causing the LHB sheath to become thickened, fibrotic, and less vascular. Further inflammation may then lead to scar tissue and adhesions, which decreases the mobility of the LHB and predisposes it to rupture [4,49]. Alternatively, the tendon may demonstrate tendinosis, with degenerative changes rather than inflammation [50].…”