The effect of bicipital groove morphology on the stability of the biceps long head tendon

Ulucaköy, Coşkun; Kaptan, Ahmet Yiğit; Yapar, Aliekber; Orhan, Özlem; Özer, Mustafa; Kanatlı, Ulunay

doi:10.1007/s00402-021-03760-z

Cited by 11 publications

(26 citation statements)

References 16 publications

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“…The morphologies of the biceps groove reported by different studies are quite different. Taking the depth of the biceps groove as an example, the average values of the biceps groove varied from 4.2 to 5.8 mm in different studies [5,6,14,15] , while the value in this study was 4.88 mm. This variation could come from demographic variations in the subjects, such as race, ethnicity, and other factors, or from variations in the measurement method adopted.…”

Section: Discussionmentioning

confidence: 59%

“…Urita et al [15] used CT data to show that there was no signi cant correlation between the morphological parameters and LHBT lesions except for the bony spur in the medial wall of the biceps groove and the injury of the subscapularis tendon. Uluckoy et al [5] also found that, except for subscapular tendinopathy, the shape of biceps sulci had little relationship with LHBT stability. Our study also found no correlation between the morphology of the biceps groove and LHBT injury, suggesting that the osseous structure is not the only and decisive stabilizing factor of LHBT lesions.…”

Section: Discussionmentioning

confidence: 98%

“…Lafosse et al reported that 45% of patients with rotator cuff tears also had LHBT lesions [4] . Instability is a common cause, and the biceps groove, the bony channel where LHBT leaves the shoulder joint, is an important stabilizing structure for LHBT [5] . From a morphological point of view, a shallow and wide biceps groove may be a risk factor for LHBT instability and further lesions.…”

Section: Introductionmentioning

confidence: 99%

“…From a morphological point of view, a shallow and wide biceps groove may be a risk factor for LHBT instability and further lesions. Many previous studies have discussed the relationship between biceps groove morphology and LHBT lesions [2,5,6] , but reports have been inconsistent. From a methodological perspective, most of the studies were based on CT or MRI cross-sectional images [7] , and an improper arm position during scanning or variations in the scanning plane angle may render the crosssections taken from the biceps groove incomparable.…”

Section: Introductionmentioning

confidence: 99%

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Correlation between the morphology of the biceps groove and injuries to the biceps pulley and the long head tendon of the biceps

Tang

Zhang

et al. 2022

Preprint

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Purpose: The morphometric parameters of the osseous structures of the biceps groove were measured to investigate their correlation with the structural injury of the trochlear and the long head tendon of the biceps. Methods: A total of 126 patients undergoing arthroscopic rotator cuff repair surgery had their biceps tendons and bicipital groove morphologies prospectively evaluated on a 3D reconstruction model of the humeral head. The width of groove, depth of groove, opening angle, medial wall angle, and inclination angle of the bicipital groove were measured for each patient. During the surgery, the type of injury to the biceps pulley and the degree of biceps longus tendon injury were assessed. The correlations of these injury assessments with bicipital groove measurements were analyzed. Results: The average width of groove was 12.52 mm ± 2.11 mm. The average depth was 4.88 mm ± 1.38 mm. The average inclination angle was 26.27° ± 8.10°. The average opening angle was 89.77° ± 18.40°. The average medial wall angle was 40.57° ± 7.93°. Significant biceps pulley structural injury was observed in 66 patients, and their Martetschlager classifications were as follows: type I injury in 12 patients, type II injury in 18 patients, and type III injury in 36 patients. The Lafosse grades of long head tendon injury were as follows: 72 cases were grade 0 injury, 30 cases were grade I injury, and 18 cases were grade II injury. We found no significant correlation between the opening width, depth, inclination angle, opening angle, and medial wall angle of bicipital groove and injuries of the pulley and the long head of the biceps tendon. Conclusion:This study does not find a correlation between the injury of the pulley or the long head of the biceps tendon and bicipital groove morphology.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Correlation between the morphology of the biceps groove and injuries to the biceps pulley and the long head tendon of the biceps

Tang

Zhang

et al. 2022

Preprint

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“…Theoretically, the osseous dimensions of the bicipital groove contributes to the stability of the LHBT; several studies based on MRI suggest the presence of a spur on the bicipital groove [11], a larger opening angle, a smaller medial angle and a shallower depth are predisposing factors for biceps tendon instability [12]. With ultrasound, however, these dimensions or the cross-sectional area are not related to the stability or other pathologies of the LHBT [13,14]. The bony morphology of the bicipital groove demonstrated by US has a limited value in the diagnosis of various pathologies related to the LHBT.…”

Section: Bicipital Groove Morphology and Cross-sectional Areamentioning

confidence: 99%

Anchoring Apparatus of Long Head of the Biceps Tendon: Ultrasonographic Anatomy and Pathologic Conditions

Xue

Bird²,

Jiang

et al. 2022

Diagnostics

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The long head of the biceps tendon (LHBT) has been recognized as an important generator of anterior shoulder pain, causing a significant reduction in the shoulder flexion range. Various tendinous and ligamentous structures form the anchoring apparatus of the LHBT along its course to maintain its appropriate location during shoulder movements, including the coracohumeral ligament (CHL), superior glenohumeral ligament (SGHL), subscapularis (SSC) tendon and supraspinatus (SSP) tendon as well as the less recognized tendons of pectoralis major (PM), latissimus dorsi (LD) and teres major (TM). Lesions of this stabilizing apparatus may lead to an instability of the LHBT, resulting in pain at the anterior shoulder. Ultrasonography (US) has been increasingly used in the assessment of shoulder injuries, including the anchoring apparatus of the LHBT. An accurate diagnosis of these injuries is often challenging, given the complex anatomy and wide spectrum of pathologies. In this review article, US anatomy and common pathologic conditions that affect the anchoring apparatus of the LHBT are discussed, including biceps pulley lesions, adhesive capsulitis, chronic pathology of SSC and SSP tendons, tears in the PM tendon and injuries to the LD and TM. Knowledge of a normal anatomy, an appropriate scanning technique and US findings of common pathologic conditions are the keys to accurate diagnoses.

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A shallow morphology of the intertubercular groove is associated with medial and bilateral but not lateral pulley lesions

Kleim

Carbonel

Hinz

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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Purpose To investigate the influence of intertubercular groove (IG) morphology on the development of different types of biceps reflection pulley (BRP) injuries. Methods A consecutive cohort of 221 patients with ventral shoulder pain and a preoperative diagnosis suspecting BRP injury, who underwent arthroscopy, was retrospectively reviewed. The presence or absence as well as type of pulley injury (medial, lateral or bilateral) was confirmed arthroscopically. The intertubercular groove was evaluated on MRIs after triplanar reconstruction of the axial plane. IG depth, width, medial wall angle (MWA), lateral wall angle (LWA) and total opening angle (TOA) were measured. IG depth and width were expressed in relation to the humeral head diameter. Measurements were performed by two clinicians independently and averaged. Results Of 166 included patients 43 had bilateral, 65 medial and 38 lateral BRP lesions. 20 patients had intact BRPs and represented the control group. The intra-class correlation coefficient of measurements was 0.843–0.955. Patients with a medial or bilateral BRP injury had a flatter MWA (38.8° or 40.0° vs. 47.9°, p < 0.001), wider TOA (96.1° or 96.6° vs. 82.6°, p < 0.001), greater width (12.5 or 12.3 vs. 10.8 mm, p = 0.013) and shallower depth (5.5 or 5.4 vs. 6.2 mm, p < 0.001) than the control group. Conversely, the IG morphology of those with lateral BRP injuries did not differ significantly from the control group. The odds ratio for a medial or bilateral BRP injury when the TOA exceeded 95° was 6.8 (95% confidence interval 3.04–15.2). Conclusion A dysplastic type of IG morphology with a wide TOA, flat MWA, decreased depth and increased width is associated with the presence of medial and bilateral BRP injuries. A TOA of > 95° increases the likelihood of a medial or bilateral BRP injury 6.8-fold. Lateral BRP injuries are not associated with dysplastic IG morphology. Concomitant LHBT surgery may, therefore, not always be necessary during isolated supraspinatus tendon repair. Level of evidence Level III.

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The effect of bicipital groove morphology on the stability of the biceps long head tendon

Cited by 11 publications

References 16 publications

Correlation between the morphology of the biceps groove and injuries to the biceps pulley and the long head tendon of the biceps

Correlation between the morphology of the biceps groove and injuries to the biceps pulley and the long head tendon of the biceps

Anchoring Apparatus of Long Head of the Biceps Tendon: Ultrasonographic Anatomy and Pathologic Conditions

A shallow morphology of the intertubercular groove is associated with medial and bilateral but not lateral pulley lesions

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