The longitudinal anatomy of the long head of the biceps tendon and implications on tenodesis

Hussain, Waqas; Reddy, D. R.; Atanda, Alfred; Jones, Morgan H.; Schickendantz, Mark S.; Terry, Michael A.

doi:10.1007/s00167-014-2909-5

Cited by 24 publications

(17 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hussain and colleagues used cadaveric dissections to develop a predictive formula relating the position of the biceps to humeral length in an attempt to account for anatomic variability, but it is limited by the need for additional imaging and mathematical calculation. 13 …”

Section: Discussionmentioning

confidence: 99%

“…Failure to reestablish a patient's normal length-tension relationship can lead to cramping, fatigue, and cosmetic (Popeye) deformity 9 , 10 in the setting of undertensioning or placing increased stress on the fixation device and muscle if overtensioned. Attempts have been made to identify reliable landmarks based on the location of the musculotendinous junction, 11 , 12 calculations of anatomic position based on humeral length, 13 and the use of a consistent arthroscopic location and bone tunnel size. 14 …”

mentioning

confidence: 99%

See 1 more Smart Citation

Biceps Tenodesis: Anatomic Tensioning

Tao

Calcei

Taylor

2017

Arthroscopy Techniques

View full text Add to dashboard Cite

Biceps tenodesis is a commonly employed surgical intervention for refractory symptoms related to the biceps-labral complex, those intra-articular and those within the extra-articular bicipital tunnel. While a litany of surgical techniques exists, the optimal method for ensuring an anatomic length-tension relationship during tenodesis remains elusive. Appropriate tensioning may limit undesirable outcomes such as cramping or cosmetic deformity. We describe herein our technique as a simple and efficient means to establish patient-specific, anatomic tensioning of the long head of the biceps during tenodesis.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Biceps Tenodesis: Anatomic Tensioning

Tao

Calcei

Taylor

2017

Arthroscopy Techniques

View full text Add to dashboard Cite

show abstract

“…The LHB tendon travels inferiorly into the bicipital groove along the anterior surface of the humerus through the osteoligamentous sheath formed by the transverse humeral ligament. 8 In a cadaveric study by Hussain et al 9 the mean length of the LHB was 13.6 ± 2.6 cm. Additionally they calculated the distance from tendon origin to other important landmarks: 1) Proximal bicipital groove-2.8 ± 0.6; 2) Distal bicipital groove 5.2 ± 0.8; 3) Proximal border of the pectoralis major insertion 8.1 ± 1.0.…”

Section: Anatomymentioning

confidence: 93%

Biceps tenodesis versus biceps tenotomy for biceps tendinitis without rotator cuff tears

Hassan

Patel

2019

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

Disorders of the long head of the biceps tendon (LHB) are a well-recognised cause of shoulder pain despite the function of the long head of the biceps remaining poorly understood. There has been a dramatic rise in the number of biceps tenodesis procedures being performed in the last decade. This may partly be attributed to concerns regarding residual cosmetic deformity and pain after biceps tenotomy though there is little evidence to suggest that functional outcomes of tenodesis are superior to biceps tenotomy. Current literature focuses on LHB disorders with concomitant rotator cuff tears. The aim of this review is to discuss the anatomy of the LHB, the pathogenesis of tendinopathy of the LHB, indications of biceps tenodesis and tenotomy and compare the current literature on the functional outcomes of these procedures for LHB disorders in the absence of rotator cuff tears.

show abstract

“…Irrespective of a more proximal or distal tenodesis site, it is recommended that the remaining length of the LHBT be estimated properly to ensure an adequate length‐tension relationship (Hussain et al, 2015).…”

Section: Considerations Regarding Surgical Treatmentmentioning

confidence: 99%

Clinical relevance of the anatomy of the long head bicipital groove, an evidence‐based review

et al. 2020

View full text Add to dashboard Cite

Pathology in the bicipital groove can be a source of anterior shoulder pain. Many studies have compared treatment techniques for the long head biceps tendon (LHBT) without showing any clinically significant differences. As the LHBT is closely related to the bicipital groove, anatomical aspects of this groove could also be implicated in surgical outcomes. The aim of this review is to contribute to developing the optimal surgical treatment of LHBT pathology based on clinically relevant aspects of the bicipital groove. Medline/PubMed was systematically searched using key words “bicipital” and “groove” and combinations of their synonyms. Studies reporting on evolution, embryonic development, morphometry, vascularization, innervation, and surgical treatment of the LHBT and the bicipital groove were included. The length of the bicipital groove reported in the included studies ranged from 81.00 mm to 87.33 mm, width from 7.74 mm to 11.60 mm, and depth from 3.70 mm to 6.00 mm. The anatomy of the bicipital groove shows a bottleneck narrowing approximately two‐thirds from superior. The transverse humeral ligament can constrain the bicipital groove and could be involved in anterior shoulder pain. When either LHBT tenotomy or tenodesis is performed, routinely releasing the transverse ligament could decrease postoperative anterior shoulder pain, which has frequently been reported in the literature. To avoid the bottle neck narrowing, a location below the bicipital groove may be preferred for biceps tenodesis over a more proximal tenodesis site. Level of evidence: IV.

show abstract

The longitudinal anatomy of the long head of the biceps tendon and implications on tenodesis

Abstract: IV.

Cited by 24 publications

References 22 publications

Biceps Tenodesis: Anatomic Tensioning

Biceps Tenodesis: Anatomic Tensioning

Biceps tenodesis versus biceps tenotomy for biceps tendinitis without rotator cuff tears

Clinical relevance of the anatomy of the long head bicipital groove, an evidence‐based review

Contact Info

Product

Resources

About