http://www.fpnotebook.com/
Biceps Tenosynovitis
- General
- Inflammation within bicipital groove
- Long head of biceps tendon and sheath
- Risk factors
- Age over 40 years
- Athletes (repetitive throwing)
- Overlying Rotator Cuff Disease
- Symptoms
- Anterolateral Shoulder Pain referred down anterior arm
- Signs
- Tenderness over bicipital groove
- Pain limits active and passive range of motion
- Maneuvers that stretch biceps elicit pain
- Forceful external rotation with abduction
- Arm extension with elbow extended
- Yergason Test
- Speed's Test
- Management
- Rest
- Moist heat
- Gentle range of motion
- NSAIDs
- Avoid motion that stretches biceps tendon
- Sling temporarily if needed
- Local Corticosteroid Injection at tendon sheath
- Surgery
- Indicated for failed conservative therapy
- Tendon anchored in the bicipital groove
Navigation Tree