Orthopedics Book

Biceps Muscle

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Biceps Tenosynovitis

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

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