663 results match your criteria Bicipital Tendonitis


Atypical calcific tendinitis involving the long biceps tendon: A rare cause of hemiplegic shoulder pain.

J Back Musculoskelet Rehabil 2018 Nov 23. Epub 2018 Nov 23.

Department of Rehabilitation Medicine, Daegu Veterans Health Service Medical Center, Daegu, Korea.

Background And Objective: Calcific tendinitis is commonly found in the rotator cuff; however, it is very rare in the long biceps tendon (LBT). Furthermore, calcific tendinitis involving the LBT in the hemiplegic shoulder after a stroke has not been previously reported.

Materials And Method: We present a case of a 63-year-old man who suffers from a stroke and atypical calcific tendinitis involving the LBT as a rare cause of hemiplegic shoulder pain. Read More

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November 2018
1 Read

Distal Biceps Repair With Flexible Instrumentation and Risk of Posterior Interosseous Nerve Injury: A Cadaveric Analysis.

Orthop J Sports Med 2018 Nov 27;6(11):2325967118810523. Epub 2018 Nov 27.

Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Quebec, Canada.

Background: Current repair techniques using cortical button fixation cannot achieve anatomic reconstruction of the distal biceps when performed through a single-incision anterior approach. We recently introduced a single-incision technique that uses flexible guide pins and flexible reamers to allow for an insertion point on the tuberosity that more closely approximates the anatomic footprint of the distal biceps.

Purpose: To investigate the safety of this technique with regard to nerve injury by comparing the guide pin position relative to the posterior interosseous nerve in 16 cadaveric elbows through use of a flexible versus rigid reamer. Read More

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November 2018

Characterization of an anatomic safe zone surrounding the lower subscapular nerve during an open deltopectoral approach.

J Shoulder Elbow Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Orthopaedic Surgery, Penn State Hershey Bone and Joint Institute, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA. Electronic address:

Background: Due to anatomic variance in subscapular nerve innervation patterns, it is theorized that the dysfunction of the subscapularis could be the result of iatrogenic denervation during mobilization of the subscapularis while exposing the anterior glenohumeral joint in anterior surgical approaches. The purpose of this study was to describe innervation patterns of the subscapularis and to characterize a safe zone when conducting an anterior surgical approach.

Methods: The study used 6 human cadaveric shoulder specimens (12 shoulders total). Read More

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November 2018
1 Read

A case report of an intramedullary cervical teratoma in an adult patient with cervical spondylotic radiculopathy.

Neurocirugia (Astur) 2018 Oct 25. Epub 2018 Oct 25.

Servicio de Neurocirugía, Módulo de Columna, Hospital Regional 1° de Octubre, ISSSTE, Mexico City, Mexico.

Spinal cord teratomas are rare. There are few reports of teratomas affecting the cervical spine and their association with spondylotic radiculopathy has not been described. A 59-year-old woman with history of fecal incontinence attended with cervical radicular pain radiating to upper limbs. Read More

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October 2018
1 Read

Optimal Angle of the Bone Tunnel for Avoiding Axillary Nerve Injuries During Arthroscopic Transosseous Rotator Cuff Repair: A Magnetic Resonance Imaging-Based Simulation Study.

Orthop J Sports Med 2018 Nov 9;6(11):2325967118806295. Epub 2018 Nov 9.

Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.

Background: Axillary nerve injury and suture cutout through the roof of the tunnel are potential complications of arthroscopic transosseous rotator cuff repair (ATORCR).

Purpose: To determine a safe angle of drilling for the bone tunnel during ATORCR such that the axillary nerve is not at risk. The thickness of the bone bridge over the tunnel for different angles of drilling was also determined. Read More

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November 2018
5 Reads

How to Avoid Posterior Interosseous Nerve Injury During Single-Incision Distal Biceps Repair Drilling.

Clin Orthop Relat Res 2018 Nov 5. Epub 2018 Nov 5.

D. Becker, N. Hammer, Anatomy Department, University of Otago, Dunedin, New Zealand F. A. Lopez-Marambio, Hamilton Hospital, Hamilton, New Zealand N. Hammer, Department of Orthopedic and Trauma Surgery, University of Leipzig, Germany Fraunhofer IWU, Dresden, Germany D. Kieser, Orthopaedics Department, Christchurch Public Hospital, Christchurch, New Zealand.

Background: The posterior interosseous nerve (PIN) is occasionally damaged during distal biceps tendon repair. But to our knowledge, no studies have examined the position of the PIN in relation to the bicipital tuberosity in full supination, which is the recommended position during single-incision distal biceps repair or reconstruction QUESTIONS/PURPOSES: (1) What is the anterior safe zone when exposing the anterior tuberosity with the arm in supination? (2) When drilling the radial tuberosity for bicortical button placement in full supination, how should the drill be angled to avoid PIN injury?

Methods: Fifteen adult cadaver elbows had the PIN dissected around the proximal radius. The position of the PIN was measured relative to the most ulnar aspect of the radius at three sites in full supination: at the bicipital tuberosity (bicipital tuberosity-PIN), 10 mm proximal to the bicipital tuberosity (bicipital tuberosity-proximal), and 10 mm distal to the bicipital tuberosity (bicipital tuberosity-distal). Read More

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November 2018
4 Reads

3D volumetric MR arthrographic assessment of shoulder joint capacity in patients with primary adhesive capsulitis.

Br J Radiol 2018 Nov 5:20180496. Epub 2018 Nov 5.

1 Department of Radiology, Medical Faculty, Ataturk University , Erzurum , Turkey.

Objective: To evaluate the three-dimensional (3D) volumetric MR arthrographic findings of shoulder joint capacity in patients with primary adhesive capsulitis.

Methods: Thin-section 3D volumetric MR arthrography sequences of the shoulder joint were obtained in 28 patients with clinically and radiologically proven primary adhesive capsulitis and in 25 controls. Volumetric measurements of the total glenohumeral joint capacity, extra-articular contrast material leakage, and the rotator interval, axillary recess, and biceps tendon sheath capacities were performed for the study and control groups. Read More

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November 2018
4 Reads

Biomechanical evaluation of hybrid double plate osteosynthesis using a locking plate and an inverted third tubular plate for the treatment of proximal humeral fractures.

PLoS One 2018 29;13(10):e0206349. Epub 2018 Oct 29.

Department of Orthopedic, Trauma and Plastic Surgery, University of Leipzig, Leipzig, Germany.

Background: Treating proximal humerus fractures can be challenging because of large metaphyseal defects that conceal anatomical landmarks. In such cases, medial cortical support with, for example, calcar screws, is mandatory. Nevertheless, varus dislocations and implant failures in patients with impaired bone quality persist. Read More

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October 2018

The influence of posterior glenohumeral joint capsule tightness and humeral retroversion on clinical measurements.

Phys Ther Sport 2018 Nov 4;34:148-153. Epub 2018 Oct 4.

Department of Physical Therapy, The College of St. Scholastica, Duluth, MN, USA. Electronic address:

Objectives: To assess the influence of posterior capsule tightness and humeral retroversion on shoulder motion measurements.

Design: Cross-Sectional study.

Setting: Controlled university laboratory. Read More

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November 2018
1 Read

High-resolution ultrasound in the assessment of the distal biceps brachii tendinous complex.

Skeletal Radiol 2018 Sep 5. Epub 2018 Sep 5.

Human and Embryology Anatomy Unit, Experimental Pathology and Therapeutic Department, Faculty of Medicine and Health Sciences (Bellvitge Campus), University of Barcelona, Barcelona, Spain.

Objective: To establish a high-resolution US technique that enables a systematic morphometric examination of the three components that form the distal biceps brachii tendinous complex; the internal bicipital aponeurosis, the distal biceps brachii tendon and the external bicipital aponeurosis (also known as lacertus fibrosus).

Materials And Methods: Fifty cryopreserved cadaver body donor elbows were dissected to obtain morphometric reference values and to establish reliable landmarks for the US examination. Then, a systematic US technique was designed and validated by a one-to-one US/dissection analysis of 11 cryopreserved cadaver body donor elbows. Read More

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September 2018
10 Reads

Arthroscopic extra-articular suprapectoral biceps tenodesis with knotless suture anchor.

Eur J Orthop Surg Traumatol 2018 Aug 25. Epub 2018 Aug 25.

Department of Orthopaedics, Faculty of Medicine, Srinakarinwirot University, 62 Moo 7, Rangsit-Nakhon Nayok Road, Ongkharak, Nakhon Nayok, 26120, Thailand.

Tenodesis of the long head of the biceps tendon is a frequently performed procedure during shoulder arthroscopy. Various open and arthroscopic techniques have been described with comparable outcomes and complication rates. We describe a simple, knotless, arthroscopic extra-articular biceps tenodesis technique using a 4. Read More

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August 2018
1 Read

Reliable semiquantitative whole-joint MRI score for the shoulder joint: The shoulder osteoarthritis severity (SOAS) score.

J Magn Reson Imaging 2018 Aug 5. Epub 2018 Aug 5.

Institute of Radiology, Cantonal Hospital Baden, Baden, Switzerland.

Background: Shoulder osteoarthritis causes severe pain and functional disability. Preventive surgical procedures aiming to halt the progression of degenerative changes are increasingly applied. However, no MRI-based score exists that may be applied for scoring of osteoarthritic changes and their progression. Read More

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August 2018
18 Reads

A Novel Method for the Approximation of Humeral Head Retrotorsion Based on Three-Dimensional Registration of the Bicipital Groove.

J Bone Joint Surg Am 2018 Aug;100(15):e101

Computer Assisted Research and Development Group (L.V., F.C., and P.F.) and Department of Orthopaedics (C.G.), Balgrist University Hospital, University of Zurich, Zurich, Switzerland.

Background: The accurate restoration of premorbid anatomy is key for the success of reconstructive surgeries of the proximal part of the humerus. The bicipital groove has been proposed as a landmark for the prediction of humeral head retrotorsion. We hypothesized that a novel method based on bilateral registration of the bicipital groove yields an accurate approximation of the premorbid anatomy of the proximal part of the humerus. Read More

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August 2018
1 Read

Straight proximal humeral nailing: Risk of iatrogenic tendon injuries with respect to different entry points in anatomical specimens.

Injury 2018 Oct 9;49(10):1750-1757. Epub 2018 Jul 9.

AUVA-Trauma Hospital Graz, Graz, Austria.

Background: The purpose of the study was to evaluate the relationship of implant-related injuries to the adjacent anatomical structures in a newer generation straight proximal humeral nail (PHN) regarding different entry points. The proximity of the proximal lateral locking-screws of the MultiLoc proximal humeral nail (ML PHN) may cause iatrogenic tendon injuries to the lateral edge of the bicipital humeral groove (BG) as reference point for the tendon of the long head of biceps brachii (LBT) as well as the lateral insertion of the infraspinatus tendon (IST).

Materials And Methods: The study comprised n = 40 upper extremities. Read More

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October 2018
1 Read

Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series.

Physiother Theory Pract 2018 Jun 22:1-11. Epub 2018 Jun 22.

a Physical Therapy Program , University of Colorado , Aurora , CO , USA.

Objectives: To describe the outcomes of 10 patients with chronic biceps tendinopathy treated by physical therapy with the novel approach of dry needling (DN), eccentric-concentric exercise (ECE), and stretching of the long head of the biceps tendon (LHBT).

Methods: Ten individuals reporting chronic anterior shoulder symptoms (> 3 months), pain with palpation of the LHBT, and positive results on a combination of tests including active shoulder flexion, Speed's, Hawkins Kennedy, Neer, and Yergason's tests participated in this case series. Validated self-reported outcome measures including the mean numeric pain rating scale (NPRS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) were taken at baseline. Read More

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June 2018
20 Reads

Validation of a Simple Overlay Device to Assess Radial Head Implant Length.

J Hand Surg Am 2018 Dec 8;43(12):1135.e1-1135.e8. Epub 2018 Jun 8.

Biomechanics Laboratory, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Purpose: A simple overlay device (SOD) was developed to measure radial head implant length. The purpose of this study was to determine the accuracy and reliability of this device for measuring experimental radial head implant length.

Methods: Five fresh frozen cadavers were implanted with sequentially longer implants, adjusted by neck length (0, 2, 4, and 8 mm). Read More

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December 2018
2 Reads

Arthroscopic Suprapectoral Biceps Tenodesis With Tenodesis Screw.

Arthrosc Tech 2018 May 2;7(5):e417-e422. Epub 2018 Apr 2.

Division of Sports Medicine, Department of Orthopaedic Surgery, Midwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, U.S.A.

There are many methods for long head of the biceps tendon (LHBT) tenodesis, but a consensus on a superior method has yet to be met. In this article, we introduce a method for arthroscopic suprapectoral biceps tenodesis using a tenodesis screw in the bicipital tunnel. The intra-articular portion of the biceps tendon is transected. Read More

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May 2018
4 Reads

Editorial Commentary: Thank You, Thank You, Thank You… for Demonstrating Histologic Evidence of Shoulder Bicipital Tunnel Disease in the Absence of Magnetic Resonance Imaging Findings.

Authors:
Samuel A Taylor

Arthroscopy 2018 Jun;34(6):1797-1798

New York, New York.

Bicipital tunnel disease is often unvisualized during standard diagnostic arthroscopy. Histolopathologic evidence of disease may be present even in the absence of magnetic resonance imaging findings. Surgical decision making is multifactorial. Read More

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Imaging bicipitoradial bursitis: a pictorial essay.

Skeletal Radiol 2019 Jan 24;48(1):5-10. Epub 2018 May 24.

Department of Imaging and Interventional Radiology, Prince of Wales Hospital, Hong Kong, The Chinese University of Hong Kong, Hong Kong, China.

Although bicipitoradial bursitis is not commonly seen, when it does occur, it can frequently lead to diagnostic difficulty, mimicking either a soft-tissue tumor or infection. Lack of awareness of this uncommon entity can lead to unnecessary anxiety or tissue biopsy. This pictorial essay discusses the normal anatomy of the bicipitoradial bursa and the spectrum of imaging findings of bicipital bursitis. Read More

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January 2019
21 Reads

Common Soft Tissue Musculoskeletal Pain Disorders.

Prim Care 2018 Jun;45(2):289-303

Rheumatology Fellowship, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), Uniformed Services University of the Health Sciences, San Antonio Military Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234, USA.

Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. Read More

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June 2018
8 Reads

Bicipital Tendinopathy and Carpal Valgus Following a Distant Direct Thoracoabdominal Skin Flap in a German Shepherd with Necrotizing Fasciitis.

J Am Anim Hosp Assoc 2018 Jul/Aug;54(4):226-230. Epub 2018 May 14.

From the Royal Veterinary College, London, United Kingdom.

A 4 mo old German shepherd dog was presented following an acute onset lameness and swelling of the thoracic limb. Clinical signs, surgical findings, and culture results were consistent with a diagnosis of necrotizing fasciitis. Initial management consisted of extensive surgical debridement, wound lavage, and bandaging. Read More

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September 2018
3 Reads

Cadaveric study of the anatomical reference points for proximal humeral plate positioning.

Eur J Orthop Surg Traumatol 2018 Oct 24;28(7):1269-1272. Epub 2018 Apr 24.

Department of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.

Background: Complications following locking plate fixation in proximal humeral fractures often related to malposition plates and inadequate screw fixation. However, literature did not define the best anatomical reference point for plate positioning. We conducted a study to assess the occurrence of subacromial impingement and screw perforation with two anatomical reference points for proximal humeral plate positioning. Read More

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October 2018

Biceps Tendon Sheath Injection: An Anatomical Conundrum.

Pain Med 2018 Apr 4. Epub 2018 Apr 4.

Division of Anatomy, University of Toronto, Toronto, ON, Canada.

Objective: Long head biceps tendon peritendinous or sheath injections are routinely administered at or immediately distally to the bicipital groove. The main indication for injection remains the clinical diagnosis or treatment of biceps tendinopathy, although true inflammation of the tendon within the bicipital groove is rare. Because the tendon sheath is merely an extension of the joint cavity, it is plausible to assume that an injection into the sheath would result in intraarticular spread. Read More

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April 2018
5 Reads

Comparison of predictive equations of lean mass in young and postmenopausal women.

Clin Nutr ESPEN 2018 Apr 9;24:62-65. Epub 2018 Feb 9.

School of Medicine, Federal University of Uberlandia (UFU), Uberlandia, Minas Gerais, Brazil. Electronic address:

Background And Aim: The lean mass (LM) is a predictor of functional capacity, quality of life, and mortality. In this way, the LM should be measured by reliable methods. However, it presents high cost and generally predictive equations are used in clinical practice, but little is known which is the best predictive equation of LM in women. Read More

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The reverse Sauvé-Kapandji procedure for the treatment of (posttraumatic) proximal radioulnar synostosis.

Eur J Orthop Surg Traumatol 2018 Aug 8;28(6):1225-1229. Epub 2018 Mar 8.

Hand and Upper Extremity Surgery Unit, Hospital Universitario HM Montepríncipe, Avenida Montepríncipe, 25, 28660, Boadilla del Monte, Madrid, Spain.

Proximal radioulnar synostosis is a rare but highly disabling posttraumatic complication in periarticular elbow injuries. Surgical treatment is an option for functionally limiting proximal radioulnar synostosis; however, the approach can endanger local neurovascular structures, especially if the synostosis affects the level of the bicipital tuberosity. We report two cases of proximal radioulnar synostosis with a preoperative prono-supination range of motion of 0° and 15° treated by a reverse Sauvé-Kapandji procedure resecting a 1-cm section of the radial shaft distal to the bicipital tuberosity and leaving the synostosis in place. Read More

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August 2018
2 Reads

Anatomic landmarks for arthroscopic suprapectoral biceps tenodesis: a cadaveric study.

J Shoulder Elbow Surg 2018 Jul 27;27(7):1172-1177. Epub 2018 Feb 27.

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, NY, USA.

Background: Biceps tenodesis reduces the incidence of Popeye deformity occurring with tenotomy, but pain may occur with tenodesis superior to or within the bicipital groove. Arthroscopic suprapectoral tenodesis is an attractive alternative. The purpose of this study was to establish landmarks for arthroscopic suprapectoral tenodesis and determine the appropriate fixation point to optimize muscle tension. Read More

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July 2018
2 Reads

Biomechanical Evaluation of a Transtendinous All-Suture Anchor Technique Versus Interference Screw Technique for Suprapectoral Biceps Tenodesis in a Cadaveric Model.

Arthroscopy 2018 Jun 23;34(6):1755-1761. Epub 2018 Feb 23.

Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan; Medical Device R & D Core Laboratory, National Cheng Kung University Hospital, Tainan, Taiwan. Electronic address:

Purpose: To compare the biomechanical properties of an transtendinous all-suture anchor technique with the commonly-accepted interference screw technique in a cadaveric model.

Methods: Sixteen fresh-frozen human cadaveric shoulders (mean age, 67.6 ± 5. Read More

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June 2018
7 Reads

Arthroscopic Biceps Tenodesis Using Interference Screw Fixation in the Bicipital Groove.

Arthrosc Tech 2017 Oct 23;6(5):e1953-e1957. Epub 2017 Oct 23.

Department of Orthopaedic Surgery, Hopital Privé de l'Estuaire (HASS), Le Havre, France.

Arthroscopic repair of the long head of the biceps (LHB) is performed to treat various biceps pathologies yet the choice between tenotomy or tenodesis remains controversial. Although tenotomy is simpler and quicker, tenodesis results in fewer complications, and there are several techniques available using various fixation devices and sites. This Technical Note describes an all-arthroscopic, suprapectoral tenodesis technique using a bioresorbable interference screw, without motorized devices to create the humeral tunnel in the bicipital groove. Read More

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October 2017
1 Read

MRI of pectoralis major tears: association between ancillary findings and tear severity.

Skeletal Radiol 2018 Aug 9;47(8):1127-1135. Epub 2018 Feb 9.

Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street-YAW 6048, Boston, MA, 02114, USA.

Objective: To evaluate the significance of biceps tendon (BT) displacement and peri-bicipital hematoma on MRI in subjects with pectoralis major (PM) tears. We hypothesized that these features might be associated with tear severity at surgery.

Materials And Methods: We retrospectively identified MRI cases with PM injury and reviewed clinical, imaging, and surgical records. Read More

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August 2018
3 Reads

Bicipital aponeurosis. Anatomical study and clinical implications.

Rev Bras Ortop 2018 Jan-Feb;53(1):75-81. Epub 2017 Dec 6.

Faculdade de Ciências Médicas e da Saúde, Pontifícia Universidade Católica de São Paulo (PUC-SP), Sorocaba, SP, Brazil.

Objective: The aim of this study was to analyze the anatomic variations of the bicipital aponeurosis (BA) () and its implications for the compression of the median nerve, which is positioned medially to the brachial artery, passing under the bicipital aponeurosis.

Methods: Sixty upper limbs of 30 cadavers were dissected, 26 of which were male and four, female; of the total, 15 had been previously preserved in formalin and glycerine and 15 were dissected fresh in the Laboratory of Anatomy.

Results: In 55 limbs, short and long heads of the biceps muscle contributed to the formation of the BA, and the most significant contribution was always from the short head. Read More

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December 2017
1 Read

Quantifying humeral retrotorsion in young swimmers and association with swim volume.

Phys Ther Sport 2018 Mar 8;30:34-38. Epub 2017 Nov 8.

Laboratory of Analysis and Intervention of the Shoulder Complex, Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil. Electronic address:

Objectives: To compare the humeral retrotorsion (HRT) among non-athletes, amateur swimmers and competitive swimmers and to analyze the relationship between HRT and swim volume in competitive swimmers.

Design: Cross-sectional.

Setting: Laboratory. Read More

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March 2018
2 Reads

Regional histologic differences in the long head of the biceps tendon following subpectoral biceps tenodesis in patients with rotator cuff tears and SLAP lesions.

Knee Surg Sports Traumatol Arthrosc 2018 Aug 23;26(8):2481-2489. Epub 2018 Jan 23.

Department of Orthopaedic Surgery, NYU Langone Medical Center Hospital for Joint Diseases, 301 E 17th St., New York, NY, 10003, USA.

Purpose: The purpose of this study was to quantify the regional histology of the long head of the biceps tendon (LHBT) and compare the histopathology present to clinical findings in patients with rotator cuff tears and SLAP lesions.

Methods: Prospectively enrolled patients undergoing an open subpectoral LHBT tenodesis in the setting of a rotator cuff (RTC) tear or SLAP lesion. Perioperative data were collected and the excised LHBT was analyzed by a fellowship trained pathologist. Read More

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August 2018
4 Reads

Anthropometric Measures and Frailty Prediction in the Elderly: An Easy-to-Use Tool.

Curr Gerontol Geriatr Res 2017 20;2017:8703503. Epub 2017 Nov 20.

Graduate Program in Biomedical Gerontology, Institute of Geriatrics and Gerontology (IGG), Pontifical Catholic University of Rio Grande do Sul (PUCRS), Av. Ipiranga 6681, Prédio 81, 7 Andar, Sala 703, 90619-900 Porto Alegre, RS, Brazil.

Purpose: Anthropometry is a useful tool for assessing some risk factors for frailty. Thus, the aim of this study was to verify the discriminatory performance of anthropometric measures in identifying frailty in the elderly and to create an easy-to-use tool.

Methods: Cross-sectional study: a subset from the Multidimensional Study of the Elderly in the Family Health Strategy (EMI-SUS) evaluating 538 older adults. Read More

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November 2017
3 Reads

Identifying and Exposing the Proximal Biceps in Its Groove: The "Slit" Technique.

Arthrosc Tech 2017 Aug 14;6(4):e1285-e1290. Epub 2017 Aug 14.

Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.

Proximal biceps tendon pathology is a common source of shoulder symptoms. Thus, visualization of the entire extent of the biceps tendon is often required for both diagnostic and therapeutic purposes. Accurately recognizing the presence and extent of biceps pathology intraoperatively is made more difficult, however, due to the extra-articular location of a significant portion of the biceps tendon as it courses within the bicipital groove. Read More

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August 2017
1 Read

Biceps Tenodesis: Anatomic Tensioning.

Arthrosc Tech 2017 Aug 24;6(4):e1125-e1129. Epub 2017 Jul 24.

Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, New York, U.S.A.

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. Read More

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August 2017
7 Reads

Agreement of Musculoskeletal Ultrasound and Clinical Assessment of Shoulder Impairment in Manual Wheelchair Users With Various Duration of Spinal Cord Injury.

Arch Phys Med Rehabil 2018 Apr 12;99(4):615-622. Epub 2018 Jan 12.

Division of Sports Medicine, Drexel University College of Medicine, Philadelphia, PA.

Objectives: To determine (1) agreement of musculoskeletal ultrasound (MSK-US) findings of shoulder pathology and related shoulder special test results in individuals with varied durations of manual wheelchair (MWC) use after spinal cord injury (SCI); and (2) whether shoulder musculoskeletal impairments, per MSK-US and clinical examination, differed in individuals with SCI and varying durations of MWC use.

Design: Cross-sectional cohort study.

Setting: Laboratory setting. Read More

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April 2018
2 Reads

Effect of Ultrasonography on Student Learning of Shoulder Anatomy and Landmarks.

J Am Osteopath Assoc 2018 Jan;118(1):34-39

Context: Ultrasonography is becoming more common in clinical use, and it has been shown to have promising results when introduced into medical school curricula.

Objective: To determine whether the use of ultrasonography as an educational supplement can improve osteopathic medical students' confidence and ability to locate 4 specific shoulder anatomical landmarks: the coracoid process, the transverse process of T1, the long head of the biceps within the bicipital groove, and the supraspinatus tendon.

Methods: In this randomized controlled study, first-year osteopathic medical students aged 18 years or older were recruited and randomly assigned to a group with exposure (ultrasonography group) or without exposure (control group) to an ultrasonography machine. Read More

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January 2018
4 Reads

Subpectoral Biceps Tenodesis With PEEK Interference Screw: A Biomechanical Analysis of Humeral Fracture Risk.

Arthroscopy 2018 03 26;34(3):806-813. Epub 2017 Dec 26.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Purpose: To quantify the torsional load to fracture for subpectoral biceps tenodesis with interference screw fixation.

Methods: We randomized 28 specimens from 14 matched-pair full-length humeri (mean age, 55.3 years) into 3 groups: (1) empty ream group (ERG), (2) screw-only group (SOG), and (3) screw-plus-biceps tendon group (SBG). Read More

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March 2018
17 Reads
3.210 Impact Factor

Can Ultrasound Be Used to Improve the Palpation Skills of Physicians in Training? A Prospective Study.

PM R 2018 Jul 7;10(7):730-737. Epub 2017 Dec 7.

Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine, Mayo Clinic Sports Medicine Center, 200 First St SW, Rochester, MN 55905(#). Electronic address:

Background: Accurate diagnosis of musculoskeletal disorders relies heavily on the physical examination, including accurate palpation of musculoskeletal structures. The literature suggests that there has been a deterioration of physical examination skills among medical students and residents, in part due to increased reliance on advanced imaging. It has been shown that knowledge of musculoskeletal anatomy and physical examination skills improve with the use of ultrasound; however, the literature is limited. Read More

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July 2018
7 Reads

Ultrasound classification of traumatic distal biceps brachii tendon injuries.

Skeletal Radiol 2018 Apr 24;47(4):519-532. Epub 2017 Nov 24.

Sports Medicine and Imaging Department, Clinica Mapfre de Medicina del Tenis, C/ Muntaner 40, 08011, Barcelona, Spain.

Objective: The present work is aimed at analysing ultrasound findings in patients with distal biceps brachii tendon (DBBT) injuries to assess the sensitivity of ultrasound in detecting the different forms of injury, and to compare ultrasound results with magnetic resonance imaging (MRI) and surgical results.

Materials And Methods: A total of 120 patients with traumatic DBBT injuries examined between 2011 and 2015 were analysed. We compared ultrasound results with MRI results when surgery was not indicated and with MRI and surgical results when surgery was indicated. Read More

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April 2018
1 Read

Morphological classification of anatomical variants of the intra-articular portion of the long head of the biceps brachii tendon and analysis of the incidence and the relationship with shoulder disease for each subtype.

J Orthop Surg (Hong Kong) 2017 Sep-Dec;25(3):2309499017742207

Department of Orthopedic Surgery, Sungkyunkwan University College of Medicine, Samsung Medical Center, Seoul, Korea.

Purpose: Although several cases of anatomical variants of the proximal portion of the long head of the biceps brachii tendon have been reported, most are case reports on single patients; few studies have investigated the classification and incidence of this phenomenon. We aimed to classify the variants of the long head of the biceps brachii tendon by their morphology and characterize them in regard to incidence, demography, and the relationship with biceps tendon or other shoulder diseases.

Methods: We retrospectively reviewed 760 arthroscopic images spanning 31 months from October 2008 and found 45 variations of the proximal portion of the long head of the biceps brachii tendon. Read More

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June 2018
1 Read

Unacylated ghrelin and obestatin: promising biomarkers of protein energy wasting in children with chronic kidney disease.

Pediatr Nephrol 2018 Apr 18;33(4):661-672. Epub 2017 Nov 18.

Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione Cà Granda IRCCS, Ospedale Maggiore Policlinico, Milan, Italy.

Background: Impairment in orexigenic/anorexigenic hormone balance may be key in the pathogenesis of protein energy wasting in children with chronic kidney disease (CKD). Measurement of ghrelin and obestatin concentrations in children with CKD would help assess the potential contribution of these hormones to uremic protein energy wasting.

Methods: This was a cross-sectional case-control study. Read More

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April 2018
8 Reads

[Short, medium and long-term benefits of human milk intake in very-low-birth-weight infants].

Nutr Hosp 2017 Oct 24;34(5):1059-1066. Epub 2017 Oct 24.

Hospital Universitario La Paz.

Aim: The aim of the present study is to evaluate the effect of human milk feeding during the first weeks of life in very low birth weight infants on weight gain at discharge, length of hospitalization, postmenstrual age at discharge and nutritional assessment, growth and neurodevelopment at two and five years.

Material And Methods: Longitudinal study of very-low-birth-weight infants (< 1,500 grams) admitted to the Neonatal Intensive Care Unit of La Paz University Hospital, from January 1st 2009 to December 31st 2009, followed in the follow-up clinic. Their parents agreed to perform a more exhaustive anthropometric study at five years, classified according to the type of feeding at the time of discharge (exclusive human milk, formula milk or mixed). Read More

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October 2017
5 Reads

A case report of an isolated fracture through the radial bicipital tuberosity.

Int J Surg Case Rep 2017 27;41:230-233. Epub 2017 Oct 27.

Department of Orthopedic Surgery, Niigata University, Niigata 951-8510, Japan.

Introduction: Generally, anatomical reduction of shaft fractures through operative treatment is necessary to restore the anatomical relationship of the forearm bones. However, a number of nerves and vessels are located in the proximal radius, which complicates surgery. In this study, we aimed to reduce postoperative complications by using a posterior approach. Read More

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October 2017
6 Reads

Process of neovascularisation compared with pain intensity in tendinopathy of the long head of the biceps brachii tendon associated with concomitant shoulder disorders, after arthroscopic treatment. Microscopic evaluation supported by immunohistochemical.

Folia Morphol (Warsz) 2018 24;77(2):378-385. Epub 2017 Oct 24.

Department of Orthopaedic Surgery, Multidisciplinary Hospital Inowrocław, Poland.

Background: Tendinopathy of the long head of the biceps brachii tendon (LHBT) is one of the most common, painful conditions of the anterior part of the shoulder and often coexists with rotator cuff tears. Multifactorial aetiopathology of tendi-nopathy is poorly understood; however, several studies indicated that it is seen predominantly in areas with decreased vascularity of the tissue; the pathology is also characterised by expansive and abundant neovascular in-growth. The aim of the study was to investigate the relationship between the neovascularisation of proximal part of the LHBT and pain along the bicipital groove. Read More

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October 2017
2 Reads

Popeye sign: Tenodesis vs. self-locking "T" tenotomy of the long head of the biceps.

Orthop Traumatol Surg Res 2018 Feb 18;104(1):23-26. Epub 2017 Oct 18.

Centre de Chirurgie Orthopédique et de la Main, 10, Avenue Achille-Baumann, 67400 Illkirch-Graffenstaden, France.

Introduction: Treatment of long head of the biceps lesions is controversial. A new technique of self-locking "T" tenotomy was developed in our department in 2013.

Hypothesis: The main objective of the present study was to assess onset of Popeye sign after "T" tenotomy, with comparison to long head of the biceps tenodesis. Read More

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February 2018
3 Reads