Format: Reading materials and videos (On-Demand, Self-Paced)
Approval Expiration: This course needs to be completed by 12/31/2024.
Format: Reading materials and videos (On-Demand, Self-Paced) Approval Expiration: This course needs to be completed by 12/31/2024.
Format: Reading materials and videos (On-Demand, Self-Paced) Approval Expiration: This course needs to be completed by 12/31/2024.
Format: Reading materials and videos (On-Demand, Self-Paced) Approval Expiration: This course needs to be completed by 12/31/2024.
Format: Reading materials and videos (On-Demand, Self-Paced) Approval Expiration: This course needs to be completed by 12/31/2024.
Format: Reading materials and videos (On-Demand, Self-Paced) Approval Expiration: This course needs to be completed by 12/31/2024.
Format: Reading materials and videos (On-Demand, Self-Paced) Approval Expiration: This course needs to be completed by 12/31/2024.
Format: Reading materials and videos (On-Demand, Self-Paced) Approval Expiration: This course needs to be completed by 12/31/2024.
Format: Reading materials and videos (On-Demand, Self-Paced) Approval Expiration: This course needs to be completed by 12/31/2024.
Format: Reading materials and videos (On-Demand, Self-Paced) Approval Expiration: This course needs to be completed by 12/31/2024.
Format: Reading materials and videos (On-Demand, Self-Paced) Approval Expiration: This course needs to be completed by 12/31/2024.
Tendinopathy of the Long Head of the Biceps
Tendinopathy is a chronic condition that often follows an initial inflammatory stage called tendonitis. While tendonitis specifically involves inflammation of the tendon, tendinopathy is a broader term that includes cases where the tendon may not necessarily be inflamed but shows degenerative changes. Proximal biceps tendinopathy characterizes a clinical condition that impacts the tendon of the long head of the biceps muscle as it moves through the bicipital groove. The spectrum of clinical manifestations spans from acute inflammatory tendonitis to degenerative tendinopathy.
Proximal biceps tendinopathy is thought to arise from overuse of the shoulder, particularly in overhead activities. When it occurs in young individuals, athletic activities that involve repetitive lifting, throwing, and swimming are considered risk factors. In contrast, degenerative tendinopathy and rupture are more often found in those over the age of 60.
The long head of the biceps brachii tendon is a common source of pain in the shoulder. The tendon of the long head of the biceps arises intra-articularly from the supraglenoid tubercle and superior glenoid labrum and crosses over the humeral head. It then exits the capsule and passes downwards within the bicipital groove, anchored by the transverse humeral ligament and covered by the tendon of the pectoralis major.
The bicipital groove is an anatomic landmark that is positioned between the greater and lesser tuberosities, playing a crucial role in maintaining the stability of the proximal biceps tendon. Historically, the transverse humeral ligament was believed to have a central role in ensuring the stability of the bicipital groove. However, in recent studies, its significance in maintaining stability has been challenged, and several authors have raised doubts about its status as a clearly defined anatomical structure. This viewpoint continues to be a subject of debate, with the majority of current studies suggesting that the transverse humeral ligament, at most, represents a continuation of fibers originating from the subscapularis, supraspinatus, and coracohumeral ligaments.
Because of its intra-articular course, injury to the biceps tendon is often accompanied by other shoulder conditions involving capsular, labral, and rotator cuff structures. In addition, rupture of the transverse humeral ligament may result in a painful slipping of the tendon from the bicipital groove during external and internal rotation of the shoulder while the muscle is under tension.
Tendinopathy of the Long Head of the Biceps
Tendinopathy is a chronic condition that often follows an initial inflammatory stage called tendonitis. While tendonitis specifically involves inflammation of the tendon, tendinopathy is a broader term that includes cases where the tendon may not necessarily be inflamed but shows degenerative changes. Proximal biceps tendinopathy characterizes a clinical condition that impacts the tendon of the long head of the biceps muscle as it moves through the bicipital groove. The spectrum of clinical manifestations spans from acute inflammatory tendonitis to degenerative tendinopathy.
Proximal biceps tendinopathy is thought to arise from overuse of the shoulder, particularly in overhead activities. When it occurs in young individuals, athletic activities that involve repetitive lifting, throwing, and swimming are considered risk factors. In contrast, degenerative tendinopathy and rupture are more often found in those over the age of 60.
The long head of the biceps brachii tendon is a common source of pain in the shoulder. The tendon of the long head of the biceps arises intra-articularly from the supraglenoid tubercle and superior glenoid labrum and crosses over the humeral head. It then exits the capsule and passes downwards within the bicipital groove, anchored by the transverse humeral ligament and covered by the tendon of the pectoralis major.
The bicipital groove is an anatomic landmark that is positioned between the greater and lesser tuberosities, playing a crucial role in maintaining the stability of the proximal biceps tendon. Historically, the transverse humeral ligament was believed to have a central role in ensuring the stability of the bicipital groove. However, in recent studies, its significance in maintaining stability has been challenged, and several authors have raised doubts about its status as a clearly defined anatomical structure. This viewpoint continues to be a subject of debate, with the majority of current studies suggesting that the transverse humeral ligament, at most, represents a continuation of fibers originating from the subscapularis, supraspinatus, and coracohumeral ligaments.
Because of its intra-articular course, injury to the biceps tendon is often accompanied by other shoulder conditions involving capsular, labral, and rotator cuff structures. In addition, rupture of the transverse humeral ligament may result in a painful slipping of the tendon from the bicipital groove during external and internal rotation of the shoulder while the muscle is under tension.
Tendinopathy of the Long Head of the Biceps
Tendinopathy is a chronic condition that often follows an initial inflammatory stage called tendonitis. While tendonitis specifically involves inflammation of the tendon, tendinopathy is a broader term that includes cases where the tendon may not necessarily be inflamed but shows degenerative changes. Proximal biceps tendinopathy characterizes a clinical condition that impacts the tendon of the long head of the biceps muscle as it moves through the bicipital groove. The spectrum of clinical manifestations spans from acute inflammatory tendonitis to degenerative tendinopathy.
Proximal biceps tendinopathy is thought to arise from overuse of the shoulder, particularly in overhead activities. When it occurs in young individuals, athletic activities that involve repetitive lifting, throwing, and swimming are considered risk factors. In contrast, degenerative tendinopathy and rupture are more often found in those over the age of 60.
The long head of the biceps brachii tendon is a common source of pain in the shoulder. The tendon of the long head of the biceps arises intra-articularly from the supraglenoid tubercle and superior glenoid labrum and crosses over the humeral head. It then exits the capsule and passes downwards within the bicipital groove, anchored by the transverse humeral ligament and covered by the tendon of the pectoralis major.
The bicipital groove is an anatomic landmark that is positioned between the greater and lesser tuberosities, playing a crucial role in maintaining the stability of the proximal biceps tendon. Historically, the transverse humeral ligament was believed to have a central role in ensuring the stability of the bicipital groove. However, in recent studies, its significance in maintaining stability has been challenged, and several authors have raised doubts about its status as a clearly defined anatomical structure. This viewpoint continues to be a subject of debate, with the majority of current studies suggesting that the transverse humeral ligament, at most, represents a continuation of fibers originating from the subscapularis, supraspinatus, and coracohumeral ligaments.
Because of its intra-articular course, injury to the biceps tendon is often accompanied by other shoulder conditions involving capsular, labral, and rotator cuff structures. In addition, rupture of the transverse humeral ligament may result in a painful slipping of the tendon from the bicipital groove during external and internal rotation of the shoulder while the muscle is under tension.
