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2014, Number 3

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Ortho-tips 2014; 10 (3)

Lesions of the biceps tendon, current management

Valero GFS, Hiramuro SF, Encalada DMI

Language: Spanish
References: 30
Page: 154-162
PDF size: 248.79 Kb.


ABSTRACT

Patients presenting to outpatient clinics with shoulder and elbow pathology are often diagnosed with biceps pathology related to both ends of the muscle, the long head of the biceps close to its intraarticular insertion site and the distal aspect of the biceps that inserts in the biccipital tuberosity of the proximal radius. It is well known that the most common lesion of the biceps, is proximal and it accounts for as much as 90% of all the biceps pathology. Diagnosing these lesions needs to include physical exploration maneuvers as well as specific diagnostic signs; unfortunately, all of these test have a high sensibility but many have a poor specificity; therefore, the need for a imaging study such as MRI or ultrasound that complements the physical findings. When we are treating a proximal biceps lesion there is the controversy that if we should treat or neglect the lesion or if the tendon need to be fixed or released; however, in the distal aspect it seems to be a consensus among surgeons that most of them needs to be fixed.


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