Skip to main content

Long Head of the Biceps Pathology

  • Chapter
  • First Online:
Arthroscopy
  • 2714 Accesses

Abstract

The long head of biceps (LHB) has been known as one of the pain generators in the shoulder. It has been found that LHB is innervated by a network of sensory sympathetic fibers, especially at its origin, which may play a role in the pathogenesis of shoulder pain [1]. A pain relief after spontaneous long head ruptures in patients aged over 50 years is a common finding. The function of the LHB tendon and its role in shoulder kinematics despite cadaveric and in vivo studies still remains controversial. It is not known how much load is physiologic for the LHB tendon, although calculations and predictions vary from 11 to 55 N [2]. Interestingly, electromyographic studies show that LHB becomes electrically active with elbow flexion and extension, rather than with shoulder motions [3].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Alpantaki K, McLaughlin D, Karagogeos D, Hadjipavlou A, Kontakis G. Sympathetic and sensory neural elements in the tendon of the long head of the biceps. J Bone Joint Surg Am. 2005;87-A:1580–3.

    Article  Google Scholar 

  2. Elser F, Braun S, Dewing CB, Giphart JE, Millet PJ. Anatomy, function, injuries, and treatment of the long head of the biceps brachii tendon. Arthroscopy. 2011;27–4:581–92.

    Article  Google Scholar 

  3. Gill HS, Rassi GE, Bahk MS, Castillo RC, McFarland EG. Physical examination for partial tears of the biceps tendon. Am J Sports Med. 2007;35–8:1334–40.

    Article  Google Scholar 

  4. Weber SC, Martin DF, Seiler JG, Harrast JJ. Superior labrum anterior and posterior lesions of the shoulder. Am J Sports Med. 2012;40:1538–43.

    Article  PubMed  Google Scholar 

  5. Su WR, Budoff JE, Chiang CH, Lee CJ, Lin CL. Biomechanical study comparing biceps wedge tenodesis with other proximal long head of the biceps tenodesis techniques. Arthroscopy. 2013;29:1498–505.

    Article  PubMed  Google Scholar 

  6. Wittstein JR, Queen R, Abbey A, Toth A, Moorman III CT. Isokinetic strength, endurance, and subjective outcomes after biceps tenotomy versus tenodesis. Am J Sports Med. 2011;39:857–65.

    Article  PubMed  Google Scholar 

  7. Scheibel M, Schröder RJ, Chen J, Bartsch M. Arthroscopic soft tissue tenodesis versus bony fixation anchor tenodesis of the long head of the biceps tendon. Am J Sports Med. 2011;39:1046–52.

    Article  PubMed  Google Scholar 

  8. Kim SJ, Kim SH, Lee SK, Lee JH, Chun YM. Footprint contact restoration between the biceps-labrum complex and the glenoid rim in SLAP repair: a comparative cadaveric study using pressure-sensitive film. Arthroscopy. 2013;29:1005–11.

    Article  PubMed  Google Scholar 

  9. Boddula MR, Adamson GJ, Gupta A, McGarry MH, Lee TQ. Restoration of labral anatomy and biomechanics after superior labral anterior-posterior repair. Am J Sports Med. 2012;40:875–81.

    Article  PubMed  Google Scholar 

  10. Patterson BM, Creighton RA, Spang JT, Roberson JR, Kamath GV. Surgical trends in the treatment of superior labrum anterior and posterior lesions of the shoulder. Am J Sports Med. 2014;42:1904–10.

    Article  PubMed  Google Scholar 

  11. Kim SJ, Lee IS, Kim SH, Woo CM, Chun YM. Arthroscopic repair of concomitant type II SLAP lesions in large to massive rotator cuff tears. Am J Sports Med. 2012;40:2786–93.

    Article  PubMed  Google Scholar 

  12. Buchholz A, Martetschläger F, Siebenlist S, Sandmann GH, Hapfelmeier A, Lenich A, Millet PJ, Stöckle U, Elser F. Biomechanical comparison of intramedullary cortical button fixation and interference screw technique for subpectoral biceps tenodesis. Arthroscopy. 2013;29:845–53.

    Article  PubMed  Google Scholar 

  13. Salata MJ, Bailey JR, Bell R, Frank RM, McGill KC, Lin EC, Kercher JS, Wang VM, Provencher MT, Mazzocca AD, Verma NN, Romeo AA. Effect of interference screw depth on fixation strength in biceps tenodesis. Arthroscopy. 2014;30:11–5.

    Article  PubMed  Google Scholar 

  14. Mazzocca AD, Bicos J, Santangelo S, Romeo AA, Arciero RA. The biomechanical evaluation of four fixation techniques for proximal biceps tenodesis. Arthroscopy. 2005;21:1296–306.

    Article  PubMed  Google Scholar 

  15. Lim TK, Moon ES, Koh KH, Yoo JC. Patient-related factors and complications after arthroscopic tenotomy of the long head of the biceps tendon. Am J Sports Med. 2011;39:783–9.

    Article  PubMed  Google Scholar 

  16. Heest AV, Glisson C, Patel S. Musculocutaneous nerve entrapment. Am J Sports Med. 2009;37:2467–9.

    Article  PubMed  Google Scholar 

  17. Koch BS, Burks RT. Failure of biceps tenodesis with interference screw fixation. Arthroscopy. 2012;28:735–40.

    Article  PubMed  Google Scholar 

  18. Zhang Q, Zhou J, Ge H, Cheng B. Tenotomy or tenodesis for long head biceps lesions in shoulders with reparable rotator cuff tears: a prospective randomized trial. Knee Surg Sports Traumatol Arthrosc. 2015;23:464–9.

    Article  PubMed  Google Scholar 

  19. Sampatacos N, Getelman MH, Henninger HB. Biomechanical comparison of two techniques for arthroscopic suprapectoral biceps tenodesis: interference screw versus implant-free intraosseous tendon fixation. J Shoulder Elbow Surg. 2014;23:1731–9.

    Article  PubMed  Google Scholar 

  20. Kaback LA, Gowda AL, Paller D, Green A, Blaine T. Long head biceps tenodesis with a knotless cinch suture anchor: a biomechanical analysis. Arthroscopy. 2015;31:831–5.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Boris Poberaj MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 ESSKA

About this chapter

Cite this chapter

Poberaj, B. (2016). Long Head of the Biceps Pathology. In: Randelli, P., Dejour, D., van Dijk, C., Denti, M., Seil, R. (eds) Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49376-2_49

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-49376-2_49

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49374-8

  • Online ISBN: 978-3-662-49376-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics