Chronic Long Head Biceps Tendinitis Secondary to Anomalous Origins in Young Patients: A Case Series | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 4، دوره 7، شماره 6، بهمن 2019، صفحه 493-497 اصل مقاله (710.95 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2019.40476.2091 | ||
| نویسندگان | ||
| Soheil Sabzevari1؛ Mostafa Khalilipour Roudi2؛ Jay Kalawadia3؛ Albert Lin* 4 | ||
| 1Department of Orthopaedic Surgery, Division of Shoulder Surgery and Sports Medicine, University of Pittsburgh, UPMC Center for Sports, Pittsburgh, PA, USA Department of Orthopaedic Surgery, Razavi Hospital, Mashhad, Iran | ||
| 2Department of Orthopaedic Surgery, Razavi Hospital, Mashhad, Iran | ||
| 3Department of Orthopaedic Surgery, Advanced Orthopaedic Centers, Woodbury, NJ, USA | ||
| 4Department of Orthopaedic Surgery, Division of Shoulder Surgery and Sports Medicine, University of Pittsburgh, UPMC Center for Sports, Pittsburgh, PA, USA | ||
| چکیده | ||
| Background: To describe a case series of young adult patients with isolated chronic proximal biceps tendinitis refractory to conservative care found to have anatomic long head biceps tendon (LHBT) origin variations who underwent arthroscopic-assisted subpectoral biceps tenodesis. Methods: Patients were included in this retrospective case series if they met all the following criteria: 1) had an anomalous origin of the LHBT without any pre-operative or concurrent pathologies at the time of surgery, 2) had nontraumatic anterior shoulder pain refractory to conservative care for >6 months, 3) pain relief with ultrasound guided steroid injections into the bicipital tendon sheath, and 4) routine radiographs and MRI-arthrogram demonstrating no pathology. All patients underwent arthroscopic assisted mini-open subpectoral biceps tenodesis. Pre- and postoperative active range of motion (ROM), strength, visual analog scale (VAS) for pain, and subjective shoulder values (SSV) were evaluated. Statistical analysis was done using repeated measure ANOVA. Results: Seven patients mean age of 18.4 ± 3.5 years old were included in this study. Arthroscopic examination revealed anomalous origins of the LHBT in all patients with the following distribution: medial to superior labrum (x2), proximal insertion to the supraspinatus confluent with the superior labrum (x2), insertion into the superior capsular tissues at the rotator interval (x2), and bifid LHBT (x1). VAS score and SSV were significantly improved at 3 months (PConclusion: Anomalous origins of the LHBT may be a predisposing factor for chronic biceps tendinitis refractory to non-operative treatment in young adults. Biceps tenodesis seems to offer improvements in function and pain. Level of evidence: IV | ||
| کلیدواژهها | ||
| Anomalous origins؛ Chronic؛ Long head biceps tendinitis | ||
| مراجع | ||
|
1. Krupp RJ, Kevern MA, Gaines MD, Kotara S, Singleton SB. Long head of the biceps tendon pain: differential diagnosis and treatment. J Orthop Sports Phys Ther. 2009; 39(2):55-70. 2. Longo UG, Loppini M, Marineo G, Khan WS, Maffulli N, Denaro V. Tendinopathy of the tendon of the long head of the biceps. Sports Med Arthrosc. 2011; 19(4):321-32. 3. Gaskin CM, Golish SR, Blount KJ, Diduch DR. Anomalies of the long head of the biceps brachii tendon: clinical significance, MR arthrographic findings, and arthroscopic correlation in two patients. Skeletal Radiol. 2007; 36(8):785-9. 4. Richards DP, Schwartz M. Anomalous intraarticular origin of the long head of biceps brachii. Clin J Sport Med. 2003; 13(2):122-4. 5. Smith EL, Matzkin EG, Kim DH, Harpstrite JK, Kan DM. Congenital absence of the long head of the biceps brachii tendon as a VATER association. Am J Orthop (Belle Mead NJ). 2002; 31(8):452-4. 6. Hyman JL, Warren RF. Extra-articular origin of biceps brachii. Arthroscopy. 2001; 17(7):E29. 7. Enad JG. Bifurcate origin of the long head of the biceps tendon. Arthroscopy. 2004; 20(10):1081-3. 8. Zhang AL, Gates CH, Link TM, Ma CB. Abnormal origins of the long head of the biceps tendon can lead to rotator cuff pathology: a report of two cases. Skeletal Radiol. 2014; 43(11):1621-6. 9. Ghalayini SR, Board TN, Srinivasan MS. Anatomic variations in the long head of biceps: contribution to shoulder dysfunction. Arthroscopy. 2007; 23(9):1012-8. 10. Glueck DA, Mair SD, Johnson DL. Shoulder instability with absence of the long head of the biceps tendon. Arthroscopy. 2003; 19(7):787-9. 11. Compston A. Aids to the investigation of peripheral nerve injuries. Medical Research Council: Nerve Injuries Research Committee. His Majesty’s Stationery Office: 1942; pp. 48 (iii) and 74 figures and 7 diagrams; with aids to the examination of the peripheral nervous system. By Michael O’Brien for the Guarantors of Brain. Saunders Elsevier: 2010; pp. [8] 64 and 94 Figures. Brain. 2010; 133(10):2838-44. 12. Foad A, Faruqui S. Case report: absence of the long head of the biceps brachii tendon. Iowa Orthop J. 2016; 36:88-93. 13. Franco JC, Knapp TP, Mandelbaum BR. Congenital absence of the long head of the biceps tendon. A case report. J Bone Joint Surg Am. 2005; 87(7):1584-6. 14. Sayeed SA, Shah JP, Collins MS, Dahm DL. Absence of the long head of the biceps tendon associated with glenoid dysplasia and posterior labral tear. Clin Anat. 2008; 21(7):728-32. 15. Kim KC, Rhee KJ, Shin HD. A long head of the biceps tendon confluent with the intra-articular rotator cuff: arthroscopic and MR arthrographic findings. Arch Orthop Trauma Surg. 2009; 129(3):311-4. 16. Wittstein J, Lassiter T Jr, Taylor D. Aberrant origin of the long head of the biceps: a case series. J Shoulder Elbow Surg. 2012; 21(3):356-60. 17. MacDonald PB. Congenital anomaly of the biceps tendon and anatomy within the shoulder joint. Arthroscopy. 1998; 14(7):741-2. 18. Lang JE, Vinson EN, Basamania CJ. Anomalous biceps tendon insertion into the rotator cable: a case report. J Surg Orthop Adv. 2008; 17(2):93-5. 19. Pagnani MJ, Deng XH, Warren RF, Torzilli PA, O’Brien SJ. Role of the long head of the biceps brachii in glenohumeral stability: a biomechanical study in cadavera. J Shoulder Elbow Surg. 1996; 5(4):255-62. 20. Warner JJ, McMahon PJ. The role of the long head of the biceps brachii in superior stability of the glenohumeral joint. J Bone Joint Surg Am. 1995; 77(3):366-72. 21. Itoi E, Motzkin NE, Morrey BF, An KN. Stabilizing function of the long head of the biceps in the hanging arm position. J Shoulder Elbow Surg. 1994; 3(3):135-42. | ||
|
آمار تعداد مشاهده مقاله: 433 تعداد دریافت فایل اصل مقاله: 264 |
||