BICEPS TENDON INJURY

The biceps muscle has two tendons that originate from the shoulder area: the long head and the short head. The long head of the biceps originates adjacent to the labrum from inside the shoulder joint, just above the socket (glenoid). The long head of the biceps helps stabilize the shoulder, particularly during overhead activity. Pitchers, volleyball players and other overhead athletes often develop injuries to the long head of the biceps and/or the labrum in the shoulder. Other individuals who commonly injure the biceps tendon include labrorers, recreational athletes, and weight lifters.

Symptoms

• Crampy discomfort with certain shoulder motion
• A sense of instability and weakness when throwing
• Pain in the “front” of the shoulder

Diagnosis And Treatment

Dr. Welch considers each patient’s symptoms, as well as a detailed physical examination and x-rays to make the diagnosis. Dr. Welch usually orders an MRI or ultrasound if he is concerned about inflammation or tearing within the long head of the biceps tendon. Most patients with injury to the biceps tendon can be treated without surgery. Options include a physical therapy program, oral analgesics, as well as targeted injections (for example, a steroid injection). In those patients who fail conservative measurement, surgical options include biceps tenotomy (release of the long head) or biceps tenodesis (release of long head and re-insertion below the shoulder joint into the humerus).

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