Journal of Bone and Joint Surgery, 1948;30:263-273.
© 1948 by The Journal of Bone and Joint Surgery, Inc
PAINFUL SHOULDER
Observations on the Role of the Tendon of the Long Head of the Biceps Brachii in Its Causation
Harold H. Hitchcock M.D.1 and
Charles O. Bechtol M.D.1
1 Department of Orthopadic Surgery, Samuelact Merritt Hospital Oakland
1. Lesions of the biceps tendon may be a cause of painful shoulder.
2. The normal anatomical mechanics of the biceps tendon are faulty. A supratubercular ridge or flat bicipital groove increases the mechanical difficulties.
3. An operation to fix the tendon in the bicipital groove and to remove that portion of the tendon above the groove relieves the symptoms caused by it and does not materially weaken the shoulder.

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