|
The Journal of Bone and Joint Surgery, Vol 77, Issue 3 366-372, Copyright © 1995 by Journal of Bone and Joint Surgery, Inc
The role of the long head of the biceps brachii in superior stability of the glenohumeral joint
JJ Warner and PJ McMahon
Department of Orthopaedic Surgery, University of Pittsburgh, Pennsylvania 15213.
We studied seven patients who had isolated loss of the proximal attachment
of the tendon of the long head of the biceps brachii, documented
operatively or with magnetic resonance imaging, in order to identify and
measure superior translation of the humeral head on the glenoid. Four true
anteroposterior radiographs were made of both shoulders, before and after
the operation, with 0, 45, 90, and 120 degrees of humeral abduction in the
scapular plane. Four patients were managed with arthroscopic acromioplasty
with an open biceps tenodesis; one, with open biceps tenodesis alone; and
one, with debridement of a ruptured biceps stump; the remaining patient was
managed non-operatively. Two to six millimeters of superior translation of
the humeral head was noted in each patient in all positions of humeral
abduction except 0 degrees. This translation was significant compared with
the contralateral (control) shoulder. Kappa statistical analysis showed
excellent reproducibility and interobserver reliability of the technique of
radiographic measurement. The results of this study support the role of the
tendon of the long head of the biceps brachii as a stabilizer of the
humeral head in the glenoid during abduction of the shoulder in the
scapular plane.
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
F. A. Barber, L. D. Field, and R. K.N. Ryu
Biceps tendon and superior labrum injuries: decision-marking.
J. Bone Joint Surg. Am.,
August 1, 2007;
89(8):
1844 - 1855.
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. Boileau, F. Baque, L. Valerio, P. Ahrens, C. Chuinard, and C. Trojani
Isolated Arthroscopic Biceps Tenotomy or Tenodesis Improves Symptoms in Patients with Massive Irreparable Rotator Cuff Tears
J. Bone Joint Surg. Am.,
April 1, 2007;
89(4):
747 - 757.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
Y. Morag, J. A. Jacobson, G. Shields, R. Rajani, D. A. Jamadar, B. Miller, and C. W. Hayes
MR Arthrography of Rotator Interval, Long Head of the Biceps Brachii, and Biceps Pulley of the Shoulder
Radiology,
April 1, 2005;
235(1):
21 - 30.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. M. Kelly, M. C. Drakos, S. Fealy, S. A. Taylor, and S. J. O'Brien
Arthroscopic Release of the Long Head of the Biceps Tendon: Functional Outcome and Clinical Results
Am. J. Sports Med.,
February 1, 2005;
33(2):
208 - 213.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. B. Myers, Y.-Y. Ju, J.-H. Hwang, P. J. McMahon, M. W. Rodosky, and S. M. Lephart
Reflexive Muscle Activation Alterations in Shoulders With Anterior Glenohumeral Instability
Am. J. Sports Med.,
June 1, 2004;
32(4):
1013 - 1021.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. J. P. Warner
Management of Massive Irreparable Rotator Cuff Tears: The Role of Tendon Transfer*{{dagger}}
J. Bone Joint Surg. Am.,
June 1, 2000;
82(6):
878 - 878.
[Full Text]
|
|
|
|
|
|
|
E. L. FLATOW and J. J. P. WARNER
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Instability of the Shoulder: Complex Problems and Failed Repairs. Part I. Relevant Biomechanics, Multidirectional Instability, and Severe Loss of Glenoid and Humeral Bone*{{dagger}}
J. Bone Joint Surg. Am.,
January 1, 1998;
80(1):
122 - 40.
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. U. BIGLIANI and W. N. LEVINE
Current Concepts Review - Subacromial Impingement Syndrome
J. Bone Joint Surg. Am.,
December 1, 1997;
79(12):
1854 - 68.
[Full Text]
|
|
|
|
