<p><img src="fileadmin/img/gruppen_pfeil.gif" width="39" height="12" alt="#" border="0" /> The complicated interplay of a total of 3 joints and 2 accessory joints is essential to the perfect functioning of the shoulder. </p>

# The complicated interplay of a total of 3 joints and 2 accessory joints is essential to the perfect functioning of the shoulder.

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Injuries to the long head of biceps tendon

Course of the long head of biceps tendon, rotator interval
Course of the long head of biceps tendon, rotator interval
Biceps tendon separation (SLAP)
Biceps tendon separation (SLAP)

The long head of biceps tendon has a complicated course (through the shoulder joint and around the head of the humerus down to the groove on the anterior aspect of the humerus: see illustration “Course of the long head of biceps tendon, rotator interval”). Because of this anatomical peculiarity, the long head of biceps tendon is often prone to injuries and painful irritations.

For instance, chronic inflammations or partial tears in the long head of biceps tendon are common, and these can cause some extremely unpleasant problems in the anterior shoulder region. The inflammatory adhesions which occur with these can in many cases be treated endoscopically.

Tears in the long head of biceps tendon, from the lip of the joint socket (glenoid labrum) at the upper margin of the glenoid cavity (SLAP lesions), occur frequently. They are treatable arthroscopically with special suture techniques (refixation of tendon to glenoid labrum).

Another cause of conditions which specifically affect the biceps tendon is tendon instability, both in the joint region and at the bony groove of the humerus. However, only a few centers, which specialize in the shoulder, are sufficiently conversant with the first cause of pain. Accordingly, only specialists experienced in shoulder pathology should undertake the appropriate minimally invasive reconstructions which require technical precision work.

Tear in the long head of biceps tendon and labrum anchoring (SLAP IV)
Tear in the long head of biceps tendon and labrum anchoring (SLAP IV)
Arthroscopic image of an intact long head of biceps tendon
Arthroscopic image of an intact long head of biceps tendon
Resection from a long head of biceps tendon which has undergone severe inflammatory change (after tenodesis)
Resection from a long head of biceps tendon which has undergone severe inflammatory change (after tenodesis)

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© 2011 - Injury to the long head of biceps tendon