Focal partial tears of the long head of the biceps brachii tendon at the entrance to the bicipital groove: MR imaging findings, surgical correlation, and clinical significance

Cree M. Gaskin, Mark W. Anderson, Asim Choudhri, David R. Diduch

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose: The purpose of the study was to depict a subset of focal partial tears of the biceps brachii tendon, occurring at the entrance to the bicipital groove, which can be difficult to detect with MRI. Subjects and methods: The institutional review board approved this HIPAA-compliant study; informed consent was waived. The authors retrospectively reviewed imaging and medical records in 16 consecutive patients (12 men, 4 women; mean age, 57 years) who had prospective MRI diagnoses of tendinopathy and/or partial tearing of the intra-articular segment of the long head of the biceps brachii tendon (LHBT) at the entrance to the bicipital groove (restricted to within 1 cm of the groove entrance) and who also had surgical correlation within 4 months of imaging. Results: Focal intrasubstance signal abnormality was noted in the tendons of 16 out of 16 (100%) patients. Focal tendon enlargement was noted in 8 out of 16 patients (50%). Fifteen out of 16 biceps partial tears (94%) were treated surgically. Shoulder pathology was restricted to the groove entrance in 4 out of 16 patients (25%). Conclusions: We depict a subset of focal partial tears of the biceps tendon, which can be difficult to detect on MRI because of their anatomical location at the entrance to the bicipital groove. Although they may coexist with other causes of shoulder pain, these lesions can also occur in isolation. In either case, they are potential causes of pain that can be addressed surgically.

Original languageEnglish (US)
Pages (from-to)959-965
Number of pages7
JournalSkeletal Radiology
Volume38
Issue number10
DOIs
StatePublished - Oct 1 2009

Fingerprint

Tears
Tendons
Health Insurance Portability and Accountability Act
Tendinopathy
Shoulder Pain
Research Ethics Committees
Informed Consent
Medical Records
Joints
Pathology
Pain

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Focal partial tears of the long head of the biceps brachii tendon at the entrance to the bicipital groove : MR imaging findings, surgical correlation, and clinical significance. / Gaskin, Cree M.; Anderson, Mark W.; Choudhri, Asim; Diduch, David R.

In: Skeletal Radiology, Vol. 38, No. 10, 01.10.2009, p. 959-965.

Research output: Contribution to journalArticle

@article{75d62cbfb85b4d12971d8c985f4c9a3d,
title = "Focal partial tears of the long head of the biceps brachii tendon at the entrance to the bicipital groove: MR imaging findings, surgical correlation, and clinical significance",
abstract = "Purpose: The purpose of the study was to depict a subset of focal partial tears of the biceps brachii tendon, occurring at the entrance to the bicipital groove, which can be difficult to detect with MRI. Subjects and methods: The institutional review board approved this HIPAA-compliant study; informed consent was waived. The authors retrospectively reviewed imaging and medical records in 16 consecutive patients (12 men, 4 women; mean age, 57 years) who had prospective MRI diagnoses of tendinopathy and/or partial tearing of the intra-articular segment of the long head of the biceps brachii tendon (LHBT) at the entrance to the bicipital groove (restricted to within 1 cm of the groove entrance) and who also had surgical correlation within 4 months of imaging. Results: Focal intrasubstance signal abnormality was noted in the tendons of 16 out of 16 (100{\%}) patients. Focal tendon enlargement was noted in 8 out of 16 patients (50{\%}). Fifteen out of 16 biceps partial tears (94{\%}) were treated surgically. Shoulder pathology was restricted to the groove entrance in 4 out of 16 patients (25{\%}). Conclusions: We depict a subset of focal partial tears of the biceps tendon, which can be difficult to detect on MRI because of their anatomical location at the entrance to the bicipital groove. Although they may coexist with other causes of shoulder pain, these lesions can also occur in isolation. In either case, they are potential causes of pain that can be addressed surgically.",
author = "Gaskin, {Cree M.} and Anderson, {Mark W.} and Asim Choudhri and Diduch, {David R.}",
year = "2009",
month = "10",
day = "1",
doi = "10.1007/s00256-009-0720-z",
language = "English (US)",
volume = "38",
pages = "959--965",
journal = "Skeletal Radiology",
issn = "0364-2348",
publisher = "Springer Verlag",
number = "10",

}

TY - JOUR

T1 - Focal partial tears of the long head of the biceps brachii tendon at the entrance to the bicipital groove

T2 - MR imaging findings, surgical correlation, and clinical significance

AU - Gaskin, Cree M.

AU - Anderson, Mark W.

AU - Choudhri, Asim

AU - Diduch, David R.

PY - 2009/10/1

Y1 - 2009/10/1

N2 - Purpose: The purpose of the study was to depict a subset of focal partial tears of the biceps brachii tendon, occurring at the entrance to the bicipital groove, which can be difficult to detect with MRI. Subjects and methods: The institutional review board approved this HIPAA-compliant study; informed consent was waived. The authors retrospectively reviewed imaging and medical records in 16 consecutive patients (12 men, 4 women; mean age, 57 years) who had prospective MRI diagnoses of tendinopathy and/or partial tearing of the intra-articular segment of the long head of the biceps brachii tendon (LHBT) at the entrance to the bicipital groove (restricted to within 1 cm of the groove entrance) and who also had surgical correlation within 4 months of imaging. Results: Focal intrasubstance signal abnormality was noted in the tendons of 16 out of 16 (100%) patients. Focal tendon enlargement was noted in 8 out of 16 patients (50%). Fifteen out of 16 biceps partial tears (94%) were treated surgically. Shoulder pathology was restricted to the groove entrance in 4 out of 16 patients (25%). Conclusions: We depict a subset of focal partial tears of the biceps tendon, which can be difficult to detect on MRI because of their anatomical location at the entrance to the bicipital groove. Although they may coexist with other causes of shoulder pain, these lesions can also occur in isolation. In either case, they are potential causes of pain that can be addressed surgically.

AB - Purpose: The purpose of the study was to depict a subset of focal partial tears of the biceps brachii tendon, occurring at the entrance to the bicipital groove, which can be difficult to detect with MRI. Subjects and methods: The institutional review board approved this HIPAA-compliant study; informed consent was waived. The authors retrospectively reviewed imaging and medical records in 16 consecutive patients (12 men, 4 women; mean age, 57 years) who had prospective MRI diagnoses of tendinopathy and/or partial tearing of the intra-articular segment of the long head of the biceps brachii tendon (LHBT) at the entrance to the bicipital groove (restricted to within 1 cm of the groove entrance) and who also had surgical correlation within 4 months of imaging. Results: Focal intrasubstance signal abnormality was noted in the tendons of 16 out of 16 (100%) patients. Focal tendon enlargement was noted in 8 out of 16 patients (50%). Fifteen out of 16 biceps partial tears (94%) were treated surgically. Shoulder pathology was restricted to the groove entrance in 4 out of 16 patients (25%). Conclusions: We depict a subset of focal partial tears of the biceps tendon, which can be difficult to detect on MRI because of their anatomical location at the entrance to the bicipital groove. Although they may coexist with other causes of shoulder pain, these lesions can also occur in isolation. In either case, they are potential causes of pain that can be addressed surgically.

UR - http://www.scopus.com/inward/record.url?scp=69549103070&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=69549103070&partnerID=8YFLogxK

U2 - 10.1007/s00256-009-0720-z

DO - 10.1007/s00256-009-0720-z

M3 - Article

C2 - 19533121

AN - SCOPUS:69549103070

VL - 38

SP - 959

EP - 965

JO - Skeletal Radiology

JF - Skeletal Radiology

SN - 0364-2348

IS - 10

ER -