Biceps Long Head Flashcards

1
Q

Stabilized by

A

Transverse humeral lig
Coracohumeral lig - superior stability.
SGHL - superior stability.
Biciptal groove - depth ~4.3mm (if too shallow, harder to keep tdn in place).

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2
Q

Inflammatory/degenerative conditions: tendonitis

A

Primary - inflam in bi groove WITHOUT associated shld pathology.
Secondary - chronic inflam WITH associated shld pathology.

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3
Q

Inflammatory/degenerative conditions: tenosynovitis

A

inflam of tdn sheath.

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4
Q

Inflammatory/degenerative conditions: tendinosis

A

degeneration of tdn.

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5
Q

What mechnisms cause inflammatory/degenerative conditions?

A

Follow thru phase of throwing/hitting (horizontal ADD + IR + flex).
Tight post capsule = more HH ant translation.
Impingement.

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6
Q

Inflammatory/degenerative conditions presentation (initially & over time)

A

Initially - swollen, discoloration.

Over time - tdn thickens, becomes irregular, possible scarring.

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7
Q

What mechanisms cause instability of the tendon (sublux or dislocate)?

A
Medial force displaces tendon.
Repetitive throwing (ER + ABD).
Shallow groove.
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8
Q

Normal tendon angle

A

30-40° laterally from origin to groove

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9
Q

Sublux/dislocated presentation

A

Ant shoulder pain.
Popping.
Commonly seen w/ RC injury.

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10
Q

Rupture - what is it, presentation?

A

tdn completely detached from labrum.
Pt often reports “snap” w/ OH activity.
Often relief of shoulder pain.
Bi musc belly migrates distally.

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11
Q

Main subjective info

A
Insidious onset OR after injury/trauma.
Anterior shld pain.
Pain @ rest
night pain
pop/snap/click
cramping of biceps
bruising
“popeye” deformity.
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12
Q

Phase 1 Tx

A

pain management, PROM in pain-free range.

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13
Q

Phase 2 Tx

A

AROM in pain-free range, basic strengthening.

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14
Q

Phase 3 Tx

A

strengthening RC & periscap.

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15
Q

Phase 4 Tx

A

return to activity/sport.

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