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Biceps Tendon Dislocation
Michael J. Tuite, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Biceps tendon (BT)
              • Synonyms

                • BT subluxation, BT instability
              • Definitions

                • Displacement of BT out of bicipital groove
                  • ± subscapularis or transverse ligament tear
                • Biceps pulley: Coracohumeral ligament (CHL) medial band and lateral insertion of superior glenohumeral ligament (SGHL)
                • BT generally refers to long head BT
                  • Short head BT originates from coracoid process

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Reporting Tips

                                          Selected References

                                          1. Celikyay F et al: Locations of lesser tuberosity cysts and their association with subscapularis, supraspinatus, and long head of the biceps tendon disorders. Acta Radiol. ePub, 2014
                                          2. Schaeffeler C et al: Lesions of the biceps pulley: diagnostic accuracy of MR arthrography of the shoulder and evaluation of previously described and new diagnostic signs. Radiology. 264(2):504-13, 2012
                                          3. Tonino PM et al: Complex shoulder disorders: evaluation and treatment. J Am Acad Orthop Surg. 17(3):125-36, 2009
                                          4. Gaskin CM et al: Anomalies of the long head of the biceps brachii tendon: clinical significance, MR arthrographic findings, and arthroscopic correlation in two patients. Skeletal Radiol. 36(8):785-9, 2007
                                          5. Lin A et al: Magnetic resonance imaging of the long head of the biceps tendon: benefit of coplanar image. J Comput Assist Tomogr. 31(4):642-8, 2007
                                          6. Morag Y et al: MR arthrography of rotator interval, long head of the biceps brachii, and biceps pulley of the shoulder. Radiology. 235(1):21-30, 2005
                                          7. Beall DP et al: Association of biceps tendon tears with rotator cuff abnormalities: degree of correlation with tears of the anterior and superior portions of the rotator cuff. AJR Am J Roentgenol. 180(3):633-9, 2003
                                          8. Beltran J et al: Shoulder: labrum and bicipital tendon. Top Magn Reson Imaging. 14(1):35-49, 2003
                                          9. Martinoli C et al: US of the shoulder: non-rotator cuff disorders. Radiographics. 23(2):381-401; quiz 534, 2003
                                          10. Spritzer CE et al: Assessment of instability of the long head of the biceps tendon by MRI. Skeletal Radiol. 30(4):199-207, 2001
                                          11. De Maeseneer M et al: CT and MR arthrography of the normal and pathologic anterosuperior labrum and labral-bicipital complex. Radiographics. 20 Spec No:S67-81, 2000
                                          12. Ho CP: MR imaging of rotator interval, long biceps, and associated injuries in the overhead-throwing athlete. Magn Reson Imaging Clin N Am. 7(1):23-37, 1999
                                          13. Weishaupt D et al: Lesions of the reflection pulley of the long biceps tendon. MR arthrographic findings. Invest Radiol. 34(7):463-9, 1999
                                          14. Yeh L et al: Intracapsular origin of the long head of the biceps tendon. Skeletal Radiol. 28(3):178-81, 1999
                                          15. Gückel C et al: MR arthrographic findings in tenosynovitis of the long bicipital tendon of the shoulder. Skeletal Radiol. 27(1):7-12, 1998
                                          16. Kreitner KF et al: Superior labrum and labral-bicipital complex: MR imaging with pathologic-anatomic and histologic correlation. AJR Am J Roentgenol. 170(3):599-605, 1998
                                          17. Zanetti M et al: Tendinopathy and rupture of the tendon of the long head of the biceps brachii muscle: evaluation with MR arthrography. AJR Am J Roentgenol. 170(6):1557-61, 1998
                                          18. Nidecker A et al: Imaging the long head of biceps tendon--a pictorial essay emphasizing magnetic resonance. Eur J Radiol. 25(3):177-87, 1997
                                          19. Tuckman GA: Abnormalities of the long head of the biceps tendon of the shoulder: MR imaging findings. AJR Am J Roentgenol. 163(5):1183-8, 1994
                                          20. van Leersum M et al: Magnetic resonance imaging of the biceps complex. Magn Reson Imaging Clin N Am. 1(1):77-86, 1993
                                          21. Cervilla V et al: Medial dislocation of the biceps brachii tendon: appearance at MR imaging. Radiology. 180(2):523-6, 1991
                                          22. Chan TW et al: Biceps tendon dislocation: evaluation with MR imaging. Radiology. 179(3):649-52, 1991
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Biceps tendon (BT)
                                                      • Synonyms

                                                        • BT subluxation, BT instability
                                                      • Definitions

                                                        • Displacement of BT out of bicipital groove
                                                          • ± subscapularis or transverse ligament tear
                                                        • Biceps pulley: Coracohumeral ligament (CHL) medial band and lateral insertion of superior glenohumeral ligament (SGHL)
                                                        • BT generally refers to long head BT
                                                          • Short head BT originates from coracoid process

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Reporting Tips

                                                                                  Selected References

                                                                                  1. Celikyay F et al: Locations of lesser tuberosity cysts and their association with subscapularis, supraspinatus, and long head of the biceps tendon disorders. Acta Radiol. ePub, 2014
                                                                                  2. Schaeffeler C et al: Lesions of the biceps pulley: diagnostic accuracy of MR arthrography of the shoulder and evaluation of previously described and new diagnostic signs. Radiology. 264(2):504-13, 2012
                                                                                  3. Tonino PM et al: Complex shoulder disorders: evaluation and treatment. J Am Acad Orthop Surg. 17(3):125-36, 2009
                                                                                  4. Gaskin CM et al: Anomalies of the long head of the biceps brachii tendon: clinical significance, MR arthrographic findings, and arthroscopic correlation in two patients. Skeletal Radiol. 36(8):785-9, 2007
                                                                                  5. Lin A et al: Magnetic resonance imaging of the long head of the biceps tendon: benefit of coplanar image. J Comput Assist Tomogr. 31(4):642-8, 2007
                                                                                  6. Morag Y et al: MR arthrography of rotator interval, long head of the biceps brachii, and biceps pulley of the shoulder. Radiology. 235(1):21-30, 2005
                                                                                  7. Beall DP et al: Association of biceps tendon tears with rotator cuff abnormalities: degree of correlation with tears of the anterior and superior portions of the rotator cuff. AJR Am J Roentgenol. 180(3):633-9, 2003
                                                                                  8. Beltran J et al: Shoulder: labrum and bicipital tendon. Top Magn Reson Imaging. 14(1):35-49, 2003
                                                                                  9. Martinoli C et al: US of the shoulder: non-rotator cuff disorders. Radiographics. 23(2):381-401; quiz 534, 2003
                                                                                  10. Spritzer CE et al: Assessment of instability of the long head of the biceps tendon by MRI. Skeletal Radiol. 30(4):199-207, 2001
                                                                                  11. De Maeseneer M et al: CT and MR arthrography of the normal and pathologic anterosuperior labrum and labral-bicipital complex. Radiographics. 20 Spec No:S67-81, 2000
                                                                                  12. Ho CP: MR imaging of rotator interval, long biceps, and associated injuries in the overhead-throwing athlete. Magn Reson Imaging Clin N Am. 7(1):23-37, 1999
                                                                                  13. Weishaupt D et al: Lesions of the reflection pulley of the long biceps tendon. MR arthrographic findings. Invest Radiol. 34(7):463-9, 1999
                                                                                  14. Yeh L et al: Intracapsular origin of the long head of the biceps tendon. Skeletal Radiol. 28(3):178-81, 1999
                                                                                  15. Gückel C et al: MR arthrographic findings in tenosynovitis of the long bicipital tendon of the shoulder. Skeletal Radiol. 27(1):7-12, 1998
                                                                                  16. Kreitner KF et al: Superior labrum and labral-bicipital complex: MR imaging with pathologic-anatomic and histologic correlation. AJR Am J Roentgenol. 170(3):599-605, 1998
                                                                                  17. Zanetti M et al: Tendinopathy and rupture of the tendon of the long head of the biceps brachii muscle: evaluation with MR arthrography. AJR Am J Roentgenol. 170(6):1557-61, 1998
                                                                                  18. Nidecker A et al: Imaging the long head of biceps tendon--a pictorial essay emphasizing magnetic resonance. Eur J Radiol. 25(3):177-87, 1997
                                                                                  19. Tuckman GA: Abnormalities of the long head of the biceps tendon of the shoulder: MR imaging findings. AJR Am J Roentgenol. 163(5):1183-8, 1994
                                                                                  20. van Leersum M et al: Magnetic resonance imaging of the biceps complex. Magn Reson Imaging Clin N Am. 1(1):77-86, 1993
                                                                                  21. Cervilla V et al: Medial dislocation of the biceps brachii tendon: appearance at MR imaging. Radiology. 180(2):523-6, 1991
                                                                                  22. Chan TW et al: Biceps tendon dislocation: evaluation with MR imaging. Radiology. 179(3):649-52, 1991