Diagnosis of Long Head of Biceps Pathology
- RRS Education
Diagnosis of long head of the biceps tendon (LHBT) pathology is challenging. The history often includes vague and inconsistent complaints and physical testing is often unreliable in isolation, while lacking sensitivity and specificity even when used in combination. Ultrasound (US) has shown 100% specificity in detecting dislocation and rupture of the LHBT. However, these are less common conditions and US is less useful for detecting more common problems such as partial thickness tearing. The utility of US can also be limited by technician skill. MRI is even less useful, with non-enhanced MRI only showing a sensitivity of 27% and specificity of 84% for lesions of the LHBT. Individuals with shoulder pathology often subsequently undergo glenohumeral arthroscopy. However, this has been shown to only detect 67% of the LHBT pathology found on open examination and to underestimate pathology in 56% of cases. This review (published in the Journal of ISAKOS, 2017) examined emerging technologies and how they are improving the quality of existing technologies to provide a better understanding and more complete diagnostic capabilities of the LHBT complex…SUBSCRIBE OR LOG IN TO ACCESS THIS RESEARCH REVIEW!