Additional Information
Book Details
Abstract
This issue will focus on the management and treatment Proximal Biceps, including articles on the following: Anatomy and Biomechanics of the proximal biceps tendon, Physical Examination of proximal biceps disorders, Imaging for proximal biceps disorders, Nonoperative management of proximal biceps disorders (including USG guided injections technique), Tenotomy versus tenodesis, Injuries to the Bicep Pulley, and many more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Proximal Biceps\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Foreword\r | vii | ||
| Preface: The Proximal Biceps Tendon\r | vii | ||
| Clinically Relevant Anatomy and Biomechanics of the Proximal Biceps\r | vii | ||
| Injuries to the Biceps Pulley\r | vii | ||
| Examination of the Biceps Tendon\r | vii | ||
| How Accurate Are We in Detecting Biceps Tendinopathy?\r | viii | ||
| Nonoperative Management (Including Ultrasound-Guided Injections) of Proximal Biceps Disorders\r | viii | ||
| The Painful Long Head of the Biceps Brachii: Nonoperative Treatment Approaches\r | viii | ||
| Biceps Tenotomy Versus Tenodesis\r | viii | ||
| Arthroscopic Surgical Techniques for the Management of Proximal Biceps Injuries\r | ix | ||
| Open Subpectoral Tenodesis of the Proximal Biceps\r | ix | ||
| Proximal Biceps Tendon and Rotator Cuff Tears\r | ix | ||
| Proximal Biceps in Overhead Athletes\r | ix | ||
| Complications of Proximal Biceps Tenotomy and Tenodesis\r | x | ||
| CLINICS IN SPORTS MEDICINE\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| April 2016 | xi | ||
| July 2016 | xi | ||
| October 2016 | xi | ||
| RECENT ISSUES | xi | ||
| October 2015 | xi | ||
| July 2015 | xi | ||
| April 2015 | xi | ||
| January 2015 | xi | ||
| Foreword: The Proximal Biceps Tendon \r | xiii | ||
| Preface: The Proximal Biceps Tendon \r | xv | ||
| Clinically Relevant Anatomy and Biomechanics of the Proximal Biceps | 1 | ||
| Key points | 1 | ||
| INTRODUCTION | 1 | ||
| ANATOMY AND FUNCTION | 2 | ||
| Inside | 2 | ||
| Glenoid labrum | 2 | ||
| Superior labrum | 2 | ||
| Biceps anchor | 3 | ||
| Junction | 4 | ||
| Intra-articular long head of the biceps tendon | 4 | ||
| Biceps pulley | 4 | ||
| Injuries to the Biceps Pulley | 19 | ||
| Key points | 19 | ||
| INTRODUCTION | 19 | ||
| CLASSIFICATION | 20 | ||
| CLINICAL EXAMINATION | 20 | ||
| IMAGING | 21 | ||
| INDICATIONS FOR OPERATIVE TREATMENT | 22 | ||
| SURGICAL OPTIONS | 22 | ||
| Preparation and Patient Positioning | 23 | ||
| Diagnostic Arthroscopy | 23 | ||
| THE AUTHORS’ PREFERRED TECHNIQUE FOR TREATMENT OF BICEPS PULLEY LESIONS | 23 | ||
| COMPLICATIONS AND MANAGEMENT | 24 | ||
| POSTOPERATIVE CARE | 24 | ||
| OUTCOMES | 25 | ||
| SUMMARY | 26 | ||
| REFERENCES | 26 | ||
| Examination of the Biceps Tendon | 29 | ||
| Key points | 29 | ||
| INTRODUCTION | 29 | ||
| EXAMINATION BASICS | 31 | ||
| OBSERVATION | 32 | ||
| The Ludington Test | 32 | ||
| Biceps Tenderness | 32 | ||
| BICEPS INSTABILITY TESTS | 34 | ||
| Yergason’s Test | 35 | ||
| Speed’s Test | 36 | ||
| Lift-off Test | 36 | ||
| Biceps Entrapment Test | 37 | ||
| SUPERIOR LABRUM ANTERIOR AND POSTERIOR LESIONS | 38 | ||
| Dynamic Shear Test | 38 | ||
| Active Compression Test | 40 | ||
| Multiple Physical Examination Tests for Superior Labrum Anterior and Posterior Lesions | 41 | ||
| SUMMARY | 42 | ||
| REFERENCES | 42 | ||
| How Accurate Are We in Detecting Biceps Tendinopathy? | 47 | ||
| Key points | 47 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 47 | ||
| INDICATIONS FOR IMAGING OF THE BICEPS | 47 | ||
| What Do We Know About Biceps Tendinopathy? | 47 | ||
| Indications for Imaging | 51 | ||
| STUDIES EVALUATING THE EFFICACY OF MRI | 51 | ||
| Studies Considering the Speed and Yergason Tests | 53 | ||
| DISCUSSION | 53 | ||
| SUMMARY | 54 | ||
| REFERENCES | 54 | ||
| Nonoperative Management (Including Ultrasound-Guided Injections) of Proximal Biceps Disorders | 57 | ||
| Key points | 57 | ||
| LONG HEAD OF BICEPS TENDON | 57 | ||
| Anatomy | 58 | ||
| Pathologic Conditions | 58 | ||
| PATIENT EVALUATION | 58 | ||
| Clinical Presentation/Physical Examination | 58 | ||
| Differential Diagnosis | 60 | ||
| MUSCULOSKELETAL ULTRASOUND EVALUATION AND INTERVENTION | 60 | ||
| Overview | 60 | ||
| Long Head of Biceps Tendon Ultrasound Protocol/Clinical Case | 62 | ||
| Ultrasound-Guided Injection/Clinical Case | 62 | ||
| Additional Advanced Imaging | 63 | ||
| NONOPERATIVE ALGORITHM | 63 | ||
| Overview | 63 | ||
| Nonsteroidal Anti-inflammatory Drugs, Corticosteroid Injections, and Other Modalities | 65 | ||
| Regenerative Injection Therapy for Long Head of Biceps Tendon Disorders | 67 | ||
| Multiphase physical rehabilitation | 69 | ||
| Treatment follow-up | 69 | ||
| Referral for surgical evaluation | 69 | ||
| SUMMARY | 70 | ||
| REFERENCES | 71 | ||
| The Painful Long Head of the Biceps Brachii | 75 | ||
| Key points | 75 | ||
| FUNCTION | 76 | ||
| Classification of Long Head of the Biceps Pain and Pathophysiology | 76 | ||
| Traumatic injuries | 76 | ||
| Instability | 77 | ||
| Biceps Tendinopathy | 77 | ||
| Biomechanical Dysfunction | 78 | ||
| Capsular Involvement | 78 | ||
| Superior Labral Anterior Posterior Lesions | 78 | ||
| CLINICAL EXAMINATION | 78 | ||
| History | 79 | ||
| NONOPERATIVE TREATMENT | 79 | ||
| PHASE 1: ACUTE PHASE | 80 | ||
| PHASE 2: INTERMEDIATE PHASE | 83 | ||
| PHASE 3: ADVANCED STRENGTHENING PHASE | 84 | ||
| PHASE 4: RETURN TO ACTIVITY PHASE | 86 | ||
| SUMMARY | 86 | ||
| REFERENCES | 86 | ||
| Biceps Tenotomy Versus Tenodesis | 93 | ||
| Key points | 93 | ||
| INTRODUCTION | 93 | ||
| PATHOLOGIC ENTITIES | 94 | ||
| PREOPERATIVE MANAGEMENT | 94 | ||
| PHYSICAL EXAMINATION | 95 | ||
| PREOPERATIVE PLANNING | 95 | ||
| TENODESIS VERSUS TENOTOMY | 97 | ||
| ARTHROSCOPIC EVALUATION OF THE LONG HEAD BICEPS TENDON | 98 | ||
| SURGICAL OPTIONS | 99 | ||
| SURGICAL TECHNIQUES | 99 | ||
| Arthroscopic Biceps Tenotomy | 99 | ||
| Arthroscopic Looped Tenotomy | 99 | ||
| Tenodesis | 100 | ||
| Mini-Open Subpectoral Biceps Tenodesis | 101 | ||
| RESULTS AND CLINICAL OUTCOMES | 103 | ||
| COSMETIC DEFORMITY | 103 | ||
| SUBJECTIVE OUTCOMES | 105 | ||
| RESIDUAL POSTOPERATIVE BICIPITAL SHOULDER PAIN | 106 | ||
| OBJECTIVE OUTCOMES | 107 | ||
| REVISION RATES | 107 | ||
| COMPLICATIONS | 107 | ||
| BIOMECHANICAL EVALUATION | 108 | ||
| POSTOPERATIVE REHABILITATION PROTOCOL | 108 | ||
| SUMMARY | 108 | ||
| REFERENCES | 109 | ||
| Arthroscopic Surgical Techniques for the Management of Proximal Biceps Injuries | 113 | ||
| Key points | 113 | ||
| ARTHROSCOPIC SUPERIOR LABRUM ANTERIOR TO POSTERIOR REPAIR | 114 | ||
| Introduction | 114 | ||
| Indications/Contraindications | 114 | ||
| Surgical Technique | 115 | ||
| Postoperative Care | 117 | ||
| Outcomes | 118 | ||
| ARTHROSCOPIC PROXIMAL BICEPS TENODESIS | 118 | ||
| Introduction | 118 | ||
| Indications/Contraindications | 118 | ||
| Surgical Technique | 125 | ||
| Complications and Management | 130 | ||
| Postoperative Care | 130 | ||
| Outcomes | 130 | ||
| SUMMARY | 130 | ||
| REFERENCES | 131 | ||
| Open Subpectoral Tenodesis of the Proximal Biceps | 137 | ||
| Key points | 137 | ||
| INTRODUCTION | 137 | ||
| INDICATIONS/CONTRAINDICATIONS | 138 | ||
| SURGICAL TECHNIQUES | 138 | ||
| Bone Tunnel Technique | 138 | ||
| Cortical Button Technique | 139 | ||
| Keyhole Technique | 140 | ||
| Suture Anchor Technique | 140 | ||
| Interference Screw Technique | 140 | ||
| PREPARATION AND PATIENT POSITIONING | 140 | ||
| SURGICAL APPROACH | 141 | ||
| BIOMECHANICS | 144 | ||
| COMPLICATIONS AND MANAGEMENT | 149 | ||
| POSTOPERATIVE CARE | 149 | ||
| CLINICAL OUTCOMES | 149 | ||
| REFERENCES | 150 | ||
| Proximal Biceps Tendon and Rotator Cuff Tears | 153 | ||
| Key points | 153 | ||
| INTRODUCTION | 153 | ||
| PROXIMAL BICEPS AND ROTATOR CUFF TEARS | 154 | ||
| Disorders | 154 | ||
| SPONTANEOUS RUPTURE OF THE LONG HEAD OF THE BICEPS TENDON | 154 | ||
| MECHANICAL ENTRAPMENT OF THE DISEASED LONG HEAD OF THE BICEPS TENDON | 155 | ||
| INSTABILITY OF THE LONG HEAD OF THE BICEPS TENDON | 155 | ||
| DIAGNOSIS AND IMAGING | 156 | ||
| TREATMENT | 156 | ||
| SUMMARY | 159 | ||
| REFERENCES | 159 | ||
| Proximal Biceps in Overhead Athletes | 163 | ||
| Key points | 163 | ||
| INTRODUCTION | 163 | ||
| OVERVIEW OF PATIENT EVALUATION | 166 | ||
| Physical Examination Maneuvers | 166 | ||
| Diagnostic Imaging | 167 | ||
| PHARMACOLOGIC TREATMENT OPTIONS | 168 | ||
| NONPHARMACOLOGIC TREATMENT OPTIONS | 169 | ||
| SURGICAL TREATMENT OPTIONS | 170 | ||
| Glenohumeral Function of the Tendon of the Long Head of the Biceps | 170 | ||
| Arthroscopic Assessment | 170 | ||
| Operative Technique for Repair of Superior Labral Anterior-Posterior Tears | 171 | ||
| Open Subpectoral Biceps Tenodesis | 171 | ||
| TREATMENT COMPLICATIONS | 172 | ||
| EVALUATION OF OUTCOMES | 172 | ||
| Nonoperative Treatment | 172 | ||
| Superior Labral Anterior-Posterior Repair | 173 | ||
| Biceps Tenodesis | 173 | ||
| Comparative Studies | 173 | ||
| SUMMARY | 174 | ||
| REFERENCES | 174 | ||
| Complications of Proximal Biceps Tenotomy and Tenodesis | 181 | ||
| Key points | 181 | ||
| INTRODUCTION | 181 | ||
| COMPLICATIONS OF BICEPS TENOTOMY | 182 | ||
| COMPLICATIONS OF BICEPS TENODESIS | 183 | ||
| SUMMARY | 186 | ||
| REFERENCES | 186 | ||
| Index | 189 |