Abstract
The biceps has been recognized as an important pain generator in the shoulder.1–8 Becker and Cofield disparaged the results of isolated biceps tenodesis9; however, in retrospect, most of these patients probably had impingement unaddressed by their tenodesis. Neer’s concerns about resection of the biceps aggravating impingement problems by removing one restraint to superior migration of the humeral head seconded this negative assessment of biceps tenodesis.10 With the advent of arthroscopy, more accurate assessment of pathology of the glenohumeral joint in general and the biceps in particular became possible. Sethi and colleagues did a thorough review of the pathology and treatment of biceps tendon problems, describing four potential sources of pain originating from the biceps tendon: (1) instability of the biceps tendon; (2) inflammation of the biceps tendon with rotator cuff disease; (3) isolated biceps tenosynovitis; and (4) traumatic injuries to include partial or complete tearing of the biceps tendon.11
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Weber, S.C., Kauffman, J.I., Higgins, D.L. (2008). Biceps Subpectoral Mini-Open Tenodesis. In: Abrams, J.S., Bell, R.H. (eds) Arthroscopic Rotator Cuff Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-39343-8_22
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