Bicep tendon injuries 

Introduction: 

In this article, we will explore everything you need to know about biceps tendon injuries, including causes, symptoms, diagnosis, and treatment options. Our goal is to provide you with the most up-to-date and accurate information to help you better understand and manage biceps tendon injuries. 

Understanding Biceps Tendon Injuries: 

Biceps tendon injuries are a common source of shoulder pain and can occur from repetitive overhead activities, sudden injury or degeneration due to ageing. The biceps tendon is a thick tissue band connecting the biceps muscle to the shoulder bone. When this tendon is damaged or inflamed, it can result in significant pain and loss of function. 

Causes of Biceps Tendon Injuries: 

Biceps tendon injuries can occur from repetitive overhead activities, such as weightlifting or throwing a ball, sudden injury from a fall or direct trauma, or degeneration due to ageing. Overuse injuries are common in athletes, particularly those who participate in sports that involve throwing, such as baseball, tennis, and football. 

Symptoms of Biceps Tendon Injuries: 

The symptoms of biceps tendon injuries can vary depending on the severity of the injury, but common symptoms include pain in the shoulder or upper arm, weakness, and loss of range of motion. You may also experience a popping or clicking sensation in the shoulder when moving your arm. 

Diagnosis of Biceps Tendon Injuries: 

If you are experiencing symptoms of a biceps tendon injury, it is important to see a sports therapist for an accurate diagnosis. Your physician will perform a physical exam to assess your range of motion, strength, and any pain or tenderness in the shoulder. They may also order imaging tests, such as an X-ray or MRI, to evaluate the extent of the injury. 

Treatment Options for Biceps Tendon Injuries: 

The treatment for biceps tendon injuries will depend on the severity of the injury and your individual needs. Non-surgical treatments may include protection, avoiding anti-inflammatories, optimism, vascularisation and physical therapy to improve the range of motion and strengthen the muscles around the shoulder joint. In some cases, medication or injections may be recommended to manage pain and inflammation. 

Surgery may be required for more severe injuries, such as a complete tear of the biceps tendon. Surgical options may include a biceps tenotomy, which involves cutting the damaged portion of the tendon, or a biceps tenodesis, which involves reattaching the tendon to a different location on the bone. 

Prevention of Biceps Tendon Injuries: 

To help prevent biceps tendon injuries, it is important to maintain good shoulder health through regular exercise and stretching. Proper technique and form during overhead activities can also help reduce the risk of injury. If you participate in sports that involve throwing, it is important to gradually increase your activity level and not overuse your arm. 

Conclusion: 

In conclusion, biceps tendon injuries can be a source of significant pain and loss of function. It is important to seek medical attention if you are experiencing symptoms of a biceps tendon injury. Treatment options vary depending on the severity of the injury, but may include non-surgical treatments or surgery. Maintaining good shoulder health and using proper technique during overhead activities can help prevent biceps tendon injuries. 

References: 

Friedman, D.J., Dunn, J.C., Higgins, L.D. and Warner, J.J., 2008. Proximal biceps tendon: injuries and management. Sports medicine and arthroscopy review, 16(3), pp.162-169.

Miyamoto, R.G., Elser, F. and Millett, P.J., 2010. Distal biceps tendon injuries. JBJS, 92(11), pp.2128-2138.

Quach, T., Jazayeri, R., Sherman, O.H. and Rosen, J.E., 2010. Distal Biceps Tendon Injuries. Bulletin of the NYU Hospital for Joint Diseases, 68(2).

Vidal, A.F., Drakos, M.C. and Allen, A.A., 2004. Biceps tendon and triceps tendon injuries. Clinics in sports medicine, 23(4), pp.707-722.