Although multiple heads or bifurcation of the biceps tendon had been described previously, this is the first report and MR demonstration of this pattern of splitting and reattachment of the long head of the biceps brachii in its course in the bicipital groove
Caption: Figure 5 An extramedullary guide that references off the bicipital groove
is positioned and pinned thus guiding the saw blade to the correct orientation for humeral head resection.
1-5) Hence, it is recommended that rotator cuff integrity be carefully examined when a patient presents with either a ruptured proximal biceps tendon or with significant pain about the bicipital groove.
The purpose of this study, therefore, was to examine the relative contributions of various soft tissue structures in maintaining the biceps tendon within the bicipital groove.
The ascending branch of the anterior humeral circumflex enters the proximal humerus at the upper end of the bicipital groove or via branches into the greater and lesser tuberosities.
A reamer is inserted lateral to the bicipital groove and directed under fluoroscopic guidance to a point just inferior and lateral to the lesion.
Pain may be localized to the bicipital groove, radiate distally to the biceps muscle belly, or radiate proximally to the deltoid or base of the neck.
48,49) Using Speed's test, with the elbow extended and the forearm supinated, pain localized to the bicipital groove may be elicited while the shoulder is flexed against resistance.
The transverse ligament over the bicipital groove was incised and the long head of the biceps then moved into the center of the area uncovered by the torn cuff.
After tenodesis of the long head of the biceps tendon in the bicipital groove, some surgeons cut it from its glenoidal attachment using it as a flap.