International Journal of Anatomy and Research



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Type of Article: Original Research

Year: 2016 | Volume 4 | Issue 2 | Page No. 2354-2357

Date of Publication: 31-05-2016

DOI: http://dx.doi.org/10.16965/ijar.2016.216


AN ANATOMICAL STUDY OF THE PROXIMAL ATTACHMENT OF LONG HEAD OF BICEPS TENDON

Surekha Jadhav 1, Sarita Margam *2.

1 Associate Professor, Department of Anatomy, Padamashree Dr. Vithalrao Vikhe Patil Foundations Medical College, Ahmednagar, Maharashtra, India.

*2Assistant Professor, Department of Anatomy, Seth G S Medical College and KEM hospital, Parel, Mumbai, India.

Address: Dr. Sarita Margam, Assistant Professor, Department Anatomy, 2nd floor, Seth G S Medical College & KEM hospital, Parel, Mumbai, Maharashtra, India, Pin: 400012 Mobile no.: +91 9765934863
E-Mail: margamsarita@gmail.com

ABSTRACT

Background: More Recent studies showed that, the proximal attachment of long head of biceps brachii has dual attachment i.e. to the supraglenoid tubercle of the scapula and glenoid labrum at variable extent. The long head of biceps brachii may be a cause of shoulder pain as an isolated tendonitis of biceps brachii or other pathologies of the shoulder.
Objectives: To define the dual attachment and extent of the labral attachment of long head of biceps brachii anteriorly and posteriorly by gross examination..
Materials and Methods: We studied 189 (Right- 101; Left- 88) cadaveric shoulder joints of unknown sex and age. Careful dissection was carried out of each specimen to see the proximal attachment of long head of biceps by gross examination. The anterior and posterior labral margins were examined carefully to see the extent of labral attachment of long head of biceps brachii tendon (LHBBT). The glenoid cavity was divided into upper, middle and lower parts.
Results and Conclusion: Tendon of long head of biceps brachii was attached to posterior labrum only in 5 cases. In remaining 184 specimens it was attached to supraglenoid tubercle and glenoid labrum anteriorly and posteriorly at variable extent with strong posterior orientation. This knowledge is helpful in not only in evaluation, diagnosis and treating labral pathology of shoulder joint but also for the open glenohumeral surgeries.
Key Words: Long Head Of Biceps Brachii, Glenoid Labrum, Supraglenoid Tubercle, Anterior Labrum, Posterior Labrum.

REFERENCES

  1. Gray H, Standring S. Gray’s Anatomy: The Anatomical Basis of Clinical Practice.  40th ed. Churchill Livingstone Elsevier, New York, NY, USA.2008:pp825.

  2. Pal GP, Bhatt RH and Patel VS. Relationship between tendon of the long head of biceps brachii and the glenoidal labrum in humans. Anat. Rec 1991;229:278-280.

  3. Vangsness CT, Jorgenson SS, Watson T and Johnson DL. The origin of the long head of the biceps from the scapula and glenoid labrum. An anatomical study of 100 shoulders.  J. Bone Joint Surg. Br 1994; 76(6):951-954.

  4. Prescher A. Anatomical basics, variations, and degenerative changes of the shoulder joint and shoulder girdle. Eur.J. Radiol 2000; 35(2);88-102.

  5. Andrews JR, Carson WG and McLeod WD. Glenoid labrum tears related to the long head of the biceps. Am. J. Sports Med 1985;13(5) :337-341.

  6. Jee WH, McCauley TR, Katz LD, Matheny JM, Ruwe PA and Daigneault JP.  Superior labral anterior posterior (SLAP) lesions of the glenoid labrum: reliability and accuracy of MR arthrography for diagnosis. Radiology 2001;218(1):127-132.

  7. Egea JM, Melguizo C, Prados J, Aranega A. Capsular origin of the long head of the Biceps brachii tendon: a clinical case. Romanian Journal of Morphology and  Embryology 2010; 51(2): 375-377.

  8. Gill TJ, McIrvin E, Mair SD, Hawkins RJ. Results of biceps brachii tenotomy for treatment of pathology of the long head of the biceps brachii. J Shoulder Elb Surg 2001;10(3):247–249.

  9. Gowan ID, Jobe FW, Tibone JE, Perry J, Moyaes DR. A comparative  electromyographic analysis of shoulder during pitching: professional versus amateur pitchers.  Am J Sports Med 1987;15: 586-590.

  10. Glousman R, Jobe F, Tibone J, Moynes D, Antonelli D and Perry J. Dynamic electromyographic analysis of the throwing shoulder with glenohumeral instability. J Bone Joint Surg [Am] 1988;70A: 220-226.

  11. Bankart ASB. Pathology and treatment of recurrent dislocation of shoulder joint. B J Surg 1980;26:23-29.

  12. Snyder SJ, Karzel RP, Del Pizzo W, Ferkel RD, Fridman MJ. SLAP lesions of the Shoulder.  Arthroscopy 1990;6:274-279.

  13. Tuoheti Y, Itoi E, Minagawa H, Yamamoto N, Saito H, Seki N, Okada K, Shimada Y, Abe H. Attachment types of the long head of the biceps  tendon to the glenoid labrum and their relationships with the glenohumeral ligaments. Arthroscopy 2005;21(10):1242-1249.

  14. Jain P, Tuli A, Raheja S, Agarwal S. Morphological description of variations in the origin of long head of biceps brachii: an evolutionary and embryological interpretation. International Medical Journal 2014;21(1):123-25.

  15. Paul S, Sehgal R and Khatri K. Anatomical variations in the labral attachment of the long head of biceps brachii. J. Anat Soc India 2004; 53(2):49-51.

 

Surekha Jadhav, Sarita Margam. AN ANATOMICAL STUDY OF THE PROXIMAL ATTACHMENT OF LONG HEAD OF BICEPS TENDON. Int J Anat Res 2016;4(2):2354-2357. DOI: 10.16965/ijar.2016.216

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