Injuries to the biceps tendons include
- Biceps tendonitis.
- Biceps tendon tears.
- Shoulder tears.
- Distal biceps tendon tears.
Biceps pain or biceps tendonitis can occur due to repetitive motion. For example, professional baseball players, swimmers, tennis players, and golfers are at high risk for tendonitis in their shoulders, arms, and elbows. Tendonitis can also occur due to a sudden, serious injury to the tendon.
Biceps Tendonitis Treatment/ Biceps Pain Treatment
- Ice pack application will reduce swelling caused by tendonitis.
- Nonsteroidal anti-inflammatory medications.
- Rest is particularly important to patients with over activity, especially over your head.
- In some cases, doctor may prefer physiotherapy to help your shoulder or elbow recover.
- In severe cases, surgery is needed to heal biceps tendonitis completely. Surgery includes, opening the lining around the tendon and the inflammatory tissue is removed. The tendon is further inspected for tears (TORN BICEPS) and are repaired( biceps tenodesis). Occasionally, a tendon in the shoulder will need to be shortened.
Most patients who undergo surgery for tendonitis can move their arms without pain and regain a full range of motion within few weeks.
Biceps tenodesis is the term given for the biceps injury treatment. It is a minimally-invasive shoulder surgery to repair a complete rupture or ? partial tear of the biceps tendon, or to treat patients with chronic tendinitis. In this procedure , the Long Head of Biceps tendon is reattached to the top of the humerus, thus relieving pain and discomfort to the patient. This procedure also restores stability and strength to the arm.
Procedure (Torn Biceps Surgery/ Biceps Rupture Treatment)
The patient is positioned in such a way that the front of the shoulder is clearly visible to the surgeon, and the area is cleaned and sterilized. Local anesthesia is administered to numb the injection site and a sedative is provided to relax the patient. General anesthesia is used in certain cases.
Releasing the Tendon
Arthroscopic scissors helps to remove the damaged portion of the LHB tendon at the scapula. A small incision is made in the front of the shoulder and the top of the tendon is retrieved through the hole.
Biceps Tendon Repair
The tendon is placed back into the shoulder joint and the top is positioned over the top of the humerus and a small hole is drilled into the humerus and the end of the LHB tendon is placed into the hole and fixed in place with a fixation screw.
End of the Surgery
The incisions are closed with sutures or surgical staples, the shoulder is bandaged, the patient will be given pain relievers and patients should be able to leave the hospital within a day. After the biceps tenodesis surgery, physiotherapy is advised.
Biceps tenotomy is done arthroscopically with minimal invasiveness. It is a day care procedure. In biceps tendon surgery the long head of biceps tendon is released from it's attachment in the shoulder joint, allowing it to fall down into the upper arm and out of the shoulder joint. It is a quick and simple procedure. No need of immobilisation after surgery, patient is free to move his arm right after surgery.
Complications include biceps weakness and occasionally discomfort in the biceps muscle. A 'pop eye' biceps deformity may occur.
This generally does not cause inconvenience in the sedentary person but effects a little for active and athletic people, where a biceps tenodesis is generally used.