Biceps Tendon

Anatomy

The biceps tendon functions as a weak elbow flexor and a powerful forearm supinator. 

The long head biceps tendon helps to keep the glenohumeral joint stable.

In the short clip below the sonongrapher traces the biceps tendon up to the groove of the humerus and then turns in 90 degrees to visualize the longitudinal view.



Localizing Biceps Tendon

Cross-section and Longitudinal

Biceps Tendon Injection

  • 25G 1.5 inch needle or 25 G  3 1/2 inch spinal needle
  • 3 to 4ml injectate, 10-30mg Depomedrol, Bupivicaine 3-4ml
  • CPT 20551, 76942

The Distal Biceps tendon is less commonly injected.  Below is a short video labeling the sono-anatomy of the Pronator Window, used to identify the tendon.

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References

and Interesting Articles

  • andHsu D, Anand P, Mabrouk A, et al. Biceps Tendon Rupture. [Updated 2022 Sep 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513235/
  • van der Vis J, Janssen SJ, Haverlag R, van den Bekerom MPJ. Functional outcome in patients who underwent distal biceps tendon repair. Arch Orthop Trauma Surg. 2018 Nov;138(11):1541-1548. doi: 10.1007/s00402-018-3018-6. Epub 2018 Aug 1. PMID: 30069786.
  • Kelly MP, Perkinson SG, Ablove RH, Tueting JL. Distal Biceps Tendon Ruptures: An Epidemiological Analysis Using a Large Population Database. Am J Sports Med. 2015 Aug;43(8):2012-7. doi: 10.1177/0363546515587738. Epub 2015 Jun 10. PMID: 26063401.


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