The long biceps tendon runs inside the shoulder joint. It can be affected by painful conditions and injuries. These include inflammatory diseases or injuries such as a tear or detachment of the biceps tendon.
Below you will find further information and selected specialists for biceps tendon injuries.
The long biceps tendon can be affected by inflammatory diseases, among other things.
Possible injuries include
A purely inflammatory disease of the long biceps tendon can be treated conservatively.
Isolated spontaneous rupture of the long biceps tendon is virtually painless and does not require treatment.
Damage and partial tears of the long biceps tendon occur in connection with other shoulder joint disorders. If the damage is irreversible, the tendon must be severed at the insertion.
In older patients with no strength requirements, it is sufficient to cut the diseased biceps tendon alone (known as a biceps tendon tenotomy). The tendon then slips outside the joint, becomes stuck and scars there. The pain disappears.
In younger or more active patients, the tendon is sutured back to the capsule arthroscopically after it has been severed. This is known as a biceps tendon tenodesis.
In rare cases, a so-called SLAP lesion, a detachment of the biceps tendon anchor from the glenoid rim, occurs. As part of arthroscopic shoulder surgery, the surgeon can suture the lesion again (so-called SLAP repair).
The duration of inpatient treatment is approximately four to five days.
After short-term immobilization of the shoulder (usually 24 hours), the shoulder joint is treated with physiotherapy at an early stage.
In the case of biceps tendon tenodesis and SLAP repair, the patient must not tense the biceps muscle more for six weeks. After the SLAP repair, the arm is immobilized in an abduction cushion for three weeks. The treatment period here is between 10 and 12 weeks.
Sports-specific training can be started 12 weeks after the SLAP repair at the earliest.
In the case of office, teaching, management or similar work, a return to work is realistic after three to six weeks.
For patients with physically demanding work, the full rehabilitation period should be planned. Driving is possible again after four to six weeks.
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