Lesions of the Long Head Biceps Pulley

Kim,  Chul Hong; Lee,  Myung Jin; Kang,  Min Soo

doi:2013.16.1.47

Clin Shoulder Elb > Volume 16(1); 2013 > Article

Review

Clinics in Shoulder and Elbow 2013;16(1):47-52.
DOI: https://doi.org/10.5397/CiSE.2013.16.1.47 Published online June 30, 2013.

Lesions of the Long Head Biceps Pulley

Chul Hong Kim, Myung Jin Lee, Min Soo Kang

¹Department of Orthopedic Surgery, College of Medicine, Dong-A University, Busan, Korea. kimch@dau.ac.kr
²Department of Orthopedic Surgery, Dong-Eu Medical Center, Busan, Korea.

상완 이두근 장두 활차 병변

김철홍·이명진·강민수*

동아대학교 의과대학 정형외과학교실, 동의의료원 정형외과*

Abstract

Lesions of the long head biceps tendon pulley are frequent causes of shoulder dysfunction and pain. These lesions cause instability of the long head of the biceps tendon (LHB), and intra-articular tear of the subscapularis and the supraspinatus tendon might result from them. The arthroscopic repair of these lesions has not gained widespread acceptance as an effective procedure. Predictable results can be obtained by treating these lesions more definitively with tenotomy or tenodesis. The purpose of this article is to review the anatomy and properties of the LHB pulley and to provide treatment strategies for alleviating pulley lesions.

Key Words: Long head biceps pulley; Lesions; Treatment