Relationship between chronic pathologies of the supraspinatus tendon and the long head of the biceps tendon: systematic review

BMC Musculoskeletal Disorders

Carmen Ridao-Fernández¹  Patricio López-Tarrida¹  José Jesús Jiménez-Rejano¹  Gema Chamorro-Moriana¹  Lucía Redondo-Alonso¹ 

[1] Research group “Area of Physiotherapy CTS-305”, Department of Physiotherapy, University of Seville, C/ Rotonda de Santa Eufemia, n 35. Tomares, Seville, Spain

关键词: Assessment;    Chronic;    Long head of the biceps tendon;    Supraspinatus;    Tendinopathy;   

Others  :  1091983
DOI  :  10.1186/1471-2474-15-377

 received in 2013-07-31, accepted in 2014-09-19,  发布年份 2014

【 摘 要 】

Background

Chronic supraspinatus tendinopathy is a common clinical problem that causes functional and labor disabilities in the population. It is the most frequent cause of shoulder pain. This pathology may be frequently associated to the affectation of the long head of biceps tendon (LHBT), the main stabilizer of the glenohumeral joint together with the supraspinatus. The main aim of this work is to study the prevalence of lesions in LHBT associated to the chronic pathology of the supraspinatus tendon.

Methods

A systematic review was carried out between May to July 2013 in the electronic databases: CINAHL, WOK, Medline, Scopus, PEDro, IME (CSIC) and Dialnet. The keywords used were: 1) in English: chronic, supraspinatus “long head of the biceps tendon”, biceps, rotator cuff, tendinosis, tendinopathy, evaluation, examination; 2) in Spanish: supraespinoso, biceps, tendinopatía. Inclusion criteria of the articles included subjects with a previously diagnosed chronic pathology of rotator cuff (RC) without previous surgery or any other pathologies of the shoulder complex. The total number of articles included in the study were five.

Results

The results show an epidemiological relationship between both tendons. The age of the subjects included in the review was between 35 and 80 years, and some of the studies seem to indicate that the tendinopathy is more frequent in men than in women. The sample size of the studies varies according to the design, the highest being composed of 229 subjects, and the minimum of 28. Not all the articles selected specify the diagnostic testing, though the ones most normally used are arthroscopy, ultrasound, magnetic resonance imaging and assessment tests. The percentage of associated lesions of LHBT and supraspinatus tendon is between 78.5% and 22%, with a major prevalence in the studies with a smaller sample.

Conclusions

The review of literature corroborates an association between the chronic pathology of the supraspinatus tendon and LHBT due to the epidemiological data. In addition, some authors confirm the existence of an anatomical and functional relationship between LHBT and the supraspinatus tendon, the latter being part of the LHBT pulley.

【 授权许可】

   
2014 Redondo-Alonso et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Gimbel JA, Van Kleunen JP, Mehta S, Perry SM, Williams GR, Soslowsky LJ: Supraspinatus tendon organizational and mechanical properties in a chronic rotator cuff tear animal model. J Biomech 2004, 37(5):739-749.
• [2]Longo UG, Loppini M, Marineo G, Khan WS, Maffulli N, Denaro V: Tendinopathy of the tendon of the long head of the biceps. Sports Med Arthrosc 2011, 19(4):321-332.
• [3]Oliva F, Via AG, Maffulli N: Calcific tendinopathy of the rotator cuff tendons. Sports Med Arthrosc 2011, 19(3):237-243.
• [4]Burke WS, Vangsness CT, Powers CM: Strengthening the supraspinatus: a clinical and biomechanical review. Clin Orthop Relat Res 2002, 402:292-298.
• [5]Carpenter JE, Wening JD, Mell AG, Langendefer JE, Hufher RE: Changes in the long head of the biceps tendon in rotator cuff tear shoulders. Clin Biomech 2005, 20(2):162-165.
• [6]Saboeiro GR: Sonography in the treatment of calcific tendinitis of the rotator cuff. J Ultrasound Med 2012, 31(10):1513-1518.
• [7]Michener LA, McClure PW, Karduna AR: Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech 2003, 18:369-379.
• [8]Juan-García FJ, González-Movilla C, Cordal-López AB: Efectividad del tratamiento mediante ondas de choque extracorpóreas en tendinitis calcificadas del hombro. Rev Esp Reumatol 2004, 31(3):116-121.
• [9]Mora-Vargas K: Painful shoulder and rotator cuff disorders. Acta Med Costarric 2008, 50:4.
• [10]Kim S, Boytin E, Ravichandiran K, Fung L, Bleakney R, Agur A: Three-Dimensional study of the Musculotendinous Architecture os Supraspinatus and Its Functional Correlations. Clinl Anatom 2007, 20:648-655.
• [11]Graichen H, Stammberger T, Bonel H, Englimier KH, Reiser M, Eckstein F: Glenohumeral translation during active and pasive elevation of the shoulder. J Biomech 2000, 33:609-613.
• [12]Kuijpers T, Van-Tulder MW, Van-Der-Heijden G, Bouter LM, Van-Der-Windt D: Costs of shoulder pain in primary care consulters: a prospective cohort study in The Netherlands. BMC Musculosk Disord 2006, 7:83-91. BioMed Central Full Text
• [13]Harwood M, Smith C: Superior labrum, anterior-posterior lesions and biceps injuries: diagnostic and treatment considerations. Prim Care 2004, 31(4):831-855.
• [14]Peltz CD, Perry SM, Getz CL, Soslowsky LJ: Mechanical properties of the long-head of the biceps tendon are altered in the presence of rotator cuff tears in a rat model. J Orthop Res 2009, 27(3):416-420.
• [15]Chen CH, Hsu K, Chen W, Shih C: Incidence and severity of biceps long head tendon lesion in patients with complete rotator cuff tears. J Trauma Injury Infect Crit Care 2005, 58(6):1189-1193.
• [16]Murthi AM, Vosburgh CL, Neviaser TJ: The incidence of pathologic changes of the long head of the biceps tendon. J Shoulder Elbow Surg 2000, 9(5):382-385.
• [17]Peltz CD, Hsu JE, Zgonis MH, Trasolini NA, Glaser DL, Soslowsky LJ: The effect of altered loading following rotator cuff tears in a rat model on the regional mechanical properties of the long head of the biceps tendon. J Biomech 2010, 43(15):2904-2907.
• [18]Ji JH, Shafi M, Kim WY: Calcific tendinitis of the biceps-labral complex: a rare cause of acute shoulder pain. Acta Orthop Belg 2008, 74(3):401-404.
• [19]Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP: The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Preven medic 2007, 45(4):247-251.
• [20]Singaraju VM, Kang RW, Yanke AB, McNickle AG, Lewis PB, Wang VM, Williams JM, Chubinskaya S, Romeo AA, Cole BJ: Biceps tendinitis in chronic rotator cuff tears: a histologic perspective. J Shoulder Elbow Surg 2008, 17(6):898-904.
• [21]Chelli Bouaziz M, Jabnoun F, Chaabane S, Ladeb MF: Diagnostic accuracy of high resolution ultrasound in communicating rotator cuff tears. Iran J Radiology 2010, 7(3):153-160.
• [22]Braun S, Horan MP, Elser F, Millett PJ: Lesions of the biceps pulley. Am J Sports Med 2011, 39(4):790-795.
• [23]Modi CS, Smith CD, Drew SJ: Partial-thickness articular surface rotator cuff tears in patients over the age of 35: Etiology and intra-articular associations. Int J Shoulder Surg 2012, 6(1):15-18.
• [24]Moher D, Liberati A, Tetzlaff J, Altman DG: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of int medic 2009, 151(4):264-269.
• [25]Nakata W, Katou S, Fujita A, Nakata M, Lefor AT, Sugimoto H: Biceps pulley: normal anatomy and associated lesions at MR arthrography. Radiographics 2011, 31(3):791-810.