Ver el código de «Biceps tendinitis»

==Background==
[[File:1120 Muscles that Move the Forearm Humerus Flex Sin.png|thumb|Biceps tendon anatomy.]]
*Results from progressive impingement or isolated tendon injury

==Clinical Features==
*Pain
**Acute, intense, localized to anterior aspect of shoulder
**May occur at rest and be worse at night

==Evaluation==
*Palpation of tendon within bicipital groove reproduces pain
*Forearm supination, especially against resistance, reproduces pain
*Clinical exam tests below do not perform consistently, are only moderately specific, and do not change the post-test probability significantly<ref>Holtby R and Razmjou H. Accuracy of the Speed's and Yergason's tests in detecting biceps pathology and SLAP lesions: comparison with arthroscopic findings. Arthroscopy. 2004 Mar;20(3):231-6.</ref>
*Yergason Test
**Flex patient's elbow to 90⁰
**Palpate bicipital groove as patient patient attempts forearm supination against resistance
**Pain/instability at prox bicipital groove indicates tendinitis or tendon subluxation
*Speed's test
**Shoulder raised 60⁰ in front flexion
**With forearm supinated and elbow fully extended
**Examiner presses down on forearm and patient resists pressure
**Pain/instability at bicipital groove where long head inserts indicates tendinitis or instability

==Differential Diagnosis==
{{Shoulder DDX}}

==Management==
*[[Analgesia]]
**[[NSAIDs]]
*Relative rest
*Ice 10-15min TID
*Early mobilization with stretching exercises

==Disposition==
*Follow-up with primary care provider within 1wk

==See Also==
*[[Shoulder diagnoses]]
*[[Biceps tendon rupture]]

==References==
<references/>


[[Category:Orthopedics]]
[[Category:Sports Medicine]]