Biceps tendinitis
Background
- 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
Diagnosis
- Palpation of tendon w/in bicipital groove reproduces pain
- Forearm supination, especially against resistance, reproduces pain
- Yergason Test
- Flex pt's elbow to 90'
- Palpate bicipital groove as pt patient attempts forearm supination against resistance
- Pain/instability at prox bicipital groove indicates tendinitis or tendon subluxation
Treatment
- Analgesia
- NSAIDs
- Relative rest
- Ice 10-15min TID
- Early mobilizatio nw/ stretching exercises
Disposition
- Follow-up w/ PMD within 1wk
Source
- Tintinalli
