Biceps tendinitis

Revisión del 05:35 22 feb 2012 de Jswartz (discusión | contribs.) (Created page with "==Background== *Results from progressive impingement or isolated tendon injury ==Clinical Features== *Pain **Acute, intense, localized to anterior aspect of shoulder **May occur...")
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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

  1. Analgesia
    1. NSAIDs
  2. Relative rest
  3. Ice 10-15min TID
  4. Early mobilizatio nw/ stretching exercises

Disposition

  • Follow-up w/ PMD within 1wk

Source

  • Tintinalli