Tendinitis of the long head of the biceps brachii muscle

　　Tendinitis of the long head of the biceps brachii muscle may develop acutely due to trauma or overuse, but it is mostly the result of degenerative changes caused by long-term wear and tear on the tendons. The disease is more common in people over 40 years old. Its clinical features are pain at the intertubercular sulcus of the humerus and limited movement of the shoulder joint.

　

　　Tendinitis of the long head of the biceps brachii muscle is more common in people over 40 years old. Its clinical features are pain at the intertubercular sulcus of the humerus and limited movement of the shoulder joint. Patients with a long course of disease may develop shoulder periarthritis. Shoulder periarthritis is a common disease with shoulder pain and limited movement as the main symptoms.

 

　　Tendinitis of the long head of the biceps brachii muscle is more common in middle-aged people and is one of the common causes of shoulder pain. The disease is mainly manifested by shoulder pain, which is more pronounced at night and worsens after shoulder movement but improves after rest. The pain is mainly localized around the biceps brachii tendon and may radiate to the anterior aspect of the upper arm. Any action that can tense, slide, or pull on this tendon can exacerbate the pain.
　　During the examination, tenderness may be found at the intertubercular sulcus of the humerus or at the tendons, and pain may occur at the intertubercular sulcus when the forearm is supinated and the elbow is flexed against resistance, which is known as the Yergason sign and is a major diagnostic criterion. In the acute phase, it can lead to limited active and passive movement of the shoulder joint, and the deltoid muscle may show protective spasm. In patients with a long course of disease or those with shoulder periarthritis or other diseases, stiffness of the shoulder joint and muscle atrophy may be observed.

　　Bicipital long head tenosynovitis is related to trauma or strain, so preventing trauma is the key to the disease. Therefore, paying attention to production and life safety is the key to preventing the disease. In social production activities, through the harmonious operation of people, machines, materials, environment, and methods, various potential accident risks and injury factors in the production process are always kept under effective control, and the lives and health of laborers are protected in earnest.

 

　　The anteroposterior X-ray film of the shoulder joint of bicipital long head tenosynovitis patients is often without obvious abnormalities. If there is a suspicion of the disease, it is routine to take an X-ray film of the intertubercular sulcus of the humerus, in which some patients may show narrowing, shallowening, and the formation of bone spurs at the bottom or edge of the sulcus.

　　Bicipital long head tenosynovitis should eat more two elements, namely vitamins and fiber. Especially B vitamins, which are very important substances for nerve metabolism. Vitamin C, Vitamin D, and other nutrients are essential for the human body. Therefore, it is appropriate to eat some milk, brown rice, coarse flour, carrots, fresh vegetables, and fruits to supplement.

 

　　The main treatment methods for bicipital long head tenosynovitis are:

　　Non-surgical Therapy
　　Non-surgical therapy is often effective, such as reducing hand movement, applying ointments, taking oral non-steroidal anti-inflammatory drugs, etc. Local anesthesia treatment can be done if necessary, by injecting a suspension of 0.5 to 1ml of lidocaine and triamcinolone acetonide into the sheath, early cases may show improvement with one injection, for refractory cases, once a week, not more than 4 times.

　　Surgical Therapy
　　Surgical therapy is suitable for individual refractory cases. The method is to cut the long head tendon of the biceps brachii below the intertubercular sulcus, suture the distal end with the short head tendon of the biceps brachii (i.e., the biceps brachii rerouting surgery), eliminate the friction of the tendons, and relieve the symptoms.