 Diagnosis (Shoulder) |
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 The long biceps tendon – a key component of the shoulder |
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The long biceps tendon does not just bend the arm at the elbow, it also helps with the forward movement of the arm. It can be best compared with a pair of braces; in certain circumstances they can be over-stretched and if subjected to adverse stress at the waistband, or in this case the socket edge, they may become detached. Due to its complicated course of movement it is often subject to inflammations or injuries. |
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Traumatic or microtraumatic tearing (e.g. due to sports requiring motions above the head) of the tendon at the upper edge of the joint socket (SLAP lesions) can be re-attached arthroscopically. Chronic tendon inflammation or partial tears of the tendon are very often responsible for the most uncomfortable complaints, which are perceived (relatively accurately) by patients to be on the front facet of the shoulder. These patients are relieved spontaneously of pain as soon as the tendon severs completely. This phenomenon (salvage rupture) was copied by shoulder specialists as early as a few years ago in as far as an arthroscopic severance (biceps tendon tenotomy) of the long biceps was carried out to bring subsequent relief from pain. More major, minimally invasive, open operations are rarely necessary to eradicate chronically painful, altered injuries and disorders in the long biceps tendon. This approach is necessary if the biceps tendon has slipped out of its vallecula due to further tearing of the tendons. This eventuality also represents a problem that can be fully solved for the experienced shoulder specialist. However, there are still only relatively few specialised shoulder centres that recognise the significance of the long biceps tendon in painful shoulder conditions. Whilst knowledge and diagnosis alone represent a major challenge, minimally invasive reconstruction is an even greater, technical challenge. You can expect know-how, experience and technical perfection from us. For example, for every type of tendon reconstruction surgery, the tendon only needs to be rested during the first few hours after the operation. |
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The early, post-op physiotherapy treatment begins immediately (on the first day) with specific techniques and movement exercises. We also aim to strengthen and centre muscle groups not involved at an early stage. True to the motto “motion is lotion”, the tissue structures are provided with the ideal nutrition by early active and passive movements. This reduces the risk of unpleasant adhesions and the associated movement restrictions. The physiotherapeutic treatment is supported by passive exercising on a motion unit two to three times a day. The goahead for unlimited active function is usually given after six weeks. Regular aquatraining, systematic stretching (manual therapy) and continuous building up of the specific muscle groups then follows. We will cooperate and communicate regularly with your physiotherapist and keep you under our care until perfectly normal and fully resilient function (even for top-level sport) has been restored. |
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