Bicipital tendinitis / clinical features, management, test

 Bicipital tendinitis
  • It is an inflammation of the long head of biceps commonly presenting with anterior shoulder pain. 
  • The tendinitis is at the site anteriorly where the exposed tendon of the biceps passes through the bicipital groove and inserts onto the superior aspect of the glenohumeral joint.
  •  It is also associated with periarthritis Or supra spinatus syndrome. 
  • Repeated shoulder strain or wear and tear such as carrying heavy objects or working on a lathe can predispose to bicipital tendinitis. 
Clinical finding:- 
  • Bicipital tendinitis is suspected when athletes such as cricket bowlers, swimmers, or tennis enthusiasts complain of pain on the anterior joint line of shoulder after overhead overuse of the shoulder.
  •  Pain increases with active shoulder movement. 
Yergason's Test for Bicipital Tendinitis:-
  • Resisted supination of forearm when the elbow is flexed to 90° and held at the side provokes pain in the long head of biceps tendon in the anterior compartment of the shoulder. 
Management:- 
  • Ultrasonic massage to the tender area, interferential, or short wave diathermy to shoulder.
  •  Local corticosteroid infiltration is often tried. 

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