Biceps Tendon Disruption (Proximal) With Rehab
The proximal biceps tendon is a strong cord of tissue that connects the biceps muscle, on the front of the upper arm, to the shoulder blade. A proximal biceps tendon disruption can include a partial or complete tear of the tendon near where it connects to the bone near the shoulder. A proximal biceps tendon disruption can interfere with the ability to lift the arm in front of the body, stabilize the shoulder, bend the elbow, and rotate the palm upward (supinate).
CAUSES
A biceps tendon disruption happens when the tendon is exposed to too much force. This excess force may be caused by:
• The elbow being suddenly straightened from a bent position because of an external force. For example, catching
…show more content…
○ Repetitive overhead movements.
SYMPTOMS
Symptoms of this condition may include:
• Sudden sharp pain in the front of the shoulder. Pain may get worse during certain movements, such as:
○ Lifting or carrying objects.
○ Straightening the elbow.
○ Throwing or overhead movements.
• Inflammation or a feeling of unusual warmth on the front of the shoulder.
• Painful tightening (spasm) of the biceps muscle.
• A bulge on the inside of the upper arm when the elbow is bent.
• Bruising in the shoulder or upper arm. This may develop 24–48 hours after the tendon is injured.
• Limited range of motion of the shoulder and elbow.
• Weakness in the elbow and forearm when:
○ Bending the elbow.
○ Rotating the wrist.
DIAGNOSIS
This condition is diagnosed based on your symptoms, your medical history, and a physical exam. Your health care provider may test the strength and range of motion of your shoulder and elbow. You may have imaging tests, such as X-rays, MRI, or ultrasound.
TREATMENT
This condition is treated by resting and icing the injured area, and by doing physical therapy exercises. Depending on the severity of your condition, treatment may also
On History- The patient was a 49-year-old Caucasian male with a chief complaint of pain and weakness in R shoulder abduction and external rotation (dominant shoulder). He was a retired baseball player. He has been a baseball pitcher for 12 years before he retired 5 years
... It is not completely clear how it is that a tendon becomes a ligament, although Dr. Akizuki thinks that range of motion exercises help the tendon learn that it is being used as a ligament now and that it needs to adopt. Surgeons don't go back in to biopsy the repaired elbow to see how the tissue has changed, but follow-up MRIs show that the new tissue is acting as a ligament should.
Witvrouw, E., Mahieu, N., Roosen, P., & McNair, P. (2007). The role of stretching in tendon injuries. British journal of Sports Medicine , 224-226.
One major injury suffered in the shoulder is to the rotator cuff. The rotator cuff is a group of muscles and its surrounding tendon in the shoulder. These muscles and tendons (rotator cuff) serve to stabilize the shoulder. Many athletes are at risk of injuring the rotator cuff through repetitive impact and sudden movements.
A rotator cuff is simply a group of four tendons and muscles that are located right on the shoulder and on top of the humerus bone. (Source 1) The rotator cuff is what controls the shoulder and allows it to move and be mobile. The four main muscles that consist of the tendons are the supraspinatus, infraspinatus, teres minor, and subscapularis muscles. (Source 2). Too much wear and tear on these muscles (such as too many thrown fastballs) is precisely what causes the rotator cuff to begin to tear, as well as swelling in the tendons.
The signs and symptoms are pressure, stiffness, pain in the chest or/ and arms that may advanced to the neck, jaw, or back
The first non-operative treatment is physical therapy, which is the treatment of disease, injury, or deformity by physical methods. The methods include massages, heat treatments, and different exercises. The second non-operative treatment is ice and heat application. This method includes the use of ice and heat to stimulate blood flow and decrease swelling. The use of ice applied with compression and elevation treat patellar dislocation. (Arbuthnot, 1) In the same way, Heat is also used. Heating therapies are considered to be superficial or deep. Deep heating involves conversion of energy from one form to another within the tissues such as acoustic energy or diathermy. Superficial heating occurs by conduction such as hot pack, hot spa, and radiation. (Arbuthnot, 2) The third non-operative treatment is electrical stimulation. Electrical stimulation is a therapy that passes an electrical current to an affected area of the body. This type of stimulation alters muscle’s contractility which then increases blood flow to the tissues of the thigh. The picture below shows a patient who is receiving electrical stimulation. The fourth non-operative treatments are braces and patellar taping. Braces are used to restore proper alignment. Similarly, Patellar taping is used to provide stability for the knee. It seems to be a safe and effective way to treat patellar dislocation. (Aminaka,
Shoulder and neck pain are the most common musculoskeletal disorders one can get. Right sided neck and shoulder pain is one that the assistant is highly prone to developing, and is difficult to avoid. Reason being is frequent reaching across the assistant’s mid-line with the right arm. Neck pain can also be caused by leaning forward with your head bent down for a long period of time.
One of the oldest ways to deal with a tendon injury is tendon splitting. Tendon splitting is when the vet inserts a scalpel or a knife into the lesion and cuts down the entire lesion (Sellnow, 2000). Using this type of therapy for tendon healing, allows the vet to let the tendon heal in a controlled environment as he is creating the injury. This healing method, also increases the blood supply while also decreasing the fluid that will have accumulated within the injury (Sellnow, 2000). One of the major problems with tendon splitting is that it can do more damage to the tendon than good, if the injury isn’t that severe and can heal on its own. When using this form of tendon healing the owner has to be aware of the high amount of Phenylbutazone that has to be used in order to...
There are several tests and measure that can be done in a physical therapy examination in order to rule out certain diagnoses, as well as come closer to a physical therapy diagnosis. First, an observation of the patient standing, walking, and sitting should be done in order to associate any visible deficits in the patient that could be associated to the ...
treat it as soon as possible. The injury will be diagnosed and you may need immediate medical
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn
4. Left Shoulder: depending on the weight of your guitar and the size of your upper body structure the left shoulder is another area that can be injured. This injury can occur when standing up and playing for too long without getting your left shoulder adequate time to rest. Some solutions for this situation is to buy a wider guitar neck strap. If you are playing for long periods of time standing up, occasionally lift your guitar up with your right hand to give your right shoulder a break from the weight of the guitar on your left
tips of my fingers and my thumbs form a W shape), bending my knees as