Association of Biceps Tendon Tears with Rotator Cuff Abnormalities: Degree of Correlation with Tears of the Anterior and Superior Portions of the Rotator Cuff
Douglas P. Beall1,
Eric E. Williamson2,
Justin Q. Ly3,
Mark C. Adkins2,
Robert L. Emery1,
Thomas P. Jones2 and
Charles M. Rowland4
1 Department of Radiology and Nuclear Medicine, Uniformed Services University of
the Health Sciences, 4301 Jones Bridge Rd., Bethesda, MD 20814-4799.
2 Department of Radiology, Mayo Clinic, 200 First St. S.W., Rochester, MN
55905.
3 Department of Radiology, Wilford Hall Medical Center, 59 MDW/MTRD, 2200
Bergquist Dr., Ste. #1, Lackland AFB, TX 78236.
4 Section of Biostatistics, Mayo Clinic, Rochester, MN 55905.
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Fig. 1A. —33-year-old man with right shoulder pain. Axial T2-weighted
MR image shows coracohumeral ligament (arrow) adjacent to long head
of biceps tendon (arrowheads).
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Fig. 1B. —33-year-old man with right shoulder pain. Axial T2-weighted
MR image obtained inferior to A shows coracohumeral ligament
(arrow) anterior to biceps tendon (arrowheads) and
subscapularis tendon. Coracohumeral ligament fibers are just anterior to
visualized portion of supraspinatous tendon.
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Fig. 1C. —33-year-old man with right shoulder pain. Coronal T2-weighted
MR image shows biceps tendon (thick white arrow) traversing bicipital
groove (curved white arrow) and superior humeral head attaching to
superior portion of glenoid labrum (black arrow). Supraspinatous
(arrowheads) and subscapularis (thin white arrow) tendons
can be identified.
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Fig. 1D. —33-year-old man with right shoulder pain. Sagittal
T2-weighted MR image shows coracohumeral ligament (thin white arrow)
lying just superior to long head of biceps tendon (black arrow).
These structures are seen in biceps interval located between supraspinatous
tendon (thick white arrows) and subscapularis tendon (curved
white arrow).
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Fig. 2A. —62-year-old woman with shoulder pain and weakness. Sagittal
T2-weighted MR image shows full-thickness tear of supraspinatous tendon
(arrowhead) along with redundant long head of biceps tendon that has
increased signal in its proximal portion (arrow), consistent with
complete tear of biceps tendon seen on arthroscopy.
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Fig. 2B. —62-year-old woman with shoulder pain and weakness. Coronal
T2-weighted MR image shows retraction of distal supraspinatous tendon to level
of medial humeral head (black arrow). Superior subluxation of humeral
head and narrowed acromiohumeral distance can also be seen in this patient
with long history of symptoms consistent with impingement. Torn fibers of long
head of biceps tendon can be seen near labral attachment of tendon (white
arrow).
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Fig. 3A. —57-year-old man with shoulder pain after trauma. Sagittal
T2-weighted MR image shows full-thickness tears of supraspinatous (black
arrow) and subscapularis tendons (straight white arrow) along
with tear of biceps tendon (curved arrow).
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Fig. 3B. —57-year-old man with shoulder pain after trauma. Coronal
T2-weighted MR image confirms full-thickness tear of supraspinatous tendon
(arrow) and shows narrowing of acromiohumeral distance and superior
subluxation of humeral head.
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Fig. 3C. —57-year-old man with shoulder pain after trauma. Axial
T2-weighted MR image confirms tear of subscapularis tendon (straight
arrow) and full-thickness tear of long head of biceps tendon (curved
arrow).
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Fig. 4A. —44-year-old man with shoulder pain. Axial T2-weighted MR
image shows extensive tear of subscapularis tendon (straight arrow)
with medial dislocation of long head of biceps tendon (curved
arrow).
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Fig. 4B. —44-year-old man with shoulder pain. Sagittal T2-weighted MR
image shows full-thickness tears of supraspinatous (black arrow) and
subscapularis (white arrow) tendons. Long head of biceps tendon is
located medial to bicipital groove and is dislocated.
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Fig. 4C. —44-year-old man with shoulder pain. Sagittal proton
density-weighted MR image shows atrophy and minimal fatty infiltration of
supraspinatous muscle (open arrow) and subscapularis muscle
(solid arrow) consistent with presence of tendon tears in
anterosuperior portion of rotator cuff.
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Fig. 5A. —65-year-old man with chronic shoulder pain. Axial T2-weighted
MR image shows medial dislocation of biceps tendon (curved arrow)
with disruption (loss of linear configuration) of coracohumeral ligament
(straight arrow).
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Fig. 5B. —65-year-old man with chronic shoulder pain. Sagittal proton
density MR image shows thickened and deformed coracohumeral ligament
(large arrow) and longitudinal tear of long head of biceps tendon
(small arrow).
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Fig. 6A. —42-year-old man with acute shoulder pain. Coronal T2-weighted
MR image shows full-thickness tear of supraspinatous tendon with bursal
surface and articular surface disruptions (arrows).
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Fig. 6B. —42-year-old man with acute shoulder pain. Coronal T2-weighted
MR image shows longitudinal tear of long head of biceps tendon just inferior
to bicipital groove (black arrow) and frayed strands of torn biceps
tendon at its attachment on superior glenoid (white arrow).
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Copyright © 2003 by the American Roentgen Ray Society.
