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96 m a s s a g e & b o d y w o r k j u l y / a u g u s t 2 0 1 9 technique CLINICAL EXPLORATIONS Bicipital Tendinopathy By Whitney Lowe 1 2 Bicipital tendinopathy is a common shoulder complaint and is easy to confuse with several other shoulder pathologies. Bicipital tendinopathy is an overuse pathology of the biceps brachii tendon and is a common cause of anterior shoulder pain. It is most common in active populations where there are repetitive overhead motions of the shoulder, such as those in swimming, tennis, or throwing activities. Repetitive shoulder motions performed at work may also be at fault. The pain from bicipital tendinopathy is easy to confuse with other problems around the shoulder, so orthopedic assessment helps differentiate this disorder from other shoulder pathologies. ANATOMICAL BACKGROUND Biceps means "two heads," so this muscle has two locations of origin and one shared insertion. The short head arises from the coracoid process and the long head from the supraglenoid tubercle just above the glenoid fossa of the scapula. The two heads blend in the mid-arm region, and then insert on the tuberosity of the radius just distal to the elbow. Although tendinosis could affect either of the two origin tendons or the insertion tendon, the term bicipital tendinosis usually refers to the long head. It is more The long head of the biceps brachii in the bicipital groove. Image is from 3D4Medical's Complete Anatomy application. The synovial sheath surrounding the biceps tendon long head. Image is from 3D4Medical's Complete Anatomy application. Biceps tendon long head Synovial sheath surrounding tendon

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