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Papers of the Week


2020 May 30


Acta Biomed


91


4-S

Long head of biceps in proximal fractures of the humerus: an underestimated problem?

Authors

Branca Vergano L, Corsini G, Monesi M
Acta Biomed. 2020 May 30; 91(4-S):69-78.
PMID: 32555078.

Abstract

The long head of biceps (LHB) is one of the tendons of the rotator cuff that runs strictly close to the humeral head. In case of pathology, it can be responsible for pain and shoulder impairment: in such cases, surgical options include tenotomy or tenodesis. The management of LHB along with surgery of the rotator cuff or during shoulder prosthetic replacement has been widely discussed in the literature. Conversely, the possibility of acute impingement and incarceration of LHB in proximal humerus fractures, as well as its role in shoulder pain in outcomes of these fractures, has been poorly considered.