Bilateral agenesis of the long head of the biceps tendon

Year 2022, Volume: 16 Issue: 2, 124 - 126, 30.08.2022

Semra Duran Muhammet Batuhan Gökhan

Abstract

The congenital variations of the biceps brachii muscle are seen quite frequently, however, the agenesis of the long head, is extremely rare. Diagnosis can be difficult, especially in cases with traumatic shoulder pain. In this paper, a 25-year-old female patient with bilateral biceps tendon agenesis is presented. Shoulder examination was negative for any signs of a traumatic biceps injury. Magnetic resonance imaging revealed congenital absence of the long head of biceps tendon and bilateral shallowness of the intertubercular groove.

Keywords

congenital absence, long head of biceps tendon, magnetic resonance imaging, shoulder

References

• 1. Landin D, Myers J, Thompson M, Castle R, Porter J. The role of the biceps brachii in shoulder elevation. J Electromyogr Kinesiol 2008; 18:270−5.
• 2. Kumar CD, Rakesh J, Tungish B, Singh DM. Congenital absence of the long head of biceps tendon & its clinical implications: a systematic review of the literature. Muscles Ligaments Tendons J 2018;7: 562−9.
• 3. Koplas MC, Winalski CS, Ulmer WH Jr, Recht M. Bilateral congenital absence of the long head of the biceps tendon. Skeletal Radiol 2009;38:715−9.
• 4. Zappia M, Chianca V, Di Pietto F, Reginelli A, Natella R, Maggialetti N, Albano D, Russo R, Sconfienza LM, Brunese L, Faletti C. Imaging of long head biceps tendon. A multimodality pictorial essay. Acta Biomed 2019;90:84−94.
• 5. Vangsness CT Jr, Jorgenson SS, Watson T, Johnson DL. The origin of the long head of the biceps from the scapula and glenoid labrum. An anatomical study of 100 shoulders. J Bone Joint Surg Br 1994;76:951−4.
• 6. Beltran J, Jbara M, Maimon R. Shoulder: labrum and bicipital tendon. Top Magn Reson Imaging 2003;14:35−49.
• 7. Yamaguchi K, Riew KD, Galatz LM, Syme JA, Neviaser RJ. Biceps activity during shoulder motion: an electromyographic analysis. Clin Orthop Relat Res 1997;(336):122−9.
• 8. Warner JJ, McMahon PJ. The role of the long head of the biceps brachii in superior stability of the glenohumeral joint. J Bone Joint Surg Am 1995;77:366−72.
• 9. Buck FM, Dietrich TJ, Resnick D, Jost B, Pfirrmann CW. Long biceps tendon: normal position, shape, and orientation in its groove in neutral position and external and internal rotation. Radiology 2011;261:872−81.
• 10. El Abiad JM, Faddoul DG, Baydoun H. Case report: broad insertion of a large subscapularis tendon in association with congenital absence of the long head of the biceps tendon. Skeletal Radiol 2019;48:159− 62.
• 11. Rodríguez-Niedenführ M, Vázquez T, Choi D, Parkin I, Sañudo JR. Supernumerary humeral heads of the biceps brachii muscle revisited. Clin Anat 2003;16:197−203.
• 12. Pal GP, Bhatt RH, Patel VS. Relationship between the tendon of the long head of biceps brachii and the glenoidal labrum in humans. Anat Rec 1991;229:278−80.
• 13. Rego Costa F, Esteves C, Melão L. Bilateral congenital agenesis of the long head of the biceps tendon: the beginning. Case Rep Radiol 2016;2016:4309213.
• 14. Maldjian C, Borrero C, Adam R, Vyas D. Nature abhors a vacuum: bilateral prominent rotator cable in bilateral congenital absence of the long head of the biceps tendon. Skeletal Radiol 2014;43:75−8.
• 15. Smith EL, Matzkin EG, Kim DH, Harpstrite JK, Kan DM. Congenital absence of the long head of the biceps brachii tendon as a VATER association. Am J Orthop (Belle Mead NJ) 2002;31:452−4.
• 16. Winston BA, Robinson K, Crawford D. “Monocept” a brief report of congenital absence of the long head of the biceps tendon and literature review. Case Rep Orthop 2017;2017:1090245.
• 17. Kwapisz A, Xu M, Koenig J, MacDonald P, McRae S, Marsh J. Uncommon bilateral absence of long heads of the biceps tendons in twin sisters: a report of 2 cases. JBJS Case Connect 2021;11:e20.00878.
• 18. Kuhn KM, Carney J, Solomon D, Provencher M. Bilateral absence of the long head of the biceps tendon. Mil Med 2009;174:548−50.
• 19. Yoon SH, Heo K, Yoo JS, Kim SJ, Seo JB. Posterior shoulder instability in the patients with bilateral congenital absence of long head of biceps tendon: a case report. Clin Shoulder Elb 2018;21:240−5.
• 20. Traverso A, Piasecki K, Gallusser N, Farron A. Agenesis of the long head of the biceps brachii tendon: ignored variations of the anatomy and the next tendon to disappear? BMJ Case Rep 2020;13:e234962.