Correlation of the depth, medial wall and opening angle of the bicipital groove and the dimensions of long head of the biceps tendon

Yıl 2023, Cilt: 17 Sayı: 2, 49 - 54, 31.08.2023

Semra Duran Velihan Çayhan Elif Günaydın

Öz

Objectives: The aim of this study was to investigate the relationship between the morphological measurements of bicipital groove and long head of biceps tendon and determine the effect of age and gender on these measurements.
Methods: The study included 110 patients (60 females, 50 males) aged 18–50 years, who underwent magnetic resonance imaging of the left shoulder between January and December 2020. The patients had stable biceps tendons, and did not have a rotator cuff tear. The bicipital groove morphology was evaluated based on depth, opening angle, medial wall angle and the biceps tendon morphology was assessed based on thickness (anteroposterior length) and width (transverse length).
Results: There was no difference between the females and males in terms of age, opening angle and medial wall angle (p>.05). The bicipital groove depth was lower in the females than in the males (p<.001), while the biceps tendon was thicker in the males compared to the females (p<.001). There was no correlation between age and the sizes of bicipital groove and the biceps tendon. A negative correlation was observed between the bicipital groove depth and opening angle (r=-0.55), and a positive correlation between medial wall angle (r=0.51), tendon thickness (r=0.50) and tendon width (r=0.34). Bicipital groove depth had a positive correlation with tendon thickness (r=0.54) in women and tendon width in men (r=0.28).
Conclusion: The morphological measurements of bicipital groove and the biceps tendon showed correlations. There were also gender differences in these morphological measurements.

Anahtar Kelimeler

bicipital groove, long head of the biceps tendon, magnetic resonance imaging, measurement

Kaynakça

• Rajani S, Man S. Review of bicipital groove morphology and its analysis in North Indian population. ISRN Anatomy 2013;2013:243780.
• Ventakesen R, Gnanadeepam JC, Rajavel ATS, Esrawan S, Radhakrishnan M, Lakshmanan B, Mathavan H. Morphometry and morphology of the human bicipital groove with its clinical significance. Indian Journal of Basic and Applied Medical Research 2017;6:99–107.
• Arunkumar KR, Manoranjitham R, Delhi Raj U, Shalini R. Morphometric study of bicipital groove in South Indian population and its clinical implications. International Journal of Anatomy and Research 2016;4:2187–91.
• Murlimanju BV, Prabhu LV, Pai MM, Shreya M, Prashanth KU, Kumar CG, Rao CP. Anthropometric study of the bicipital groove in Indians and its clinical implications. Chang Gung Med J 2012;35:155–9.
• Khan R, Satyapal KS, Naidoo N, Lazarus L. Dimensional analysis of the bicipital groove and its associated pathology in a South African population. J Orthop 2020;19:128–31.
• Rajan YS, Kumar SKS. Morphometric study on bicipital groove among South Indian population. J Clin Diagn Res 2016;10:AC01–3.
• Kavak RP, Ozdemir M, Duman E. Effects of bicipital groove bony morphology on the stability of long head of the biceps tendon. Eurasian Journal of Medical Investigation 2019;3:293–9.
• Yoo JC, Iyyampillai G, Park D, Koh KH. The influence of bicipital groove morphology on the stability of the long head of the biceps tendon. J Orthop Surg (Hong Kong) 2017;25:2309499017717195.
• Abboud JA, Bartolozzi AR, Widmer BJ, DeMola PM. Bicipital groove morphology on MRI has no correlation to intra-articular biceps tendon pathology. J Shoulder Elbow Surg 2010;19:790–4.
• Ulucakoy C, Kaptan AY, Yapar A, Orhan O, Ozer M, Kanatlı U. The effect of bicipital groove morphology on the stability of the bices long head tendon. Arch Orthop Trauma Surg 2021;141:1325–30.
• Kaur M, Gupta R. Morphometric and morphological study of bicipital groove in North Indian population. International Journal of Basic and Applied Medical Sciences 2015;5:48–53.
• Srimani P, Saha R, Goswani B, Mazumdar S. Morphometric analysis of bicipital groove of humerus with clinical implications: a study in West Bengal. International Journal of Anatomy and Research 2016;4:3009–15.
• Pfahler M, Branner S, Refior HJ. The role of the bicipital groove in tendopathy of the long biceps tendon. J Shoulder Elbow Surg 1999;8:419–24.
• Walton C, Li Z, Pennings A, Agur A, Elmaraghy A. A 3- dimensional anatomic study of the distal biceps tendon: implication for surgical repair and reconstruction. Orthop J Sport Med 2015;3:2325967115585113.
• Khan R, Satyapal KS, Naidoo N, Lazarus L. Long head of biceps brachii tendon and trensverse humeral ligament morphometry and their associated pathology. Folia Morphol (Warsz) 2020;79:359–65.
• Kim HS, Kim HR, Kim BY, Kim YS, Jung YO, Choi SJ, Kim HO, Hwang J, Lee S, Kim HA, Bang SY, Chai JY, Park SH, Yoon CH. Standardized, musculoskeletal ultrasonographic reference values for healthy Korean adults. Korean J Intern Med 2019;34:1372–80.