Torn biceps tendon | Physiotherapy after a SLAP lesion

Torn biceps tendon

It is not uncommon for the long biceps tendon to be affected by a SLAP lesion, as it is inserted at the upper cartilage lip. The long biceps tendon can be injured by trauma while the biceps is under tension at the time of the force. The short biceps tendon attaches at a less dispositioned site and is affected much less frequently.

If the biceps tendon is torn, tensing of the biceps is painful and the mobility of the shoulder is restricted. Swelling, warming and redness may occur in the joint. If the tendon is completely torn off, a muscle belly of the biceps that is shifted towards the crook of the arm is usually impressive.

The tears of the biceps tendon can be treated by arthroscopy or healed conservatively. This depends on the symptoms. If the long biceps tendon is torn off, an arthroscopic reconstruction is performed using sutures, although the attachment of the biceps tendon can also be relocated.

Summary

A SLAP lesion, i.e. an injury to the cartilaginous lip of the glenoid cavity, is a relatively common injury to the shoulder, which occurs mainly during falls onto the extended arm. It can also occur as a result of long-term overloading, e.g. from throwing sports. The symptoms are often variable, making diagnosis difficult.

The so-called biceps load test can give a good assessment as a physical examination. Imaging procedures or arthroscopy allow a clear diagnosis to be made. The therapy can be conservative or surgical.

Physiotherapeutic exercises are used to strengthen the rotator cuff and stretch shortened structures. Stabilization exercises and improved coordination are also important to ensure physiological joint function. Due to the attachment of the long biceps tendon to the labrum glenoidale, injury to this is a common side effect of SLAP lesions.