AANA19 Shoulder Access Pass-Donnybrook_ Don't Kill the Biceps-Dr. Craig D. Morgan, M.D.

Donnybrook_ Don't Kill the Biceps-Dr. Craig D. Morgan, M.D.

Video Transcription

Video Summary

The presentation discusses that the long head of the biceps is usually not the primary problem in shoulder pain for throwers; instead, the issue lies in an anterior rotator interval lesion involving the superior glenohumeral ligament (SGHL). This injury causes a widened biceps pulley outlet leading to biceps instability and pain. Diagnosis includes pain at the upper bicipital groove, increased external rotation, widened interval on MRI, and characteristic arthroscopic findings. Treatment involves interval closure by repairing the SGHL rather than biceps tenodesis. The speaker reports successful outcomes in 478 cases with minimal complications and emphasizes addressing the interval lesion for pain-free throwing.

Keywords

anterior rotator interval lesion

superior glenohumeral ligament (SGHL)

biceps pulley instability

shoulder pain in throwers

interval closure treatment