Long Head of Biceps tendon attrition injury and SLAP tears

 Pain on anterior shoulder 

https://redefinehealthcare.com/biceps-tendinopathy/

Investigations 

        Plain radiography to look for Bicipital groove and outlet view 

        USG scan 

         MRI with gadolinium enhanced arthrography to identify SLAP tears. 

         Arthroscopy

  Treatment 

        NSAIDs

        PT- strengthening rotator cuff muscles 

        Intra-articular tenodesis 

                debridement - 25-50 %

               tenotomy or tenodesis > 50 % 

  SLAP tears 

        Associated with glenohumeral instability and rotator cuff tears. 

        MR arthrography for diagnosis

        Repair or resect arthroscopically.