Bicep Problems: Investigating the problem

Physical examination

Mr. Cole will talk to you about your shoulder symptoms and your shoulder’s history. He will examine your shoulder and assess your range of movement and whether there are any visible signs, such as the Popeye-like muscle, or audible signs, such as a clicking sound. He may use a number of clinical tests to examine for tenderness and pain to indicate a biceps problem.

Ultrasound scans

Ultrasound is a good way of revealing evidence of biceps tendonitis and rotator cuff tears.

MRI / Arthrogram

An MRI can highlight any damaged areas to cartilage, ligaments, tendons or muscles. MRI stands for Magnetic Resonance Imaging. It uses a powerful magnet to obtain three dimensional pictures of body structures. It is a non-invasive and painless procedure. To obtain a clearer picture, Mr. Cole may request a MR Arthrogram. This is largely the same as a MRI, but it also involves injecting a type of dye into the shoulder, so that greater detail can be seen on the final image. This is the best way of diagnosing SLAP tears.

 

Diagnostic arthroscopy

Especially in cases of SLAP lesion, Mr. Cole may suggest using arthroscopy. This is keyhole surgery, conducted under full anaesthetic, which uses a tiny camera to pinpoint and diagnose the injury. In most cases Mr. Cole will complete treatment during the same procedure. The operation takes place as day surgery and you will not normally need to stay overnight in hospital.