Bicipitoradial Bursitis

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Bicipitoradial Bursitis

Authors, Editors, Case Information Author: Michael Downing, DO Affiliation: Albany Medical Center Co Author(s): Dr. Wesley Paul Dr. David Civitarese Dr. Michael Bazzi Dr. Joshua Rothenberg Editor: Adam Lewno, DO Clinical Vignette: A 21-year-old competitive weightlifter presented with insidious onset of left anterolateral elbow pain for 3-weeks duration. The pain severity was rated as 2/10 at rest and increased to a 7/10 with back and biceps exercises. The pain was described as sharp and radiated to the proximal lateral forearm. On exam, elbow pain was provoked with resisted supination and flexion. Type of Probe Used: 15-4MHz Linear Transducer Unlabeled Short Axis View of the Distal Biceps Tendon with Doppler Unlabeled Short Axis View of the Distal Biceps Tendon with Doppler Labeled Short Axis View of the Distal Biceps Tendon with Doppler Labeled Short Axis View of the Distal Biceps Tendon with Doppler with evidence of hyperemia and bursal fluid surrounding the biceps tendon. Unlabeled Long Axis View of the Distal Biceps Tendon Unlabeled Long Axis View of the Distal Biceps Tendon via the pronator window Labeled Long Axis View of the Distal Biceps Tendon Labeled Long Axis View of the Distal Biceps Tendon via the pronator window with bursal fluid surrounding the biceps tendon. Interpretation Image Interpretation: Bursa fluid collection surrounding the distal biceps tendon with surrounding hyperemia consistent with bicipitoradial bursitis Teaching Pearl: Bicipitoradial bursitis is a relatively uncommon cause of elbow pain, often related to repetitive mechanical irritation near the distal biceps tendon. Short-axis ultrasound may show a U-shaped bursal fluid collection surrounding the distal biceps tendon, while a pronator-window long-axis view helps evaluate the tendon insertion and adjacent bursa. The scan should also assess for distal biceps tendinopathy or partial tears because bursal inflammation may be secondary. Doppler and compressibility can help distinguish bursal fluid from a solid mass or vascular structure. References: 1. Yap SH, Griffith JF, Lee RKL. Imaging bicipitoradial bursitis: a pictorial essay. Skeletal Radiol. 2019;48(1):5-10. doi:10.1007/s00256-018-2970-0 2. Draghi F, Gregoli B, Sileo C. Sonography of the bicipitoradial bursa: a short pictorial essay. J Ultrasound. 2012;15(1):39-41. doi:10.1016/j.jus.2012.02.003 3. Smith J, Finnoff JT, O’Driscoll SW, Lai JK. Sonographic evaluation of the distal biceps tendon using a medial approach: the pronator window. J Ultrasound Med. 2010;29(5):861-865. doi:10.7863/jum.2010.29.5.861
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Authors, Editors, Case Information

Unlabeled Short Axis View of the Distal Biceps Tendon with Doppler

Labeled Short Axis View of the Distal Biceps Tendon with Doppler

Unlabeled Long Axis View of the Distal Biceps Tendon

Labeled Long Axis View of the Distal Biceps Tendon

Interpretation

UPCOMING EVENTS

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