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[CPPD] Long head of biceps inflammation bicipital recess

Patient Positioning

Patient seated on a revolving stool, arm in slight internal rotation. Elbow flexed (90°), palm up.

Probe Positioning

Place the probe over the long biceps tendon between the greater and lesser tuberosities in its short axis. Shift the probe up to the intraarticular course of the long head of biceps and down to the myotendinous junction (level of the humeral insertion of the pectoralis major tendon).

Shoulder anterior view

lhb: long head of biceps tendon

Note: Inflammation of the bicipital recess due to omarthritis with effusion, synovial proliferation and hyperechoic spots (crystals) in a patient with calcium pyrophsophate deposition desease

sp: synovial proliferation