There are several problems that can occur with the biceps tendon that may lead to the development ofshoulder pain.
In the elbow, there’s only one tendon; it passes under the crease of the elbow joint.
The most common biceps tendon problem of the distal biceps tendon isruptured distal biceps.

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Proximal Biceps Tendon Problems
Most proximal biceps tendon problems occur on the long head of the biceps.
The long head of the biceps can have problems at any of these locations.
Tears within the biceps tendon can lead to persistent pain that sometimes requires surgical treatment.
Biceps Tendon Ruptures
When damaged significantly, the biceps tendon may tear off completely from its attachment.
Biceps Tendon Subluxation/Dislocation
The biceps tendon comes up the front of the arm into the shoulder.
Treatment
Not all biceps tendon problems are treated the same way.
Depending on the cause of the condition, your treatment plan may vary.
Surgical treatments of the biceps tendon may be considered.
The most common treatments for biceps tendon problems include a biceps tenotomy and abiceps tenodesis.
The surgery is quick, simple, and has reliable results.
The alternative to tenotomy is called a biceps tenodesis.
Biceps tenodesis has a longer recovery period but often has excellent results.
Another tendon called the short head attaches the biceps muscle to the front of the shoulder.
Biceps tendonitis is diagnosed based on a person’s symptoms, medical history, and a physical examination.
Additional testing can involve an x-ray ormagnetic resonance imaging (MRI).
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