Chondral print on humeral head: An indirect sign of long head biceps tendon instability

Alessandro Castagna, Elyazid Mouhsine, Marco Conti, Enzo Vinci, Mario Borroni, Antonio Giardella, Raffaele Garofalo

Research output: Contribution to journalArticlepeer-review


Long head biceps (LHB) tendon pathologies are becoming increasingly recognized causes of shoulder pain in the published literature. Instability of LHB presenting as dislocation or subluxation has been recently recognized as a possible cause of disabling pain or discomfort of the shoulder. A clinical diagnosis of LHB instability is very difficult and often confounding because of association with other shoulder pathologies. However, an early diagnosis of LHB instability is important in order to prevent the evolution of lesions of the biceps pulley until an internal anterosuperior impingement of the shoulder (ASI) and subscapular tear occur. The advent of arthroscopy contributed to enhance understandings. The goal of this article is to describe an arthroscopic sign, the chondral print on the humeral head, associated with a LHB instability, that when present can be very useful to help the surgeon to make the diagnosis of unstable LHB tendon.

Original languageEnglish
Pages (from-to)645-648
Number of pages4
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Issue number5
Publication statusPublished - May 2007


  • Arthroscopy
  • Instability
  • Long head biceps tendon
  • Pulley
  • Shoulder

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Surgery


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