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Etiology Pathoanatomy more consistent with "tendinosis" than true inflammation Often associated with other primary shoulder pathology subacromial impingement stenosis of bicipital groove rotator cuff tears Anatomy originates off supraglenoid tubercle and superior labrum stabilized within bicipital groove by transverse humeral ligament With persistent inflammation, the intra-articular portion of the biceps tendon can become hypertrophied, leading to incarceration within the joint during movement, especially elevation Presentation Symptoms pain tenderness with palpation over biceps groove "popeye" deformity Imaging Ultrasound can show thickened tendon within bicipital groove can show thickening and tenosynovitis of proximal biceps tendon Treatment Nonoperative NSAIDS, PT strengthening, and steroid injections Operative arthroscopic tenodesis vs