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Extra info for Atlas of Orthopaedic Surgery: A Multimedia Reference
The interval between the supraspinatus and subscapularis is occupied by the biceps tendon and coracohumeral ligament. The latter structure functions as a suspensory ligament for the humeral head and may require release during mobilization of a rotator cuff tear. The biceps tendon is an intraarticular, intrasynovial structure, which originates on the supraglenoid tubercle and is intimately related to the rotator cuff. It exits the joint through the rotator interval before entering the intertubercular groove.
1-25). Rotator cuff tears can be marked with the placement of a suture through a spinal needle to allow for its easier localization in the subacromial space. Arthroscopic grabbers can be used to assess tendon quality and mobility. 43 Atlas of Orthopaedic Surgery - A Multimedia Reference FIGURE 1-21. View from the posterior portal. The superior rolled edge of the subscapularis tendon can be clearly visualized in the anterior portion of the joint. Abduction and external rotation aid in the visualization of the superior insertion of the tendon at the bicipital groove.
The latter structure functions as a suspensory ligament for the humeral head and may require release during mobilization of a rotator cuff tear. The biceps tendon is an intraarticular, intrasynovial structure, which originates on the supraglenoid tubercle and is intimately related to the rotator cuff. It exits the joint through the rotator interval before entering the intertubercular groove. The major portion of the blood supply to the rotator cuff and biceps tendon arises from branches of the axillary artery, with the most important contribution coming from the suprascapular and anterior and posterior humeral circumflex vessels (Fig.