Management of Calcific Tendinitis of the long head of biceps – Lessons learned

Karuppaiah Karthik, David Elias, Adel Tavakkolizadeh



A 55-year-old lady presented with acute right shoulder pain. Investigations, confirmed calcific tendinitis of extra-articular long head of Biceps (LHB). Patient had steroid injection and the symptoms persisted with positive Biceps provocative-tests. We proceeded with surgical exploration for possible biceps tenodesis. Intra-operatively, despite fluid and increased vascularity, there was no calcific lesion and was confirmed by radiograph. Postoperatively, the symptoms resolved within 4 weeks.



The clinical presentation in calcific tendinitis of extra-articular LHB is acute and responds well to steroid injection. Radiographs to confirm the continued presence of the lesion immediately before surgery is essential.


Biceps tendonitis, long head of biceps tendonitis, calcific tendonitis, shoulder pain.

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