Injuries to the Biceps Pulley

Clin Sports Med. 2016 Jan;35(1):19-27. doi: 10.1016/j.csm.2015.08.003. Epub 2015 Sep 26.


The biceps reflection pulley is a soft tissue sling that stabilizes the long head of the biceps tendon (LHB) before it enters the bicipital groove. Injuries to the biceps pulley and related instability of the LHB are common diagnoses in patients with anterior shoulder pain. This article summarizes the current concepts for treatment of injuries to the biceps pulley. Clinical and radiological presentation, arthroscopic assessment, and current treatment options are outlined.

Keywords: Biceps instability; Biceps reflection pulley; Biceps tendon injuries; Pulley lesions.

Publication types

  • Review

MeSH terms

  • Arthroscopy / adverse effects
  • Humans
  • Magnetic Resonance Imaging
  • Patient Positioning
  • Postoperative Care
  • Shoulder Injuries*
  • Shoulder Joint / pathology
  • Shoulder Joint / surgery
  • Shoulder Pain / etiology
  • Tendon Injuries / pathology
  • Tendon Injuries / surgery*
  • Tendons / anatomy & histology
  • Tendons / pathology
  • Tendons / surgery*
  • Treatment Outcome