Rotator cuff tear surgery, although intellectually interesting, does not seem to demonstrate a statistically significant clinical difference. Biceps tenotomy and tenodesis are are often performed concomitantly with rotator cuff repair or as separate procedures and can be a sole or concomitant cause of shoulder pain. Tenodesis, which may be performed as an arthroscopic or open procedure, generally restores pain free motion it the biceps tendon, or attached portion of the labrum, is the cause of the pain. Tenotomy is a shorter surgery, requiring less rehabilitation, that doctors tend to recommended for older patients who don't mind the cosmetic 'popeye sign' that sometimes is
Annular ligaments of fingers Annular ligaments of fingers In human anatomy, the annular ligaments of the fingers, often referred to as A pulleys, are the annular part of the fibrous sheathes of the fingers. Four or five such annular pulleys, together with three cruciate pulleys, form a fibro-osseous tunnel on the palmar aspect of the hand through which passes the deep and superficial flexor tendons. The annular and cruciate ligaments serve to govern the flexor mechanism of the hand and wrist, providing critical constraints to the flexor tendons to prevent bowstringing upon contraction and excursion of extrinsic flexor musculo-tendinous units. The first annular pulley