Glenohumeral Function of the Long Head of the Biceps Muscle

Background:Optimal treatment of superior labral anterior-posterior (SLAP) tears is controversial, in part because the dynamic role of the long head of the biceps muscle (LHBM) in the glenohumeral joint is unclear. The aim of this study was to determine dynamic LHBM behavior during shoulder activity by studying (1) the electromyographic activity of the LHBM during shoulder motion, (2) the effect of elbow immobilization on this activity, and (3) the effect of a load applied to the distal humerus on this activity. Hypothesis: The LHBM would not play a significant role in active glenohumeral range of motion. Study Design: Controlled laboratory study. Methods: Thirteen normal volunteers underwent surface electromyography (EMG) measurement of the LHBM, short head biceps muscle (SHBM), deltoid, infraspinatus, and brachioradialis during shoulder motion from the neutral position (0 of rotation, flexion, and abduction) to 45 of flexion, 90 of flexion, 45 of abduction, and 90 of abduction. These motions were repeated both with and without splint immobilization of the forearm and elbow at 100 of flexion and neutral rotation and with and without a 1-kg weight placed on the lateral distal humerus. Results:Mean EMG activity within the LHBM and the SHBMwas low (11.6 % ± 9.1%). LHBM activity was significant increased by flexion and abduction (P <.049 in all cases), while SHBM activity was not. EMG activity from the middle head of the deltoid was significantly increased by loading with the shoulder positioned away from the body (ie, in abduction or flexion). When compared with the unloaded state, the addition of a distal humeral load significantly increased LHBM activity in 45 of abduction (P .028