A 36-year-old man presented with a 1-month history of anterior shoulder pain following a fall from a bike. The pain was incidental, particularly while lifting up objects, and increased while riding the bike again. Furthermore, there was significant night pain. The pain presented on the anterior shoulder and over the deltoid.

Physical examination

• Pain over the anterior shoulder
• Speed’s test: Positive
• Yergason’s test: Positive
• Painful arc present

Ultrasound findings

• Effusion around the biceps tendon

Ultrasonography of the shoulder joint showing effusion around

• Swelling and neoangiogenesis on color Doppler examination at the long-headed biceps tendon indicative of inflammation

Color Doppler examination of the shoulder joint showing a swollen long-headed biceps (LHB) tendon with neoangiogenesis.

Diagnosis

The patient was diagnosed with biceps tendinopathy, which is characterized by inflammation of the tendon within the bicipital groove. Overuse increases the risk of biceps tendinopathy, and patients typically complain of pain in the anterior shoulder that increases at night.

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