The short head of biceps arises by a thick, flat tendon from the apex of the coracoid process, sharing the origin with coracobrachialis. The conjoined tendon of short head biceps and coracobrachialis is a key landmark in the deltopectoral approach to the shoulder.
The short head biceps tendon is the key structure retracted medially in the deltopectoral surgical approach to the shoulder and proximal humerus. Coracoid impingement syndrome involves compression of the short head conjoined tendon between the coracoid and the lesser tubercle during shoulder internal rotation and flexion. The tendon is at risk during open Latarjet coracoid transfer, where it is taken with the coracoid graft.
Compression of the short head biceps and coracobrachialis conjoined tendon between the coracoid process and the lesser tubercle in shoulder internal rotation, producing anterior shoulder pain with combined flexion, adduction, and internal rotation.
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