{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:25Z","timestamp":1787755525148,"version":"build-2784847793"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 25-year-old woman sustained an acute tear of her superior anterior-posterior labrum with arthroscopic identification of an anomalous origin of the long head of the biceps arising exclusively from the supraspinatus tendon with no attachment to the supraglenoid tubercle or superior labrum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This is the first report of a symptomatic superior labrum anterior-posterior tear in a patient with a rare anatomic confluence of the long head of the biceps to the supraspinatus. We recommend addressing the labral pathology with utilization of a standard technique because satisfactory results can be realized with isolated labral fixation to the glenoid, despite the absence of an attached biceps tendon.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00151","type":"journal-article","created":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T15:00:08Z","timestamp":1604588408000},"page":"e20.00151-e20.00151","source":"Crossref","is-referenced-by-count":0,"title":["Cape-like Anomalous Confluence of the Long Head of the Biceps and Rotator Cuff in the Presence of a SLAP Tear"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7562-8375","authenticated-orcid":false,"given":"Robert L.","family":"Parisien","sequence":"first","affiliation":[{"name":"Penn Sports Medicine Center, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1878-757X","authenticated-orcid":false,"given":"Martin","family":"Griffis","sequence":"additional","affiliation":[{"name":"Penn Sports Medicine Center, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5305-3603","authenticated-orcid":false,"given":"Stephanie Y.","family":"Jo","sequence":"additional","affiliation":[{"name":"Penn Sports Medicine Center, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6258-8327","authenticated-orcid":false,"given":"John D.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Penn Sports Medicine Center, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9986-1390","authenticated-orcid":false,"given":"Brian J.","family":"Sennett","sequence":"additional","affiliation":[{"name":"Penn Sports Medicine Center, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"4","key":"bib1-20230719","doi-asserted-by":"crossref","first-page":"432","DOI":"10.4103\/0019-5413.136313","article-title":"Bifurcated intraarticular long head of biceps tendon","volume":"48","author":"Pandey","year":"2014","journal-title":"Indian J Orthop."},{"issue":"9","key":"bib2-20230719","doi-asserted-by":"crossref","first-page":"1576","DOI":"10.1007\/s00167-010-1384-x","article-title":"Intra-articular variations of the long head of the biceps tendon","volume":"19","author":"Kanatli","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"20","key":"bib3-20230719","doi-asserted-by":"crossref","first-page":"e10708","DOI":"10.1097\/MD.0000000000010708","article-title":"Variation in origin of the long head of the biceps brachii tendon in a cadaver: a case report","volume":"97","author":"Katsuki","year":"2018","journal-title":"Medicine."},{"issue":"4","key":"bib4-20230719","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.jse.2009.03.006","article-title":"Variations of the intra-articular portion of the long head of the biceps tendon: a classification of embryologically explained variations","volume":"18","author":"Dierickx","year":"2009","journal-title":"J Shoulder Elbow Surg."},{"issue":"1","key":"bib5-20230719","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.rbo.2015.04.022","article-title":"Tendon of the long head of the biceps originating from the rotator cuff\u2014an uncommon anatomical variation: case report","volume":"51","author":"Andreoli","year":"2016","journal-title":"Revista Brasileira de Ortopedia."},{"issue":"3","key":"bib6-20230719","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/2309499017742207","article-title":"Morphological classification of anatomical variants of the intra-articular portion of the long head of the biceps brachii tendon and analysis of the incidence and the relationship with shoulder disease for each subtype","volume":"25","author":"Jeong","year":"2017","journal-title":"J Orthop Surg."},{"issue":"6","key":"bib7-20230719","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1302\/0301-620X.76B6.7983126","article-title":"The origin of the long head of the biceps from the scapula and glenoid labrum. An anatomical study of 100 shoulders","volume":"76","author":"Vangsness","year":"1994","journal-title":"J Bone Joint Surg Br."},{"issue":"10","key":"bib8-20230719","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1016\/j.arthro.2005.07.006","article-title":"Attachment types of the long head of the biceps tendon to the glenoid labrum and their relationships with the glenohumeral ligaments","volume":"21","author":"Tuoheti","year":"2005","journal-title":"Arthroscopy."},{"key":"bib9-20230719","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1002\/aja.1000920203","article-title":"Prenatal development of the human shoulder and acromio-clavicular joints","volume":"92","author":"Gardner","year":"1953","journal-title":"Am J Anat."},{"key":"bib10-20230719","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/S0749-8063(98)70101-X","article-title":"Congenital anomaly of the biceps tendon and anatomy within the shoulder joint","volume":"14","author":"MacDonald","year":"1998","journal-title":"Arthroscopy."},{"issue":"2","key":"bib11-20230719","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1097\/00042752-200303000-00011","article-title":"Anomalous intraarticular origin of the long head of biceps brachii","volume":"13","author":"Richards","year":"2003","journal-title":"Clin J Sport Med."},{"issue":"3","key":"bib12-20230719","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1007\/s002560050497","article-title":"Intracapsular origin of the long head of the biceps tendon","volume":"28","author":"Yeh","year":"1999","journal-title":"Skeletal Radiol."},{"issue":"3","key":"bib13-20230719","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1007\/s00402-007-0559-5","article-title":"A long head of the biceps tendon confluent with the intra-articular rotator cuff: arthroscopic and MR arthrographic findings","volume":"129","author":"Kim","year":"2009","journal-title":"Arch Orthop Trauma Surg."},{"key":"bib14-20230719","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/j.csm.2008.07.005","article-title":"Long head of biceps tendon pathology: management alternatives","volume":"27","author":"Hsu","year":"2008","journal-title":"Clin Sports Med."},{"key":"bib15-20230719","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1302\/0301-620X.75B4.8331107","article-title":"Stabilising function of the biceps in stable and unstable shoulders","volume":"75","author":"Itoi","year":"1993","journal-title":"J Bone Joint Surg Br."},{"issue":"4","key":"bib16-20230719","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1007\/s12178-017-9434-3","article-title":"Clinical evaluation and physical exam findings in patients with anterior shoulder instability","volume":"10","author":"Lizzio","year":"2017","journal-title":"Curr Rev Musculoskelet Med."},{"key":"bib17-20230719","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.jse.2003.09.008","article-title":"Contributions to the study of pathogenesis of type II superior labrum anterior-posterior lesions: a cadaveric model of a fall on an outstretched hand","volume":"13","author":"Clavert","year":"2004","journal-title":"J Shoulder Elbow Surg."},{"issue":"6","key":"bib18-20230719","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/S0749-8063(98)70065-9","article-title":"The peel-back mechanism: its role in producing and extending posterior type II SLAP lesions and its effect on SLAP repair rehabilitation","volume":"14","author":"Burkhart","year":"1998","journal-title":"Arthroscopy."},{"issue":"4","key":"bib19-20230719","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1053\/jars.2003.50044","article-title":"Failure of the biceps superior labral complex: a cadaveric biomechanical investigation comparing the late cocking and early deceleration positions of throwing","volume":"19","author":"Kuhn","year":"2003","journal-title":"Arthroscopy."},{"key":"bib20-20230719","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1016\/j.arthro.2007.05.007","article-title":"Anatomic variations in the long head of biceps: contribution to shoulder dysfunction","volume":"23","author":"Ghalayini","year":"2007","journal-title":"Arthroscopy."},{"key":"bib21-20230719","doi-asserted-by":"crossref","first-page":"366","DOI":"10.2106\/00004623-199503000-00006","article-title":"The role of the long head of the biceps brachii in superior stability of the glenohumeral joint","volume":"77","author":"Warner","year":"1995","journal-title":"J Bone Joint Surg Am."},{"key":"bib22-20230719","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1177\/036354659402200119","article-title":"The role of the long head of the biceps muscle and superior glenoid labrum in anterior stability of the shoulder","volume":"22","author":"Rodosky","year":"1994","journal-title":"Am J Sports Med."},{"key":"bib23-20230719","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S1058-2746(96)80051-6","article-title":"Role of the long head of the biceps brachii in glenohumeral stability: a biomechanical study in cadavera","volume":"5","author":"Pagnani","year":"1996","journal-title":"J Shoulder Elbow Surg."},{"key":"bib24-20230719","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1097\/00003086-198907000-00015","article-title":"The role of the long head of biceps brachii in the stabilization of the head of the humerus","volume":"244","author":"Kumar","year":"1989","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib25-20230719","doi-asserted-by":"crossref","first-page":"1979","DOI":"10.1007\/s00167-014-3318-5","article-title":"The effect of long and short head biceps loading on glenohumeral joint rotational range of motion and humeral head position","volume":"24","author":"McGarry","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"3","key":"bib26-20230719","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1002\/ca.22145","article-title":"Anatomic study of the superior glenoid labrum","volume":"26","author":"Bain","year":"2013","journal-title":"Clin Anat."},{"key":"bib27-20230719","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1002\/ca.20713","article-title":"Absence of the long head of the biceps tendon associated with glenoid dysplasia and posterior labral tear","volume":"21","author":"Sayeed","year":"2008","journal-title":"Clin Anat."},{"key":"bib28-20230719","doi-asserted-by":"crossref","first-page":"1746","DOI":"10.1177\/0363546505274933","article-title":"Symptomatic superior labral anterior posterior lesion with absence of the long head of the biceps tendon: a case report","volume":"33","author":"Keefe","year":"2005","journal-title":"Am J Sports Med."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00151","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:29Z","timestamp":1787751869000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00151"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":28,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00151","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}