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M75.2 Bicipital Tendinitis – Causes & Treatment
M75.2 is the ICD-10 code for bicipital tendinitis, an inflammation or degeneration of the long head of the biceps tendon at the shoulder, causing pain and restricted movement.
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M75.2 is the ICD-10 code for bicipital tendinitis, an inflammation or degeneration of the long head of the biceps tendon at the shoulder, causing pain and restricted movement.
What is M75.2 – Bicipital Tendinitis?
The ICD-10 code M75.2 refers to bicipital tendinitis, also known as tendinitis of the long head of the biceps tendon. It is an inflammatory or degenerative condition affecting the tendon of the long head of the biceps muscle as it passes through the shoulder joint. Because of its anatomical course within the joint, this tendon is particularly susceptible to mechanical irritation and wear.
Causes
Bicipital tendinitis commonly develops due to overuse or repetitive micro-trauma. Common causes include:
- Repetitive overhead movements (e.g., in sports such as swimming, tennis, or baseball, or in certain occupations)
- Degenerative changes of the tendon associated with aging
- Shoulder instability or structural abnormalities of the shoulder joint
- Associated rotator cuff pathologies
- Inflammatory conditions such as rheumatoid arthritis
Symptoms
Typical symptoms of M75.2 include:
- Pain at the front of the shoulder, which may radiate into the upper arm
- Pain when lifting the arm or performing overhead activities
- Tenderness on palpation of the bicipital groove
- Increased pain when flexing the elbow against resistance
- Occasional clicking or catching sensation in the shoulder
- Stiffness and limited range of motion of the shoulder
Diagnosis
Diagnosis is established through clinical examination and imaging:
- Clinical tests: Speed test, Yergason test, and palpation of the bicipital groove
- Ultrasound: to visualize tendon thickening, fluid accumulation, or structural changes
- MRI (Magnetic Resonance Imaging): for detailed assessment of tendon structure and adjacent anatomical structures
- X-ray: to exclude bony pathologies
Treatment
Conservative Treatment
Most cases can be managed without surgery:
- Rest and activity modification of the affected arm
- Ice application to the shoulder during the acute phase
- Physiotherapy to strengthen shoulder muscles and restore range of motion
- Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or diclofenac for pain relief
- Corticosteroid injections into the tendon sheath for persistent symptoms
- Ultrasound-guided injections or extracorporeal shockwave therapy as additional options
Surgical Treatment
If conservative measures fail, surgical intervention may be required:
- Tenodesis: surgical relocation of the long head of the biceps tendon
- Tenotomy: cutting of the tendon as a simpler alternative, particularly in older patients
Prognosis
With timely and consistent treatment, the prognosis is generally favorable. Many patients experience significant symptom relief through conservative therapy within several weeks to months. Early physiotherapy plays a key role in recovery.
References
- World Health Organization: International Classification of Diseases, 10th Revision (ICD-10), Code M75.2 – Bicipital tendinitis.
- Murthi AM, Vosburgh CL, Neviaser TJ. The incidence of pathologic changes of the long head of the biceps tendon. Journal of Shoulder and Elbow Surgery. 2000;9(5):382–385.
- Neer CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder. Journal of Bone and Joint Surgery. 1972;54(1):41–50.
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