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pain elicited in biceps groove when patient attempts to actively supinate against examiner resistance with elbow flexed to 90-degrees and forearm pronated "popeye" deformity Imaging Ultrasound can show thickened tendon within bicipital groove can show thickening and tenosynovitis of proximal biceps tendon increased T2 signal around biceps tendon Treatment Nonoperative NSAIDS, PT strengthening, and steroid injections indications technique Operative arthroscopic tenodesis vs