A significant result of exudative tenovaginitis is a reality
that at long lasting or badly cured tenovaginitis, a dense, highly viscid liquid
forms, which restricts the movement of the glenohumeral articulation, and which
is a permanent cause of clinical problems (see
symptoms of bicipital tendinitis and tenovaginitis). Problems
continue until the liquid is extracted. Unfortunately at these obsolete cases
the aspiration with a needle mostly cannot eliminate all the content, and the
steroid peritendinous injections have only a partial effect. Finally it is necessary to make
an extraction of the content of the sheath operatively. At exudative
tenovaginitis of the long head of the biceps it is necessary to intervene as
soon as possible because lateness of the therapy about 2 – 3 months can bring
worse prognosis for the patient.