Congenital Absence of the Long Head of the Biceps Tendon: A Case Report

2005 ◽  
Vol os-87 (7) ◽  
pp. 1584-1586 ◽  
Author(s):  
J. C. Franco ◽  
T. P. Knapp ◽  
B. R. Mandelbaum
Keyword(s):  
Case Report ◽  
Biceps Tendon ◽  
Congenital Absence ◽  
Long Head

CONGENITAL ABSENCE OF THE LONG HEAD OF THE BICEPS TENDON

2005 ◽  
Vol 87 (7) ◽  
pp. 1584-1586 ◽  
Author(s):  
JOHN C. FRANCO ◽  
THOMAS P. KNAPP ◽  
BERT R. MANDELBAUM
Keyword(s):  
Biceps Tendon ◽  
Congenital Absence ◽  
Long Head

scholarly journals Posterior Shoulder Instability in the Patients with Bilateral Congenital Absence of Long Head of Biceps Tendon: A Case Report

2018 ◽  
Vol 21 (4) ◽  
pp. 240-245
Author(s):  
Sung Hyun Yoon ◽  
Kang Heo ◽  
Jae Sung Yoo ◽  
Sung Joon Kim ◽  
Joong Bae Seo
Keyword(s):  
Shoulder Instability ◽  
Biceps Tendon ◽  
Magnetic Resonance Images ◽  
Labral Tear ◽  
Congenital Absence ◽  
Posterior Shoulder Instability ◽  
First Case ◽  
Posterior Shoulder ◽  
Long Head ◽  
Glenoid Dysplasia

Rare cases of a congenital absence of the long head of the biceps tendon (LHBT) have been reported, and its incidence is unknown. In a literature review of the congenital absence of the LHBT, only 1 case was associated with posterior shoulder instability and severe posterior glenoid dysplasia. This paper reports the first case of a patient with a bilateral congenital absence of the LHBT with posterior shoulder instability without glenoid dysplasia or posterior glenoid tilt. The patient experienced a traffic accident while holding the gear stick with his right hand. After the accident, a posteroinferior labral tear with paralabral cysts was detected on the magnetic resonance images. The congenital absence of the LHBT was assumed to have affected the posterior instability that possibly increased the susceptibility to a subsequent traumatic posterior inferior labral tear. This case was identified as a posterior inferior tear caused by a traumatic ‘gear stick injury’.

scholarly journals Congenital absence of long head of the biceps tendon

2013 ◽  
Vol 96 (5) ◽  
pp. 320
Author(s):  
P Gillardin ◽  
F M Vanhoenacker ◽  
T Wauters ◽  
A I De Backer
Keyword(s):  
Biceps Tendon ◽  
Congenital Absence ◽  
Long Head

scholarly journals Irreducible Anterior Shoulder Dislocation with Interposition of the Long Head of the Biceps and Greater Tuberosity Fracture: A Case Report and Review of the Literature

2017 ◽  
Vol 11 (1) ◽  
pp. 327-334 ◽  
Author(s):  
Konstantinos Pantazis ◽  
Andreas Panagopoulos ◽  
Irini Tatani ◽  
Basilis Daskalopoulos ◽  
Ilias Iliopoulos ◽  
...  
Keyword(s):  
Case Report ◽  
Shoulder Dislocation ◽  
Open Reduction ◽  
Biceps Tendon ◽  
Full Range ◽  
Successful Outcome ◽  
Anterior Shoulder Dislocation ◽  
Greater Tuberosity ◽  
Greater Tuberosity Fracture ◽  
Long Head

Background: Failure of closed manipulative reduction of an acute anterior shoulder dislocation is seldom reported in the literature and is usually due to structural blocks such as soft tissue entrapment (biceps, subscapularis, labrum), bony fragments (glenoid, greater tuberosity) and severe head impaction (Hill-Sachs lesion). Case report: We present a case of an irreducible anterior shoulder dislocation in a 57-year-old male patient after a road-traffic accident. He had severe impaction of the head underneath glenoid rim and associated fracture of the greater tuberosity. Closed reduction performed in the emergency room under sedation and later at the theatre under general anaesthesia was unsuccessful. Open reduction using the dectopectoral approach revealed that the reason for obstruction was the posterolateral entrapment of the biceps tendon between the humeral head and the tuberosity fragment. Reduction was achieved after subscapularis tenotomy and opening of the joint; the tuberosity fragment was fixed with transosseous sutures and the long head of the biceps tendon was tenodesized. The patient had an uneventful postoperative recovery and at his last follow up, 12 months postoperatively, he had a stable joint, full range of motion and a Constant score of 90. Conclusion: A comprehensive literature review revealed 22 similar reports affecting a total of 30 patients. Interposition of the LHBT alone or in combination with greater tuberosity fracture was the most common obstacle to reduction, followed by subscapularis tendon interposition and other less common reasons. Early surgical intervention with open reduction and confrontation of associated injuries is mandatory for a successful outcome.

Sign in / Sign up

Export Citation Format

Share Document