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’.

Absence of the long head of the biceps tendon associated with glenoid dysplasia and posterior labral tear

2008 ◽  
Vol 21 (7) ◽  
pp. 728-732 ◽  
Author(s):  
Siraj A. Sayeed ◽  
Jay P. Shah ◽  
Mark S. Collins ◽  
Diane L. Dahm
Keyword(s):  
Biceps Tendon ◽  
Labral Tear ◽  
Long Head ◽  
Glenoid Dysplasia

DOES CONGENITAL ABSENCE OF THE LONG HEAD OF BICEPS TENDON RENDER SHOULDER UNSTABLE LEADING TO BONY BANKART AND POSTERIOR LABRAL TEAR: A CASE REPORT AND REVIEW OF THE LITERATURE

2016 ◽  
Vol 19 (01) ◽  
pp. 1672001 ◽  
Author(s):  
Vivek Pandey ◽  
Sandeep Vijayan ◽  
Nazar Hafiz ◽  
N. Deepika ◽  
Kiran Acharya
Keyword(s):  
Biceps Tendon ◽  
Labral Tear ◽  
Congenital Absence ◽  
Review Of The Literature ◽  
Long Head Of Biceps ◽  
Glenohumeral Ligaments ◽  
Bony Bankart ◽  
Pain Reports ◽  
Long Head ◽  
First Time

Congenital absence of the long head of biceps tendon (LHBT) is a very rare entity. With its debatable role in shoulder stability, the literature provides few reports of absent LHBT and its association with shoulder instability or pain. Reports of instability are associated with labral tear or attenuation of glenohumeral ligaments. We are first time reporting a case of congenital absence of the LHBT and associated bony Bankart’s lesion and posterior labral tear.

scholarly journals “Monocept”: A Brief Report of Congenital Absence of the Long Head of the Biceps Tendon and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Benjamin A. Winston ◽  
Katlyn Robinson ◽  
Dennis Crawford
Keyword(s):  
Shoulder Instability ◽  
Biceps Tendon ◽  
Congenital Absence ◽  
Dash Score ◽  
Recreational Activity ◽  
Glenohumeral Instability ◽  
Capsular Shift ◽  
Long Head ◽  
Shoulder Stability

The long head of the biceps tendon plays an important role in shoulder stability and its functional absence has been shown to contribute to glenohumeral instability. Congenital absence of the long head to the biceps tendon is rare, although described in the literature. We report the case of an 18-year-old recreational athlete with recurrent shoulder instability and congenital absence of the long head of the biceps tendon (which we term “monocept”) and mild ipsilateral upper extremity hemimelia. The patient was treated surgically with posterior capsular shift with anterior Bankart repair without complication. At 16-month follow-up the patient has returned to recreational activity and has had an 11.37-point improvement in his DASH score. The authors suggest that patients with this uncommon anatomic anomaly and clinical shoulder instability are more likely to require surgical treatment.

scholarly journals Arthroscopic Repair of a Posterior Midcapsular Rupture Causing Posterior Shoulder Instability

2021 ◽  
Vol 1 (6) ◽  
pp. 263502542110319
Author(s):  
Gautam P. Yagnik ◽  
Kevin West ◽  
Bhavya K. Sheth ◽  
Luis Vargas ◽  
John W. Uribe
Keyword(s):  
Shoulder Instability ◽  
Arthroscopic Repair ◽  
Labral Tear ◽  
Labral Repair ◽  
Posterior Capsule ◽  
Posterior Shoulder Instability ◽  
Posterior Instability ◽  
Difficult Condition ◽  
Posterior Shoulder ◽  
Diagnostic Arthroscopy

Background: Gross posterior instability is rare and when found likely has an injury or deficiency to the posterior static restraints of shoulder associated with it. Traditionally, injuries to the posterior capsule have been difficult to diagnose and visualize with magnetic resonance imaging preoperatively, and very little literature regarding arthroscopic repair of posterior capsular tears exists currently. Indications: We present a repair of a posterior midcapsular and posterior labral tear in a 26-year-old man with recurrent left posterior shoulder instability using a novel all–arthroscopic technique. Technique Description: We performed a shoulder arthroscopy in a lateral decubitus position with the arm at 45° of abduction using standard posterior viewing and anterior working portals. Diagnostic arthroscopy revealed a large posterior midcapsular rupture approximately 2 cm lateral to the glenoid with an associated posterior labral tear. We created an accessory posterolateral portal with needle localization that was outside the capsular defect yet allowed access to the posterior labrum. Anatomic closure of the capsular tear was achieved arthroscopically with 3 interrupted No. 2 nonabsorbable sutures in a side–to–side fashion. Posterior labral repair and capsular shift were done to further address the instability using 2 knotless all–suture anchors percutaneously placed at the 7 o'clock and 9 o'clock position. We closed the posterior portal with a combination of curved and penetrating suture passers. Incisions were closed with interrupted 4-0 nylon. Postoperatively, the patient was placed in an ultra–sling for 4 weeks before physical therapy. We allowed light strengthening at 8 weeks, full strengthening at 12 weeks, and estimated return to sport at 4 months. Results: At 6 months postoperatively, the patient has regained symmetric motion, full strength, and has no residual pain or instability. Conclusion: Gross posterior instability is a rare and difficult condition to diagnose and manage. If no significant labral injuries are identified, injury to the posterior capsule must be considered and full assessment should be done when visualizing from the anterior portal. Repair of the posterior capsule is necessary and can be achieved all arthroscopically with this technique.

Arthroscopic treatment of posterior shoulder instability in patients with and without glenoid dysplasia: a comparative outcomes analysis

2017 ◽  
Vol 26 (12) ◽  
pp. 2103-2109 ◽  
Author(s):  
Joseph W. Galvin ◽  
Douglas R. Morte ◽  
Jason A. Grassbaugh ◽  
Stephen A. Parada ◽  
Samuel H. Burns ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Arthroscopic Treatment ◽  
Posterior Shoulder Instability ◽  
Outcomes Analysis ◽  
Posterior Shoulder ◽  
Glenoid Dysplasia

scholarly journals Differences in Outcomes Between Anterior and Posterior Shoulder Instability After Arthroscopic Bankart Repair: A Systematic Review and Meta-analysis

2021 ◽  
Vol 9 (5) ◽  
pp. 232596712110064
Author(s):  
Matthew L. Vopat ◽  
Reed G. Coda ◽  
Nick E. Giusti ◽  
Jordan Baker ◽  
Armin Tarakemeh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Shoulder Instability ◽  
Anterior Shoulder Instability ◽  
Posterior Shoulder Instability ◽  
Anterior Instability ◽  
Posterior Instability ◽  
Female Patients ◽  
Posterior Shoulder ◽  
Male Patients ◽  
Postoperative Instability

Background: The glenohumeral joint is one of the most frequently dislocated joints in the body, particularly in young, active adults. Purpose: To conduct a systematic review and meta-analysis to evaluate and compare outcomes between anterior versus posterior shoulder instability. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed using the PubMed, Cochrane Library, and MEDLINE databases (from inception to September 2019) according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies were included if they were published in the English language, contained outcomes after anterior or posterior shoulder instability, had at least 1 year of follow-up, and included arthroscopic soft tissue labral repair of either anterior or posterior instability. Outcomes including return-to-sport (RTS) rate, postoperative instability rate, and pre- and postoperative American Shoulder and Elbow Surgeons (ASES) scores were recorded and analyzed. Results: Overall, 39 studies were included (2077 patients; 1716 male patients and 361 female patients). Patients with anterior instability had a mean age of 23.45 ± 5.40 years (range, 11-72 years), while patients with posterior instability had a mean age of 23.08 ± 8.41 years (range, 13-61 years). The percentage of male patients with anterior instability was significantly higher than that of female patients (odds ratio [OR], 1.36; 95% CI, 1.04-1.77; P = .021). Compared with patients with posterior instability, those with anterior instability were significantly more likely to RTS (OR, 2.31; 95% CI, 1.76-3.04; P < .001), and they were significantly more likely to have postoperative instability (OR, 1.53; 95% CI, 1.07-2.23; P = .018). Patients with anterior instability also had significantly higher ASES scores than those with posterior instability (difference in means, 6.74; 95% CI, 4.71-8.77; P < .001). There were no significant differences found in postoperative complications between the anterior group (11 complications; 1.8%) and the posterior group (3 complications; 1.6%) (OR, 1.12; 95% CI, 0.29-6.30; P = .999). Conclusion: Patients with anterior shoulder instability had higher RTS rates but were more likely to have postoperative instability compared with posterior instability patients. Overall, male patients were significantly more likely to have anterior shoulder instability, while female patients were significantly more likely to have posterior shoulder instability.

scholarly journals Critical Glenoid Bone Loss in Posterior Shoulder Instability

2018 ◽  
Vol 34 (12) ◽  
pp. e2
Author(s):  
Christopher Nacca ◽  
Joseph Gil ◽  
Rohit Badida ◽  
Joseph Crisco ◽  
Brett Owens
Keyword(s):  
Bone Loss ◽  
Shoulder Instability ◽  
Glenoid Bone Loss ◽  
Posterior Shoulder Instability ◽  
Posterior Shoulder

Arthroscopic Approach to Posterior Shoulder Instability

2007 ◽  
Vol 15 (3) ◽  
pp. 111-115 ◽  
Author(s):  
Andre C. Grant ◽  
Armando F. Vidal ◽  
Eric C. McCarty
Keyword(s):  
Shoulder Instability ◽  
Posterior Shoulder Instability ◽  
Posterior Shoulder

Posterior shoulder instability

2004 ◽  
Vol 15 (4) ◽  
pp. 267-273
Author(s):  
Grant L Jones ◽  
Christopher C Kaeding
Keyword(s):  
Shoulder Instability ◽  
Posterior Shoulder Instability ◽  
Posterior Shoulder
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