scholarly journals Missed Bilateral Anterior Shoulder Dislocation With Bilateral Coracoid Fracture and Unilateral Long Head of Biceps Rupture

Cureus ◽  
2020 ◽  
Author(s):  
Ali Chamseddine ◽  
Mark E Mouchantaf ◽  
Kinan Freiha ◽  
Ali Asfour ◽  
Mohammad O Boushnak
Keyword(s):  
Shoulder Dislocation ◽  
Anterior Shoulder Dislocation ◽  
Long Head Of Biceps ◽  
Biceps Rupture ◽  
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.

scholarly journals Wide-Awake Shoulder Nanoscopic Long Head of Biceps Tenotomy

2021 ◽  
Vol 10 (3) ◽  
pp. e909-e912
Author(s):  
Chris Peach ◽  
Ronnie Davies ◽  
Nick Phillips
Keyword(s):  
Long Head Of Biceps ◽  
Biceps Tenotomy ◽  
Long Head ◽  
Wide Awake
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