Acute Traumatic Medial Dislocation of the Tendon of the Long Head of the Biceps Brachii with Concomitant Subscapularis Rupture - A Case Report -

견갑하근 파열과 동반된 상완 이두근 장두의 외상성 내측 탈구 -1례보고-

  • Kim Seung Key (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Park Jong Beom (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Choi Woo-Sung (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Kim Ho- Tae (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Chang Han (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu)
  • 김승기 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 박종범 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 최우성 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 김호태 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 장한 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실)
  • Published : 1998.11.01

Abstract

Medial dislocation of the long head of the biceps brachii is a rare condition that usually occurs in association with tears of the subscapularis, chronic impingement, capsular defects or a fracture of the lesser tuberosity. Less commonly, a biceps tendon dislocation may occur after an acute traumatic event. Following a dislocation, the biceps tendon will assume either an intra- or extra-articular position depending on whether or not the subscapularis tendon detaches from its humeral insertion. Magnetic resonance imaging has been found to provide valuable information concerning the location of the biceps tendon and the integrity of the subscapularis tendon. We present a patient with a traumatic dislocation of the biceps brachii tendon in which the diagnosis remained elusive for an extended period of time. In this case, he was evaluated using MRI and reconstruction was performed by restoring the tendon to its anatomical position.

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