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Journal of the Korean Shoulder and Elbow Society 1998;1(2):147-153.
Published online November 30, 1998.
Subscapularis Tendon Rupture with Medial Dislocation of Biceps Tendon - Case Report -
Byung-Ill Lee, M.D., Dong-Wook Kim, M.D., Dong-Jin Kim, M.D., Kyung-Dae Min, M.D. and Soo-Kyoon Rah, M.D.
Department of Orthopaedic Surgery, College of Medicine, Soonchunhyang University, Seoul, Korea
견갑하근 건 파열과 동반된 상완 이두근 건 탈구
이병일, 김동욱, 김동진, 민경대, 나수균
순천향대학교 의과대학 정형외과학교실
Abstract
Biceps tendon dislocation combined with rupture of subscapularis tendon is not a common lesion and there has been few case reported in Korea. We experienced one fifty Six years old male patient who shows typical features on physical examination and roentgenographic finding. He was injured by direct trauma on his right shoulder in adducted and external rotated position. He showed positive findings on passive external rotation test and lift-off test. On MR!, the subscpaularis tendon was totally ruptured and the biceps tendon was dislocated to anteromedial aspect of the glenoid labrum, which was typical finding. On the arthroscopic examination, the subscapularis tendon was totally ruptured from its humeral attachment and the biceps tendon was not seen in its normal anatomical position and it was dislocated antermedially to the glenoid labrum. We repaired the subscapularis tendon to humerus by use of suture anchor and the biceps tendon was relocated to its normal anatomical position in the intertubercular groove. On the post operative 6 months follow up, the patient shows improvements in his subjective symptoms and active range of motion.
Key Words: Biceps tendon dislocation; Subscapularis rupture


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