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Journal of the Korean Shoulder and Elbow Society 1998;1(2):154-159.
Published online November 30, 1998.
Acute Traumatic Medial Dislocation of the Tendon of the Long Head of the Biceps Brachii with Concomitant Subscapularis Rupture - A Case Report -
Seung-Key Kim, M.D., Jong-Beom Park, M.D., Woo-Sung Choi, M.D., Ho-Tae Kim, M.D. and Han Chang M.D.
Department of Orthopaedic Surgery, Uijongbu St. Mary’s Hospital, College of Medicine, Catholic University of Korea, Seoul, Korea
견갑하근 파열과 동반된 상완 이두근 장두의 외상성 내측 탈구 -1례보고-
김승기, 박종범, 최우성, 김호태, 장한
가톨릭대학교 의과대학 의정부성모병원 정형외과학교실
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.
Key Words: Biceps brachii; Dislocation; MRI; Reconstruction


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