Weekly Case

Title : Case 22

Age / Sex : 59 / F


C.C.: shoulder pain 




 
1) What is your impression?

Courtesy : Jaehyun Cho, MD., Ajou University Hospital


Diagnosis:

subluxation of tendon of long head of biceps brachii



Discussion


Findings:
- LHBT is translated medially, located over the lesser tuberosity.
- Attenuation of LHBT suggesting associated tendinitis.

Differential Diagnosis: None

Diagnosis: subluxation of tendon of long head of biceps brachii

Discussion:
- Unlike dislocation of LHBT, subluxation usually happens as a extraarticular displacement.
- Lesser tuberosity and subscapularis tendon are principal restraint of LHBT, transverse ligament and bicipital sling structure act as a suspensory ligaments.
- Subluxation usually accompany degeneration of tendon.

References:
1. D Resnick. diagnosis of bone and joint disorder 4th ed. Saunder co. p 3141



Correct Answer
Name Institution
성미숙 (정답) : 가톨릭의대
오배근 (정답) : 일산백병원 전공의
박소영 (정답) : 경희의료원 전공의
심수연 (정답) : 경희의료원 전공의
황지영 (감별진단 정답) : 이대목동병원
김완태 (감별진단 정답) : 서울 보훈병원
이민희 (감별진단 정답) : 강북삼성병원

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