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Posterior dislocation of the long head biceps tendon: a case report, specific radiographic finding, and review of the literature

  • Peter Moreau
  • Michael Bresler
  • Benjamin Goldberg
  • Winnie A. Mar
Case Report
  • 31 Downloads

Abstract

Posterior dislocation of the long head of the biceps tendon uncommonly occurs with traumatic shoulder injury. The diagnosis is almost always associated with anterior shoulder dislocation which often cannot be reduced. We present a case of traumatic posterior dislocation of the long head of the biceps tendon with no reported history of shoulder dislocation, but instead a rare and specific radiographic finding. The imaging features are described, the relevant literature reviewed, and salient features discussed.

Keywords

Posterior dislocation of the long head of the biceps tendon Biceps tendon injuries Shoulder dislocation 

Notes

Authors’ contribution

Peter Moreau: primary manuscript author, manuscript design, literature review, data acquisition, provided initial draft and revisions, corresponding author.

Michael Bresler: initial concept, editing/revision of the manuscript.

Benjamin Goldberg: editing/revision of the manuscript, orthopedic clinical expertise, provided the arthroscopic image.

Winnie A Mar: initial concept, editing/revision of the manuscript, principal mentor to the first author.

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflicts of interest.

Disclosure

No disclosures.

References

  1. 1.
    Robinson CM, Shur N, Sharpe T, Ray A, Murray IR. Injuries associated with traumatic anterior glenohumeral dislocations. J Bone Joint Surg. 2012;94(1):18–26.CrossRefGoogle Scholar
  2. 2.
    Walch G, Nové-Josserand L, Boileau P, Levigne C. Subluxations and dislocations of the tendon of the long head of the biceps. J Shoulder Elbow Surg. 1998;7(2):100–8.CrossRefGoogle Scholar
  3. 3.
    Pantazis K, Panagopoulos A, Tatani I, Daskalopoulos B, Iliopoulos I, Tyllianakis M. 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. Open Orthop J. 2017;11(1):327–34.CrossRefGoogle Scholar
  4. 4.
    McArthur C, Welsh F, Campbell C. Posterior dislocation of long head of biceps tendon following traumatic anterior shoulder dislocation: imaging and intra-operative findings. J Radiol Case Rep. 2013;7(9):19.PubMedPubMedCentralGoogle Scholar
  5. 5.
    Seradge H, Orme G. Acute irreducible anterior dislocation of the shoulder. J Trauma. 1982;22(4):330–2.CrossRefGoogle Scholar
  6. 6.
    Day MS, Epstein DM, Young BH, Jazrawi LM. Irreducible anterior and posterior dislocation of the shoulder due to incarceration of the biceps tendon. Int J Shoulder Surg. 2010;4(3):83.CrossRefGoogle Scholar
  7. 7.
    Rakofsky M, Arias C, Wagner JJ. Case report 633. Posterior dislocation of the long head of the biceps tendon without fracture of the tuberosity. Skeletal Radiol. 1990;19(7):532–4.CrossRefGoogle Scholar
  8. 8.
    Bauer T, Vuillemin A, Hardy P, Rousselin B. Posterior dislocation of the long head of the biceps tendon: a case report. J Shoulder Elbow Surg. 2005;14(5):557–8.CrossRefGoogle Scholar
  9. 9.
    Inao S, Hirayama T, Takemitsu Y. Irreducible acute anterior dislocation of the shoulder: interposed bicipital tendon. J Bone Joint Surg Br Vol. 1990;72(6):1079–80.CrossRefGoogle Scholar
  10. 10.
    Mullaney P, Bleakney R, Tuchscherer P, Boynton E, White L. Posterior dislocation of the long head of biceps tendon: case report and review of the literature. Skeletal Radiol. 2007;36(8):779–83.CrossRefGoogle Scholar
  11. 11.
    Wortley P, Omar L, Robertson W, Moore D, Sims GC, Omar H. Nonreducible shoulder due to acute posterior dislocation of the long head of the biceps tendon. JBJS Case Connect. 2014;4(1):e26.CrossRefGoogle Scholar
  12. 12.
    Freeland AE, Higgins RW. Anterior shoulder dislocation with posterior displacement of the long head of the biceps tendon. Arthrographic findings. A case report. Orthopedics. 1985;8(4):468.PubMedGoogle Scholar
  13. 13.
    Strobel K, Treumann TC, Allgayer B. Posterior entrapment of the long biceps tendon after traumatic shoulder dislocation: findings on MR imaging. AJR Am J Roentgenol. 2002;178(1):238.CrossRefGoogle Scholar
  14. 14.
    Itoi E, Tabata S. Rotator cuff tears in anterior dislocation of the shoulder. Int Orthop. 1992;16(3):240–4.CrossRefGoogle Scholar
  15. 15.
    Loew M, Magosch P, Lichtenberg S, Habermeyer P, Porschke F. How to discriminate between acute traumatic and chronic degenerative rotator cuff lesions: an analysis of specific criteria on radiography and magnetic resonance imaging. J Shoulder Elbow Surg. 2015;24(11):1685–93.CrossRefGoogle Scholar
  16. 16.
    Ilaslan H, Iannotti JP, Recht MP. Deltoid muscle and tendon tears in patients with chronic rotator cuff tears. Skeletal Radiol. 2007;36(6):503–7.CrossRefGoogle Scholar

Copyright information

© ISS 2019

Authors and Affiliations

  • Peter Moreau
    • 1
  • Michael Bresler
    • 1
  • Benjamin Goldberg
    • 2
  • Winnie A. Mar
    • 1
  1. 1.Department of RadiologyUniversity of Illinois at ChicagoChicagoUSA
  2. 2.Department of OrthopaedicsUniversity of Illinois at ChicagoChicagoUSA

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