Long head of biceps tendon medial dislocation

Case contributed by Wadah Ahmed
Diagnosis almost certain

Presentation

Post traumatic left shoulder pain

Patient Data

Age: 55
Gender: Male

Long head biceps tendon is exhibiting medial dislocation out of the bicipital groove. It shows no high grade tear. In external rotation, the subscapularis tendon is seen intact and also the biceps dislocation is more evident in this position. A sizable full-thickness tear is present in the supraspinatus tendon.

Case Discussion

Dislocation of the long head of biceps tendon is one of the complications of shoulder injury. On ultrasound, non visualization of long head of biceps tendon in bicipital groove should raise the suspicion of either full thickness tear or medial dislocation of the tendon.

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