Intraosseous course of biceps tendon post humeral fracture

Case contributed by Dr Chris O'Donnell

Presentation

13 weeks post fracture through the surgical neck of humerus extending into the humeral head. Persistent severe pain and limitation of movement.

Patient Data

Age: 40 years
Gender: Male

Fracture intering the humeral head traversing the bicipital groove allowing the biceps tendon to fall into the fracture line such that it now has an intraosseous course. Presistent bone marrow oedema around the fracture with features of tendinopathy in the biceps as it traverses the fracture line

CT

CT performed to assess for bony union

The biceps tendon has "worn" a channel through the humeral head along the line of the fracture.

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Case information

rID: 30811
Case created: 4th Sep 2014
Last edited: 20th Nov 2015
Inclusion in quiz mode: Included

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