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Rotator cuff tear - long head of biceps tendon dislocation

Case contributed by Domenico Nicoletti
Diagnosis certain


Sports injury

Patient Data

Age: 60 years
Gender: Male

Complete rotator cuff tear, with retraction of subscapularis and supraspinatus tendons. The normal muscles tropism is preserved.

The long head of biceps tendon is dislocated medially.

Also, note is made of moderate degenerative changes of acromioclavicular joint with disruption of the inferior ligament.

There are insertional geodes of the humeral head.

Moderate glenohumeral joint effusion extending into the subdeltoid bursa.

The long head of the biceps tendon is medially dislocated (short arrow).

There is a complete tear of the subscapularis muscle tendon in the insertion site with retraction of the tendon (long arrow).

Case Discussion

Isolated lesions of the subscapularis tendon are relatively rare. In most cases, this injury is associated with lesions of the rotator cuff, pathology of the long head of the biceps, and degenerative disease of the glenohumeral joint.

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