Shoulder : AC joint ganglion : biceps dislocation

Case contributed by Brendan Cullinane

Presentation

Swelling at the AC joint.

Patient Data

Age: 80 years
Gender: Female

See below

Case Discussion

A very old shoulder in bad repair. The more interesting findings are shown here

A ganglion was seen communicating with the AC joint. Dislocation of the long head of biceps tendon medially out of the bicipital groove implied rupture of the transhumeral ligament. The biceps tendon appeared degenerated, probably due to marked lipping at the groove, however it had not completely torn. The posterior labrum had a degenerated appearance and was probably torn. Effusions were seen within the biceps tendon sheath and subscapular joint recess. 

There were numerous other degenerative changes.

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Case information

rID: 12938
Case created: 6th Feb 2011
Last edited: 1st Jun 2016
Inclusion in quiz mode: Included

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