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Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

January 10, 2021/0 Comments/in Vol 5 | Issue 1| January-June 2021 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 5 | Issue 1 | January-June 2021 | Page — | Robert J. Burton, Anna LR Porter, Yusuf Michla Authors: Robert J. Burton [1], Anna LR Porter [1], Yusuf Michla [1] [1] Department of Orthopaedics, Sunderland Royal Hospital, Sunderland, UK. Address of Correspondence Dr. Anna LR Porter Sunderland […]

Safe Elbow Surgery

January 10, 2020/0 Comments/in Vol 4 | Issue 1| Jan-June 2020 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 4 | Issue 1 | January-June 2020 | Page 20-22 | Benjamin W. Sears, Mitchell J. Sungelo, Jacqueline E. Bader, Armodios M. Hatzidakis, Charles L. Getz Authors: Subbiah Venkatesh Babu [1] [1] Deparment of Orthopaedics & Trauma Surgery, Sri Sakthi Hospital, Tirunelveli, Tamil Nadu, India. Address of […]

Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

January 10, 2021/0 Comments/in Vol 5 | Issue 1| January-June 2021 /by ASESADMIN2016

Safe Elbow Surgery

January 10, 2020/0 Comments/in Vol 4 | Issue 1| Jan-June 2020 /by ASESADMIN2016

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Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

January 10, 2021/0 Comments/in Vol 5 | Issue 1| January-June 2021 /by ASESADMIN2016

Authors: Robert J. Burton [1], Anna LR Porter [1], Yusuf Michla [1]

[1] Department of Orthopaedics, Sunderland Royal Hospital, Sunderland, UK.

Address of Correspondence
Dr. Anna LR Porter
Sunderland Royal Hospital, Kayll Road, Sunderland, UK.
E-mail: Annalrporter1@gmail.com

Abstract

A 65 year old gentleman presented with persistent severe pain and joint incongruity on plain radiographs following a first time traumatic anterior shoulder dislocation without concurrent fracture to the tuberosities. Further investigation with MRI scan demonstrated interposition of the long head of biceps tendon within the glenohumeral joint, causing persistent pain and the subtle incongruity seen on AP and Axillary radiographs. Under arthroscopy the tendon was grossly tendinopathic at it’s insertion into the labrum, and reduction into the inter-tubucular groove was not possible. Tenotomy was performed, which immediately resolved the patients symptoms. Repeated radiographs demonstrated that the joint congruity had been restored. This case demonstrates that long head of biceps displacement is possible without concurrent fracture, and is a rare but important cause for persistent disproportionate pain post-reduction. Radiographs should be examined carefully for any evidence of joint in-congruity, and ultrasound or MR scanning will adequately demonstrate interposition of the long head of biceps within the glenohumeral joint.

Key Words: Anterior shoulder dislocation; Biceps tendon interposition; Glenohumeral-subluxation.

References

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5. Velghe A, Humblet P, Lesire M, Liselele D. Fresh posterior luxation of the shoulder: irreducibility due to interposition of the long biceps. Ap-ropos of 2 cases. Revue de chirurgie orthopaedique et reparatrice de l’appareil moteur. 1998;74(8):782-785. https://pubmed.ncbi.nlm.nih.gov/3253850/
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How to Cite this article: Burton RJ, Porter ALR, Michla Y | Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation | Acta of Shoulder and Elbow Surgery | January-June 2021; 5(1): —-.

(Abstract Full Text HTML) (Download PDF)

Safe Elbow Surgery

January 10, 2020/0 Comments/in Vol 4 | Issue 1| Jan-June 2020 /by ASESADMIN2016

Authors: Subbiah Venkatesh Babu [1]

[1] Deparment of Orthopaedics & Trauma Surgery, Sri Sakthi Hospital, Tirunelveli, Tamil Nadu, India.

Address of Correspondence
Dr. S Venkatesh Babu,
Consultant Orthopaedic & Trauma Surgeon, Sri Sakthi Hospital, Tirunelveli, Tamil Nadu, India.
E-mail: drsvbabu@hotmail.com

Abstract

Today, the surgical treatment is being done for most of the elbow diseases and fractures openly, minimally invasive and arthroscopically. The complications after elbow surgery are also in significant proposition. This review exhibits the need of applied anatomical knowledge and operative skills for the surgeon who intends to operate the elbow safely.
Keywords: Safe Surgery, Trauma, Injury, Elbow.

References

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3. Zhiquan An et al., (2010) Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique, International Orthopaedics (SICOT) 2010, 34 : 131-138
4. Jaechon M Kim et al., (2011) Complications of Total Elbow Arthroplasty , J Am Acad Orthop Surg 2011 Jun, 19(6): 328-39
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11. Mohsen Mardani-Kivi et al., (2018), Indications, Results and Complications of Elbow Arthroscopy treatment in Eighteen Patients, Shiraz E-Med J, 2018 June ;19(6):e62606
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14. Olga D Savvidou et al., Complications of Open Reduction and Internal Fixation of distal humerus fractures, (2018), Trauma, EFFORT Open Reviews, EOR |Volume 3|October 2018|p 558-567
15. Samuel S Ornell et al.,(2019) Fungal infection following Total Elbow Arthroplasty, Case Rep Orthop ., 2019 : Sep 4; 2019: 1-5
16. Jae-Man Kwak et al., (2019), Total Elbow Arthroplasty; Clinical Outcomes, Complications and Revision Surgery, Clinics in Orthopaedic Surgery 2019;11:p366-379
17. WHO guidelines for safe surgery: safe surgery saves lives, 2009
18. Antimicrobial stewardship: systems and processes for effective antimicrobial medicine use(2015), NICE Guidelines, UK.

How to Cite this article: Babu SV | Safe Elbow Surgery | Acta of Shoulder and Elbow Surgery | January-June 2020; 4(1): 20-22.

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Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

Safe Elbow Surgery

Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

Safe Elbow Surgery

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Long Head of Biceps Interposition as a cause of Persistent Pain and Subluxation following Acute Anterior Shoulder Dislocation

Authors: Robert J. Burton [1], Anna LR Porter [1], Yusuf Michla [1]

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Safe Elbow Surgery

Authors: Subbiah Venkatesh Babu [1]

Abstract

References

(Abstract Full Text HTML) (Download PDF)

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