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Case Reports
. 2020 Feb 4:21:6-9.
doi: 10.1016/j.jor.2020.02.007. eCollection 2020 Sep-Oct.

Irreducible posterior fracture and dislocation of shoulder with massive rotator cuff tear due to incarceration of biceps tendon: A case report

Joong-Bae Seo  1 , Sung-Hyun Yoon  1 , Jong-Heon Yang  1 , Jae-Sung Yoo  1
Affiliations
Case Reports

Irreducible posterior fracture and dislocation of shoulder with massive rotator cuff tear due to incarceration of biceps tendon: A case report

Joong-Bae Seo et al. J Orthop. .

Erratum in

Abstract

Acute traumatic posterior glenohumeral dislocation in association with a massive rotator cuff tear is rare. Moreover, only few cases with interposition of the long biceps head of the tendon has been described to prevent reduction in posterior dislocation of the shoulder. In addition, combined scapula fracture with posterior shoulder dislocation also extremely rare. We present a case of Irreducible posterior fracture and dislocation of shoulder with massive rotator cuff tear due to incarceration of biceps tendon. For the treatment arthroscopic in situ superior capsule reconstruction was performed using the long head of the biceps tendon with rotator cuff repair.

Keywords: Biceps tendon; Irreducible; Massive rotator cuff tear; Posterior shoulder dislocation.

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Figures

Fig. 1
Fig. 1
(A) Pre-operative plain radiograph of shoulder Anterior-posterior view, (B, C) Pre-operative 3 dimensional Computed Tomography of shoulder showing posterior glenohumeral dislocation of the injured shoulder.
Fig. 2
Fig. 2
Pre-operative magnetic resonance images (A, B) Coronal and saggital T2 weighted images showing massive rotator cuff tear, (C, D) Axial and coronal T2 weighted images showing interposition of the long head of the biceps tendon. Arrowhead; long head of the biceps tendon.
Fig. 3
Fig. 3
Intraoperative arthroscopic findings. (A) Interposition of the long head of the biceps tendon at the glenohumeral joint was observed. (B, C) Massive full thickness RCT involving the subscapularis, supraspinatus, and infraspinatus was observed. H: Humerus, LHBT: Long head of the biceps tendon, RC: Rotator cuff.
Fig. 4
Fig. 4
Intraoperative arthroscopic findings. (A) After superior capsule reconstruction with rerouting of long head of the biceps tendon. (B) After finishing the rotator cuff repair. H: Humerus, LHBT: Long head of the biceps tendon, RC: Rotator cuff.
Fig. 5
Fig. 5
Postoperative follow up sonography at the six months showed healed tendon without re-tear.
See this image and copyright information in PMC

References

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