Beidseitige habituelle asymptomatische Bizepssehnenluxation - ein Fallbericht

Zusammenfassung

Luxationen der langen Bizepssehne sind in der Regel mit einer kompletten oder partiellen Ruptur der Rotatorenmanschette der betroffenen Seite assoziiert. Wir berichten unseres Wissens nach erstmalig über einen Patienten mit bilateraler, habitueller, fixierter und nichtschmerzhafter Bizepssehnenluxation. Durch die funktionelle Ultraschalldiagnostik wurde die Stellung der korrekten Diagnose vereinfacht und beschleunigt.

Abstract

In general, dislocations of the long head of the biceps tendon are associated with partial or complete rotator cuff rupture on the side of the affected shoulder. We report about a patient with bilateral fixed and painless dislocation of the tendon of the long biceps head. By using functional ultrasound, correct diagnosis was facilitated and accelerated.

Key words

ultrasound - biceps tendon - dislocation - magnetic resonance tomography

Literatur

• 1 Cowper M. Myotomia reformata. London; 1964: p. 75
• 2 Meyer A W. Spontaneous dislocation and destruction of the tendon of the long head of the biceps brachii: fifty-nine instances.  Arch Surg. 1928;  17 493
• 3 Dines D, Warren R F, Inglis A E. Surgical treatment of lesions of the long head of the biceps.  Clin Orthop Relat Res. 1982;  164 165-171
• 4 O’Donoghue D H. Subluxing biceps tendon in the athletes.  Clin Orthop. 1982;  164 26-30
• 5 Collier S G, Wynn-Jones C H. Displacement of the biceps with subscapularis avulsion.  J Bone Joint Surg Br. 1990;  72B 145
• 6 Hitchcock J J, Bechtol C O. Painful shoulder: observations on the role of the tendon of the long head of the biceps brachii in its causation.  J Bone Joint Surg Am. 1948;  30A 263-273
• 7 Walch G, Nove-Josserand L, Boileau P. et al . Subluxations and dislocations of the tendon of the long head of the biceps.  J Shoulder Elbow Surg. 1998;  7 100-108
• 8 Farin P U, Jaroma H, Harju A. et al . Medial displacement of the biceps brachii tendon: evaluation with dynamic sonography during maximal external shoulder rotation.  Radiology. 1995;  195 845-848
• 9 DePalma A F. Surgical Anatomy of the rotator cuff and the natural history of degenerative perarthritis.  Surg Clin North Am. 1963;  43 1507-1520
• 10 Neer C S. Impingement lesions.  Clin Orthop. 1983;  173 70-77
• 11 Slätis P, Aalto K. Medial dislocation of the tendon of the head of the biceps brachii.  Acta Orthop Scand. 1979;  50 73-77
• 12 Petersson C J. Spontaneous medial dislocation of the tendon of the long biceps brachii. An anatomic study of prevalence and pathomechanics.  Clin Orthop Relat Res. 1986;  211 224-227
• 13 Nidecker A, Guckel C, Hochstetter von A. Imaging the long head of biceps tendon - a pictorial essay emphasizing magnetic resonance.  Eur J Radiol. 1997;  25 177-187
• 14 Moosmayer S, Smith H J. Diagnostic ultrasound of the shoulder - a method for experts only? Results from an orthopedic surgeon with relative inexpensive compared to operative findings.  Acta Orthop. 2005;  76 503-508
• 15 Wittner B, Holz U. Ultrasound imaging of the ventrocaudal labrum in ventral instability of the shoulder.  Unfallchirurg. 1996;  99 38-42
• 16 Hammar M V, Wintzell G B, Astrom K G. et al . Role of us in the preoperative evaluation of patients with anterior shoulder instability.  Radiology. 2001;  219 29-34
• 17 Ziegler D W. The use of in-office, orthopaedist-performed ultrasound of the shoulder to evaluate and manage rotator cuff disorders.  J Shoulder Elbow Surg. 2004;  13 291-297
• 18 Mahlfeld K, Kayser R, Mahlfeld A. et al . Ultrasound findings of the patellar tendon and its insertion sites.  Ultraschall in Med. 1997;  18 249-253
• 19 Mahlfeld K, Mahlfeld A, Kayser R. et al . Ultrasonography as a diagnostic tool in cases of quadriceps tendon rupture.  Ultraschall in Med. 1999;  20 22-25 Erratum in: Ultraschall in Med 1999; 20: 69