title: Isolated avulsion fracture of the subscapularis tendon with medial dislocation and tear of biceps tendon in a skeletally immature athlete: a case report.
abstract: Isolated avulsion fracture of the subscapularis from the lesser tuberosity of the humerus is rare in the pediatric population and only a couple of cases have been described in the literature. In our case, a 13-year-old young man suffered an avulsion of the subscapularis tendon from the lesser tuberosity of the humerus, accompanied by medial dislocation of the biceps tendon with degeneration and tear. The diagnosis was delayed until he completed several weeks of physical therapy. Special tests performed earlier in the primary care clinic or emergency department could have prevented prolonged symptoms and allowed earlier surgical intervention.
authors.affiliation: Department of Orthopedics, The Children's Hospital Sports Medicine Program, University of Colorado School of Medicine, Aurora, Colorado 80045, USA. provance.aaron@tchden.org
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: Provance
authors.forename: John D
authors.initials: JD
authors.lastname: Polousky
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000175:diagnosis* / Q000534:rehabilitation*; D003937:Diagnosis, Differential; D006801:Humans; D006810:Humeral Fractures / Q000175:diagnosis* / Q000534:rehabilitation*; D008297:Male; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular; D000070599:Shoulder Injuries; D013708:Tendon Injuries / Q000175:diagnosis* / Q000534:rehabilitation*