Attrition tendinitis of long head of biceps brachii in relation to humeral head osteonecrosis: case report.
This case report identifies a 41-year-old male patient who developed anterior shoulder pain in the setting of humeral head osteonecrosis. As a consequence of the cartilage degeneration, multiple loose bodies formed and migrated into the bicipital tendon sheath, causing attrition tendinitis, which was a feature of the clinical presentation. The patient was treated by a combination of arthroscopic glenohumeral joint debridement and open tenodesis of the biceps using a suture anchor. Follow-up revealed asymptomatic shoulder function by 18 months. This is the first report in the literature of bicipital tendinitis in the context of avascular necrosis of the shoulder.
Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina. ewiesler@wfubmc.edu.
Ethan R
ER
Wiesler
Thomas
T
Sarlikiotis
Andreas F
AF
Mavrogenis
Zinon T
ZT
Kokkalis
D000328:Adult; D001182:Arthroscopy; D003646:Debridement / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D058430:Humeral Head / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery*; D010020:Osteonecrosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016059:Range of Motion, Articular; D012785:Shoulder Joint / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery; D052256:Tendinopathy / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery