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Traumatisk ruptur af subscapularis med avulsion af tuberculumminor og bicepssubluksation hos en 13-årig

Forfatter(e)

Pernille Henszelman Jørsboe1, 2, Kenneth Brian Holtz2 & Bo Sanderhoff Olsen2

1) Ortopædkirurgisk Afdeling, Sjællands Universitetshospital Køge, 2) Ortopædkirurgisk Afdeling, Sektion for Skulder- og Albuekirurgi, Herlev og Gentofte Hospital

Ugeskr Læger 2020;182:V05200374

Reference: 
UgeskrLæger 2020;182:V05200374
Traumatic rupture of subscapularis with avulsion of tuberculum minor and subluxation of the biceps tendon in a 13-year-old

Pernille Henszelman Jørsboe, Kenneth Brian Holtz & Bo Sanderhoff Olsen

Ugeskr Læger 2020;182:V05200374

Traumatic ruptures of the subscapularis tendon in children are rare and often missed. In this case report, a 70 kg person landed on a 13-year-old boy with his arm abducted and rotated, causing pain and restricted motion. An MRI showed a total rupture of the subscapularis with avulsion of the minor tubercle and subluxation of the biceps tendon. The avulsion was fixed to the foot print and the biceps tendon in the bicipital groove, by delto-pectoral approach, using three anchors. It is important to avoid missing these injuries. They may cause chronic shoulder pain and decreased motion if left untreated.

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