Wednesday, November 20, 2019

SLAP 3 tear and medial biceps pulley injury


SLAP 3 tear and medial biceps pulley injury (Habermeyer type 1)


29-year-old handball player with anterior shoulder pain, locking and snapping.









MR arthrography study shows thickening and irregularity of the medial aspect of the biceps pulley (coracohumeral and superior glenohumeral ligaments). Note also a longitudinal tear of the superior labrum ("bucket-handle" tear) best seen on coronal images.





Arthroscopic examination confirms the bucket-handle tear of the superior labrum associated with medial biceps pulley injury.




Treatment consisted of removal of the 'bucket-handle' segment,  biceps tenotomy, and tenodesis by arthroscopic transfer of the long head of the biceps tendon to the anterior aspect of the lateral conjoint tendon.


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