Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2020; 11(2): 123-128
Published online Feb 18, 2020. doi: 10.5312/wjo.v11.i2.123
Rupture of the long head of the biceps brachii tendon near the musculotendinous junction in a young patient: A case report
Xuan Liu, Andrew Hwee Chye Tan
Xuan Liu, Andrew Hwee Chye Tan, Department of Orthopaedic Surgery, Singapore General Hospital, Singapore 169856, Singapore
Author contributions: Liu X and Tan AHC designed, performed the research; analyzed the data; Liu X and Tan AHC wrote the paper.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors have seen and agree with the contents of the manuscript and there is no financial interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Xuan Liu, MD, Doctor, Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia Building Level 4, Singapore 169865, Singapore. ericliuxuan@gmail.com
Received: September 14, 2019
Peer-review started: September 14, 2019
First decision: October 24, 2019
Revised: December 2, 2019
Accepted: December 14, 2019
Article in press: December 14, 2019
Published online: February 18, 2020
Processing time: 158 Days and 0.9 Hours
Abstract

We report an unusual case of the long head of the biceps brachii tendon rupture near the musculotendinous junction in a young patient. The injury occurred in a young athlete during sports competition. The clinical presentation, surgical treatment, and technique with tenodesis using a unicortical button of the ruptured tendon were presented. The post-surgical recovery was uneventful, and the patient returned to sports in 6 mo. The treatment approach and surgical technique of the long head of biceps brachii rupture was reviewed and discussed. In conclusion, surgical treatment of the long head of the biceps brachii tendon rupture with unicortical button tenodesis resulted in a favorable outcome in a young athlete.

Keywords: Athlete; Sport injury; Shoulder; Biceps tendon; Tenodesis

Core tip: We report an unusual case of rupture of the long head of the biceps brachii tendon near the musculotendinous junction in a young atheletc patient. The clinical presentation, surgical treatment, and technique with tenodesis using a unicortical button of the ruptured tendon were presented. The treatment approach and surgical technique of the long head of biceps brachii rupture was reviewed and discussed.