“Monocept”: A Brief Report of Congenital Absence of the Long Head of the Biceps Tendon and Literature Review

The long head of the biceps tendon plays an important role in shoulder stability and its functional absence has been shown to contribute to glenohumeral instability. Congenital absence of the long head to the biceps tendon is rare, although described in the literature. We report the case of an 18-ye...

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Main Authors: Benjamin A. Winston, Katlyn Robinson, Dennis Crawford
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2017/1090245
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author Benjamin A. Winston
Katlyn Robinson
Dennis Crawford
author_facet Benjamin A. Winston
Katlyn Robinson
Dennis Crawford
author_sort Benjamin A. Winston
collection DOAJ
description The long head of the biceps tendon plays an important role in shoulder stability and its functional absence has been shown to contribute to glenohumeral instability. Congenital absence of the long head to the biceps tendon is rare, although described in the literature. We report the case of an 18-year-old recreational athlete with recurrent shoulder instability and congenital absence of the long head of the biceps tendon (which we term “monocept”) and mild ipsilateral upper extremity hemimelia. The patient was treated surgically with posterior capsular shift with anterior Bankart repair without complication. At 16-month follow-up the patient has returned to recreational activity and has had an 11.37-point improvement in his DASH score. The authors suggest that patients with this uncommon anatomic anomaly and clinical shoulder instability are more likely to require surgical treatment.
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series Case Reports in Orthopedics
spelling doaj-art-dac2665f9fd44ba0a0c283097300787a2025-02-03T01:02:24ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/10902451090245“Monocept”: A Brief Report of Congenital Absence of the Long Head of the Biceps Tendon and Literature ReviewBenjamin A. Winston0Katlyn Robinson1Dennis Crawford2Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR, USADepartment of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR, USADepartment of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR, USAThe long head of the biceps tendon plays an important role in shoulder stability and its functional absence has been shown to contribute to glenohumeral instability. Congenital absence of the long head to the biceps tendon is rare, although described in the literature. We report the case of an 18-year-old recreational athlete with recurrent shoulder instability and congenital absence of the long head of the biceps tendon (which we term “monocept”) and mild ipsilateral upper extremity hemimelia. The patient was treated surgically with posterior capsular shift with anterior Bankart repair without complication. At 16-month follow-up the patient has returned to recreational activity and has had an 11.37-point improvement in his DASH score. The authors suggest that patients with this uncommon anatomic anomaly and clinical shoulder instability are more likely to require surgical treatment.http://dx.doi.org/10.1155/2017/1090245
spellingShingle Benjamin A. Winston
Katlyn Robinson
Dennis Crawford
“Monocept”: A Brief Report of Congenital Absence of the Long Head of the Biceps Tendon and Literature Review
Case Reports in Orthopedics
title “Monocept”: A Brief Report of Congenital Absence of the Long Head of the Biceps Tendon and Literature Review
title_full “Monocept”: A Brief Report of Congenital Absence of the Long Head of the Biceps Tendon and Literature Review
title_fullStr “Monocept”: A Brief Report of Congenital Absence of the Long Head of the Biceps Tendon and Literature Review
title_full_unstemmed “Monocept”: A Brief Report of Congenital Absence of the Long Head of the Biceps Tendon and Literature Review
title_short “Monocept”: A Brief Report of Congenital Absence of the Long Head of the Biceps Tendon and Literature Review
title_sort monocept a brief report of congenital absence of the long head of the biceps tendon and literature review
url http://dx.doi.org/10.1155/2017/1090245
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