Biceps pulley injury

Case contributed by Henry Knipe
Diagnosis probable

Presentation

Recurrent shoulder pain.

Patient Data

Age: 30 years
Gender: Male
mri

Long head of biceps is medially subluxed but intact. Note the overlying supraspinatus expansion. 

Full thickness partial width mid-to-superior subscapularis tear. 

Superior glenohumeral ligament and coracohumeral ligament are edematous and mildly redundant. 

Rotator interval edema. 

Case Discussion

The combination of findings is suggestive of a biceps pulley injury, although typically this is best assessed arthroscopically. 

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