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Sports Med Arthrosc Rehabil Ther Technol. 2012 Jul 19;4(1):24. doi: 10.1186/1758-2555-4-24.

Incomplete joint side tear of the subscapularis tendon with a small fragment in an adolescent tennis player: a case report.

Author information

  • 1Department of Orthopaedic Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan. soki@jikei.ac.jp.

Abstract

CASE:

In this case report, we presented the case of an adolescent tennis player with avulsion injury of the subscapularis tendon of the right shoulder.

PATIENTS:

A 17-year-old right-hand-dominant male tennis player visited our hospital complaining of pain in the anterior aspect of the right shoulder. We performed X-ray and three-dimensional computed tomography (3D-CT) and magnetic resonance imaging (MRI) scans for the diagnosis.

RESULTS:

Plain radiographs did not reveal the presence of lesion; however, 3D-CT and MRI scans showed a small bony fragment located between the humeral head and the glenoid of the scapula and a high-intensity area of the subscapularis tendon. He was subsequently diagnosed with incomplete joint side tear of the subscapularis tendon with a small bony fragment. Subsequently, we performed arthroscopic excision of the bony fragment and repair of the subscapularis tendon.

CONCLUSIONS:

This case highlighted the presence of an injury with minor trauma associated with repeated tennis strokes in a skeletally immature patient.

PMID:
22812396
[PubMed]
PMCID:
PMC3475128
Free PMC Article
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