Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Rare Normal Variation Between Biceps Anchor and Superior Labrum - A Case Report -

상완 이두근 장두의 관절내 부착부위와 상부 관절와 순 간의 드문 변형 - 증례보고 -

  • Kim, Yong-Ju (Department of Orthopedic Surgery, Red-Cross Hospital Seoul) ;
  • Jeong, Hoon (Department of Orthopedic Surgery, Red-Cross Hospital Seoul) ;
  • Ha, Jong-Kyoung (Department of Orthopedic Surgery, Red-Cross Hospital Seoul) ;
  • Lee, Kwan-Hee (Department of Orthopedic Surgery, Red-Cross Hospital Seoul) ;
  • Lee, Woo-Jin (Department of Orthopedic Surgery, Red-Cross Hospital Seoul)
  • 김용주 (서울적십자병원 정형외과) ;
  • 정훈 (서울적십자병원 정형외과) ;
  • 하종경 (서울적십자병원 정형외과) ;
  • 이관희 (서울적십자병원 정형외과) ;
  • 이우진 (서울적십자병원 정형외과)
  • Published : 2009.12.15
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Abstract

Purpose: Labral lesions and its anatomic variants have been studied by several authors in the last decade. Buford complex and sublabral recess are most common variants. Their recognition is important in order to distinguish them from superior and anterior labral tear. Materials and Methods: We report one case of a 19-year-old female who was mistaken SLAP lesion for normal variant and was treated with arthroscopic surgery. Results: The arthroscopic finding shows rare normal variant of biceps anchor and superior labrum. The biceps long head tendon was inserted at superior labrum and supraspinatus tendon area. This finding was mistaken to SLAP lesion. Conclusion: We report rare normal variant of biceps anchor and superior labrum that was observed during arthroscopic surgery for SLAP lesion.

목적: 견관절의 관절와 순 병변과 정상적인 해부학적 변형에 대해서 많은 연구가 이루어졌다. 관절와 순 병변을 치료하는데 있어서 버포드 병변 및 관절하순 공 등의 해부학적 변형 등은 항상 감별을 요하게 된다. 대상 및 방법: 정상 변형을SLAP병변으로 오인한 19세 여자환자에 대해 관절경적 수술을 시행하였다. 결과: 관절경적 소견 상 상완 이두근 장두가 상부 관절낭 및 극상근건에 부착되어 있는 소견이 관찰되었고, 이것이 SLAP 병변으로 오인된 것으로 판단된다. 결론: 이에 저자들은 상부 관절와 순 전후 병변으로 진단되어 관절경 수술을 시행하던 중 경험한 상부 관절와 순과 이두박근 장건의 부착부위 간의 드문 해부학적 정상 변형을 문헌 고찰과 함께 보고하고자 한다.

Keywords

References

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