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

• Main Authors: Kato Soki (Author), Funasaki Hiroki (Author), Kan Iwao (Author), Yoshida Mamoru (Author), Kasama Kentaro (Author), Marumo Keishi (Author)
• Format: Book
• Published: BMC, 2012-07-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 10.1186/1758-2555-4-24; 1758-2555
• Keywords: Shoulder; Lesser tuberosity; Avulsion fracture; Adolescent; Tennis; Sports medicine; RC1200-1245
• Source: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology, Vol 4, Iss 1, p 24 (2012)

<p>Abstract</p> <p>Case</p> <p>In this case report, we presented the case of an adolescent tennis player with avulsion injury of the subscapularis tendon of the right shoulder.</p> <p>Patients</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusions</p> <p>This case highlighted the presence of an injury with minor trauma associated with repeated tennis strokes in a skeletally immature patient.</p>