Hameed Mohammed Hamzah, Huda Mainul, Qureshi Maahi, Momtaz Areefa, Hameed Salman F
Emergency Medicine, Sandwell and West Birmingham NHS Trust, Birmingham, GBR.
Acute Medicine, Sandwell and West Birmingham NHS Trust, Birmingham, GBR.
Cureus. 2025 Jun 15;17(6):e86099. doi: 10.7759/cureus.86099. eCollection 2025 Jun.
Superior labral anterior-posterior (SLAP) tears frequently occur following overhead activities or traumatic shoulder injuries. While magnetic resonance arthrography (MRA) remains the gold standard for diagnosis, ultrasound shows promise for postoperative monitoring of long head biceps tendon (LHBT) tenodesis. We present the case of a 55-year-old man with a type III SLAP tear who developed a screw cut-out after subpectoral tenodesis. Initial conservative management was unsuccessful, necessitating surgical intervention. At one-year follow-up, ultrasound evaluation demonstrated an empty bicipital groove, preserved tendon architecture, and stable subpectoral fixation, findings later confirmed by magnetic resonance imaging (MRI). The ultrasound findings were largely concordant with the MRI findings while offering the advantages of real-time dynamic assessment, cost-effectiveness, and immediate bedside availability. This case demonstrates the reliability of ultrasound for postoperative monitoring of biceps tenodesis. The modality enables early detection of complications without radiation exposure, though operator experience remains important for optimal results. While MRI retains superiority for preoperative diagnosis, ultrasound serves as an effective screening and follow-up tool with the unique capability to assess tendon motion dynamically. However, its accuracy is operator-dependent, and variability in interpretation between clinicians can affect diagnostic consistency, factors that are particularly important to consider in this context. The findings of this case support the growing role of ultrasound in sports medicine practice, bridging the gap between clinical examination and advanced imaging. Further standardization of ultrasound protocols could significantly improve postoperative shoulder assessment. The case highlights how ultrasound can optimize patient care pathways while maintaining diagnostic accuracy for biceps tenodesis monitoring.
上盂唇前后（SLAP）撕裂常发生于过头活动或肩部创伤后。虽然磁共振关节造影（MRA）仍是诊断的金标准，但超声在肱二头肌长头肌腱（LHBT）固定术后的监测中显示出前景。我们报告一例55岁男性III型SLAP撕裂患者，其在胸大肌下固定术后出现螺钉穿出。初始保守治疗未成功，需要手术干预。在一年的随访中，超声评估显示肱二头肌沟空虚、肌腱结构保留且胸大肌下固定稳定，这些发现后来经磁共振成像（MRI）证实。超声检查结果与MRI结果基本一致，同时具有实时动态评估、成本效益高和床边即时可用的优点。该病例证明了超声在肱二头肌固定术后监测中的可靠性。这种检查方式能够在无辐射暴露的情况下早期发现并发症，不过操作者的经验对于获得最佳结果仍然很重要。虽然MRI在术前诊断方面仍具有优势，但超声作为一种有效的筛查和随访工具，具有动态评估肌腱运动的独特能力。然而，其准确性依赖于操作者，临床医生之间解读的差异会影响诊断的一致性，在这种情况下这些因素尤其需要考虑。该病例的发现支持了超声在运动医学实践中日益重要的作用，弥合了临床检查与高级影像学之间的差距。超声检查方案的进一步标准化可显著改善术后肩部评估。该病例突出了超声如何在保持肱二头肌固定监测诊断准确性的同时优化患者护理路径。
