Congenital absence of the long head of biceps tendon (LHBT) is a very rare entity. With its debatable role in shoulder stability, the literature provides few reports of absent LHBT and its association with shoulder instability or pain. Reports of instability are associated with labral tear or attenuation of glenohumeral ligaments. We are first time reporting a case of congenital absence of the LHBT and associated bony Bankart’s lesion and posterior labral tear.

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References

1. C Dierickx, E Ceccarelli, M Conti, J Vanlommel, A. Castagna. Variations of the intra-articular portion of the long head of the biceps tendon: A classification of embryologically explained variations. J Shoulder Elbow Surg 18 (4): 556–565, 2009. Crossref, Web of Science, Google Scholar
2. JC Franco, TP Knapp, BR Mandelbaum. Congenital absence of the long head of the biceps tendon. A case report. J Bone Joint Surg Am 87 (7): 1584–1586, 2005. Crossref, Web of Science, Google Scholar
3. SR Ghalayini, TN Board, MS Srinivasan. Anatomic variations in the long head of biceps: Contribution to shoulder dysfunction. Arthroscopy 23 (9): 1012–1018, 2007. Crossref, Web of Science, Google Scholar
4. R Glousman, F Jobe, J Tibone, D Moynes, D Antonelli, J Perry. Dynamic electromyographic analysis of the throwing shoulder with glenohumeral instability. J Bone Joint Surg Am 70 (2): 220–226, 1988. Crossref, Web of Science, Google Scholar
5. DA Glueck, SD Mair, DL Johnson. Shoulder instability with absence of the long head of the biceps tendon. Arthroscopy 19 (7): 787–789, 2003. Crossref, Web of Science, Google Scholar
6. E Itoi, DK Kuechle, SR Newman, BF Morrey, KN An. Stabilising function of the biceps in stable and unstable shoulders. J Bone Joint Surg Br 75 (4): 546–550, 1993. Crossref, Google Scholar
7. DT Keefe, WR Lowe. Symptomatic superior labral anterior posterior lesion with absence of the long head of the biceps tendon: A case report. Am J Sports Med 33 (11): 1746–1750, 2005. Crossref, Web of Science, Google Scholar
8. SH Kim, KI Ha, HS Kim, SW Kim. Electromyographic activity of the biceps brachii muscle in shoulders with anterior instability. Arthroscopy 17 (8): 864–868, 2001. Crossref, Web of Science, Google Scholar
9. MC Koplas, CS Winalski, WH Ulmer Jr., M Recht. Bilateral congenital absence of the long head of the biceps tendon. Skelet Radiol 38 (7): 715–719, 2009. Crossref, Web of Science, Google Scholar
10. KM Kuhn, J Carney, D Solomon, M Provencher. Bilateral absence of the long head of the biceps tendon. Mil Med 174 (5): 548–550, 2009. Crossref, Web of Science, Google Scholar
11. VP Kumar, K Satku, P Balasubramaniam. The role of the long head of biceps brachii in the stabilization of the head of the humerus. Clin Orthop Relat Res (244): 172–175, 1989. Web of Science, Google Scholar
12. C Maldjian, C Borrero, R Adam, D Vyas. Nature abhors a vacuum: Bilateral prominent rotator cable in bilateral congenital absence of the long head of the biceps tendon. Skelet Radiol 43 (1): 75–78, 2014. Crossref, Web of Science, Google Scholar
13. PP Mariani, A Bellelli, C Botticella. Arthroscopic absence of the long head of the biceps tendon. Arthroscopy 13 (4): 499–501, 1997. Crossref, Web of Science, Google Scholar
14. V Pandey, SN van Laarhoven, G Arora, S Rao. Bifurcated intraarticular long head of biceps tendon. Indian J Orthop 48 (4): 432–434, 2014. Crossref, Web of Science, Google Scholar
15. MW Rodosky, CD Harner, FH Fu. The role of the long head of the biceps muscle and superior glenoid labrum in anterior stability of the shoulder. Am J Sports Med 22 (1): 121–130, 1994. Crossref, Web of Science, Google Scholar
16. SA Sayeed, JP Shah, MS Collins, DL Dahm. Absence of the long head of the biceps tendon associated with glenoid dysplasia and posterior labral tear. Clin Anat 21 (7): 728–732, 2008. Crossref, Web of Science, Google Scholar
17. EL Smith, EG Matzkin, DH Kim, JK Harpstrite, DM Kan. Congenital absence of the long head of the biceps brachii tendon as a VATER association. Am J Orthop 31 (8): 452–454, 2002. Google Scholar
18. JJ Warner, PJ McMahon. The role of the long head of the biceps brachii in superior stability of the glenohumeral joint. J Bone Joint Surg Am 77 (3): 366–372, 1995. Crossref, Web of Science, Google Scholar