Type of Article : Case Report
Year: 2015 | Volume 3 | Issue 2 | Page No. 1084-1086
Date of Publication: 31-05-2015
OSSIFIED BRODIE'S LIGAMENT
R. Siva Chidambaram *1, Neelee Jayasree 2, Soorya Sridhar 3.
*1, 3 Post Graduate, 2 Professor and Head.
Department of Anatomy, Narayana Medical College, Nellore, Andhra Pradesh, India.
Address: Dr. R.Siva Chidambaram, Postgraduate, Department of Anatomy, Narayana Medical College, Nellore, Andhra Pradesh, India. Mobile no. +919994473699
The transverse humeral ligament (THL) or Brodie’s ligament is a narrow sheet of connective tissue fibers that runs between the lesser and the greater tubercles of the humerus. Together with the intertubercular groove of the humerus, the ligament creates a canal through which the long head of the biceps tendon and its synovial sheath passes. The ossification of transverse humeral ligament is a rare interesting anatomical variation, which has been identified as one of the predisposing factor for biceps tendonitis and tenosynovitis. In the present study of 100 humerus bones, we found a right side humerus with completely ossified transverse humeral ligament which extended from the lateral margin of lesser tubercle to the medial margin of greater tubercle of the humerus. The Length and breadth of the ossified ligament were 8 mm and 6 mm respectively. Such an ossified ligament may damage the biceps tendon and its synovial sheath during biomechanical movement of the arm leading to anterior shoulder pain. It may also complicate the use of bicipital groove as a landmark for orientation of the humeral prosthesis in complex proximal humeral fractures. Hence, the anatomical knowledge of ossified transverse humeral ligament is important for the radiologist and orthopedic surgeon in diagnosis and planning the treatment for patient with anterior shoulder pain.
KEY WORDS: Brodie’s ligament, Transverse humeral ligament, Ossification, Biceps tendonitis, Humeral prosthesis.
- Standring S, editor. Grays anatomy: the anatomical basis of clinical Practice. 39th ed. Spain: Churchil Livingstone. 2006;p823–32.
- Singh R. Analysis of bony bridge over bicipital groove. OA Case Reports 2013 Oct 1;2(13):124.
- Jeff W. Johnson, MD; Jeff D. Thostenson, MS; Larry. Suva, PhD; S. Ashfaq Hasan, MD: Relationship of Bicipital Groove Rotation with Humeral Head Retroversion: A Three-Dimensional Computed Tomographic Analysis. J Bone Joint Surg Am, 2013 Apr 17; 95(8):719-724.
- José Hernández Enríquez, Xavier A. Duralde and Antonio J. Pérez Caballer (2012): Shoulder Hemiarthroplasty in Proximal Humerus Fractures, Recent Advances in Arthroplasty, Dr. Samo Fokter (Ed.); 2012, ISBN: 978-953-307-990-5.
- Snow B, Narvy S, Omid R, Vangsness C. Anatomy and Histology of the Transverse Humeral Ligament. Orthopedics. 2013;36:e1295-e1298.
- Gleason PD, Beall DP, Sanders TG, Bond JL, Ly JQ, Holland LL, et al. The transverse humeral ligament: a separate anatomical structure or a continuation of the osseous attachment of the rotator cuff? Am J Sports Med. 2006 Jan; 34(1):72–7.
- W. Henry Hollinshead. Anatomy for surgeons: vol 3. The back and limbs. 1958;276-277.
- Anthony F. DePalma MD, FACS. Surgical anatomy of the rotator cuff and the natural history of degenerative periarthritis. Clin Orthop Relat Res. 2008;466:543–551.
- Kontakis GM1, Damilakis J, Christoforakis J, Papadakis A, Katonis P, Prassopoulos P: The bicipital groove as a landmark for orientation of the humeral prosthesis in cases of fracture. J Shoulder Elbow Surg. 2001Mar–Apr;10(2):136–9.
- R.John Naranja, Jr, MD, and Joseph P. Iannotti, MD, PhD. Displaced Three- and Four-Part ProximalHumerus Fractures: Evaluation and Management. J Am Acad Orthop Surg. 2000 Nov-Dec;8(6):373-382.
R. Siva Chidambaram, Neelee Jayasree, Soorya Sridhar. OSSIFIED BRODIE'S LIGAMENT: A CASE REPORT. Int J Anat Res 2015;3(2):1084-1086. DOI: 10.16965/ijar.2015.169