Ossified Brodie’s Ligament: A Case Report

Ossification of the transverse humeral ligament and its relevance to clinical practice

“…It had a vertical length of 8.75 mm, a horizontal length of 6.53 mm, and a thickness of 0.47 mm. These measurements were similar to those described by Singh, 2 and Chidambaram et al 7 Ossification of the THL can damage the biceps tendon and its synovial sheath, leading to tendinitis and tenosynovitis with anterior shoulder pain. 2 When the THL is ossified, the bicipital groove may not act as a useful landmark to restore humeral head retroversion during the treatment of a complex proximal humeral fracture with arthroplasty.…”

“…16,17 However, during exertional movements, such as external rotation, internal rotation, abduction and adduction of the arm, weight lifting, and constant stretching, the biceps tendon can rub against the calcified bone structure, developing cases of inflammation, tendonitis, and tenosynovitis. 7 These authors also reported that, together with the degeneration of tendons and nervous structures, the ascending branch of the anterior circumflex artery of the humerus can be affected, which can result in thrombosis and, consequently, ischemia in the regions supplied by it. Conclusion Knowledge about the clinical significance of the ossified transverse humeral ligament is essential for radiologists and orthopedic surgeons in the management of anterior shoulder pain and a complex fracture of the proximal humerus.…”

“…[4][5][6] Complete ossification of THL is reported to have an incidence of 1%. 2,7 The aim of the present study was to report a case of ossification of a right THL and to highlight its relevance in clinical practice.…”