Klepps Steven, Hazrati Yassamin, Flatow Evan
Department of Orthopaedics, Mount Sinai Hospital, New York, New York 10029, USA.
Arthroscopy. 2002 Nov-Dec;18(9):1040-5. doi: 10.1053/jars.2002.36467.
Surgical treatment of symptomatic pathology of the long head of the biceps tendon generally consists of either biceps tenotomy or tenodesis. Biceps tenodesis is generally recommended for younger patients and has been well described using open techniques. With advancements in arthroscopic ability and equipment, new arthroscopic techniques have recently been reported. These techniques can be especially useful when used in conjunction with other arthroscopic procedures such as distal clavicle resection, rotator cuff repair, and subacromial decompression. We present a modification of the techniques suggested by other researchers. In this technique, a bone anchor is used as a pulley at the bottom of the tunnel to pull the tendon into position. This is followed by interference screw fixation. To our knowledge, this technique has not been previously described.
肱二头肌长头腱症状性病变的手术治疗通常包括肱二头肌肌腱切断术或肌腱固定术。肌腱固定术一般推荐用于较年轻的患者，并且采用开放技术对此已有详尽描述。随着关节镜技术和设备的进步，近来已有新的关节镜技术被报道。当这些技术与其他关节镜手术（如锁骨远端切除术、肩袖修补术和肩峰下减压术）联合使用时可能特别有用。我们介绍一种对其他研究者所建议技术的改良方法。在该技术中，使用一枚骨锚作为隧道底部的滑轮，将肌腱拉至合适位置。随后进行干涉螺钉固定。据我们所知，此前尚未描述过该技术。
