Ozalay Metin, Akpinar Sercan, Hersekli Murat Ali, Ozkoç Gürkan, Tandoğan Reha N
Başkent Universitesi Tip Fakültesi Ortopedi ve Travmatoloji Anabilim Dali.
Acta Orthop Traumatol Turc. 2003;37(2):144-9.
Functional results of arthroscopic assisted biceps tenodesis were evaluated in patients with chronic biceps tendinitis.
The study included six patients (4 women, 2 men, mean age 55 years, range 47 to 60 years) who underwent arthroscopic assisted biceps tenodesis with a diagnosis of chronic biceps tendinitis. During tenodesis, the biceps tendon was secured with the use of key-hole technique in one patient, and with suture anchors in five patients. The patients were evaluated by the Constant shoulder scoring system. The mean follow-up was 12 months (range 6 to 36 months).
All the patients had shoulder impingement syndrome, five patients had rotator cuff lesions, and one patient had os acromiale. The mean preoperative and postoperative Constant scores were 62 (range 60 to 65) and 84.2 (range 82 to 87), respectively. All patients returned to work within a mean of six weeks. No complications were observed during follow-up.
Arthroscopic assisted biceps tenodesis may give successful results in patients with chronic biceps tendinitis with coexistent shoulder impingement syndrome or rotator cuff lesions.
评估关节镜辅助下肱二头肌肌腱固定术治疗慢性肱二头肌肌腱炎患者的功能结果。
本研究纳入6例患者(4例女性,2例男性,平均年龄55岁,范围47至60岁),这些患者因慢性肱二头肌肌腱炎接受了关节镜辅助下肱二头肌肌腱固定术。在肌腱固定术中,1例患者采用钥匙孔技术固定肱二头肌肌腱,5例患者使用缝合锚钉固定。采用Constant肩关节评分系统对患者进行评估。平均随访时间为12个月(范围6至36个月)。
所有患者均患有肩部撞击综合征,5例患者有肩袖损伤,1例患者有肩峰骨。术前和术后Constant评分的平均值分别为62(范围60至65)和84.2(范围82至87)。所有患者平均在六周内恢复工作。随访期间未观察到并发症。
关节镜辅助下肱二头肌肌腱固定术对于合并肩部撞击综合征或肩袖损伤的慢性肱二头肌肌腱炎患者可能会取得成功的治疗效果。