Verma Nikhil N, Drakos Mark, O'Brien Stephen J
Sports Medicine and Shoulder Service, The Hospital for Special Surgery, New York, New York 10021, USA.
Arthroscopy. 2005 Jun;21(6):764. doi: 10.1016/j.arthro.2005.03.032.
Pathology of the biceps tendon is often a factor in the etiology of shoulder pain. However, diagnosis and treatment of such pathology remains controversial. When conservative management fails to relieve symptoms, surgical options include tenotomy or tenodesis. Tenotomy has provided excellent results with regard to local pain relief, but a potential cosmetic deformity and occasional painful cramping are common in younger patients. Tenodesis has also had high failure rates resulting from persistent local pain. We have used an all-arthroscopic technique for transfer of the long-head biceps to the conjoint tendon instead of traditional tenodesis. We believe that this transfer more closely recreates the normal axis of the biceps muscle and may offer improved results over conventional tenodesis.
肱二头肌肌腱病变常常是肩部疼痛病因中的一个因素。然而，此类病变的诊断和治疗仍存在争议。当保守治疗无法缓解症状时，手术选择包括肌腱切断术或肌腱固定术。肌腱切断术在缓解局部疼痛方面取得了优异效果，但在年轻患者中，潜在的外观畸形和偶尔出现的疼痛性痉挛较为常见。肌腱固定术也因局部疼痛持续存在而有较高的失败率。我们采用了全关节镜技术将肱二头肌长头转移至联合肌腱，而非传统的肌腱固定术。我们认为，这种转移更接近重建肱二头肌的正常轴线，可能比传统肌腱固定术效果更佳。
