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肱二头肌长头肌腱病变:治疗选择

Long head of biceps tendon pathology: management alternatives.

作者信息

Hsu Stephanie H, Miller Suzanne L, Curtis Alan S

机构信息

Department of Orthopedic Surgery, New England Baptist Hospital and Tufts University School of Medicine, 125 Parker Hill Avenue, Boston, MA 02120, USA.

出版信息

Clin Sports Med. 2008 Oct;27(4):747-62. doi: 10.1016/j.csm.2008.07.005.

DOI:10.1016/j.csm.2008.07.005
PMID:19064154
Abstract

The role of biceps tendon as a source of shoulder pain and pathology has been well documented in orthopedic literature. Recently, interest in the long head of the biceps tendon has been renewed as its association with subscapularis lesions, superior labral anterior to posterior (SLAP) lesions, rotator cuff pathology, impingement, and pulley or "hidden" lesions of the rotator interval are demonstrated. Advances in imaging and arthroscopy have increased our breadth of knowledge about the anatomy, pathology, and role of the biceps tendon. Management and treatment methods have evolved with improved patient selection and proper diagnosis of long head biceps pathology.

摘要

肱二头肌肌腱作为肩部疼痛和病变来源的作用在骨科文献中已有充分记载。最近,随着肱二头肌肌腱长头与肩胛下肌损伤、上盂唇前后部(SLAP)损伤、肩袖病变、撞击以及旋转间隙的滑车或“隐匿”病变之间的关联得到证实,人们对其的兴趣再度燃起。影像学和关节镜检查的进展增加了我们对肱二头肌肌腱的解剖结构、病理变化及作用的了解。随着对肱二头肌肌腱长头病变患者选择的改善和正确诊断,其管理和治疗方法也得到了发展。

相似文献

1
Long head of biceps tendon pathology: management alternatives.肱二头肌长头肌腱病变:治疗选择
Clin Sports Med. 2008 Oct;27(4):747-62. doi: 10.1016/j.csm.2008.07.005.
2
[Superior labrum pathology in the athlete].[运动员的上盂唇病理改变]
Orthopade. 2000 Oct;29(10):917-27.
3
Rehabilitation of biceps tendon disorders in athletes.运动员肱二头肌肌腱疾病的康复。
Clin Sports Med. 2010 Apr;29(2):229-46, vii-viii. doi: 10.1016/j.csm.2009.12.003.
4
Arthroscopic tenodesis for lesions of the long head of the biceps.关节镜下肱二头肌长头腱固定术治疗肱二头肌长头腱损伤
Oper Orthop Traumatol. 2005 Dec;17(6):601-23. doi: 10.1007/s00064-005-1154-y.
5
[SLAP-lesions of the shoulder].[肩部上盂唇前上象限损伤]
Orthopade. 2003 Jul;32(7):632-6. doi: 10.1007/s00132-003-0496-0.
6
Arthroscopic treatment of isolated type II SLAP lesions: biceps tenodesis as an alternative to reinsertion.关节镜下治疗孤立性II型SLAP损伤:肱二头肌固定术作为重新附着的替代方法。
Am J Sports Med. 2009 May;37(5):929-36. doi: 10.1177/0363546508330127. Epub 2009 Feb 19.
7
Evaluation and treatment of biceps tendon pathology.肱二头肌肌腱病变的评估与治疗。
Orthop Clin North Am. 1993 Jan;24(1):33-43.
8
[Tendinitis of the long head of biceps tendon associated with lesions of the "biceps reflection pulley"].肱二头肌长头肌腱炎伴“肱二头肌反射滑车”损伤
Sportverletz Sportschaden. 2003 Jun;17(2):75-9. doi: 10.1055/s-2003-40132.
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Lesions of the biceps pulley.肱二头肌滑车损伤。
Am J Sports Med. 2011 Apr;39(4):790-5. doi: 10.1177/0363546510393942. Epub 2011 Feb 18.
10
Biceps Tenodesis for Type II SLAP Tears.针对II型SLAP损伤的肱二头肌固定术
Bull Hosp Jt Dis (2013). 2015 Jun;73(2):116-21.

引用本文的文献

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Subacromial impingement as a predictor of proximal biceps tendon disorders.肩峰下撞击症作为肱二头肌长头腱病变的预测因子。
Jt Dis Relat Surg. 2022;33(1):142-148. doi: 10.52312/jdrs.2022.499. Epub 2022 Mar 28.
2
Histopathology of long head of biceps tendon removed during tenodesis demonstrates degenerative histopathology and not inflammatory changes.在腱固定术中切除的肱二头肌长头肌腱的组织病理学表现为退行性组织病理学改变,而不是炎症性改变。
BMC Musculoskelet Disord. 2022 Feb 26;23(1):185. doi: 10.1186/s12891-022-05124-z.
3
Management of proximal biceps tendon pathology.
肱二头肌近端肌腱病变的管理。
World J Orthop. 2022 Jan 18;13(1):36-57. doi: 10.5312/wjo.v13.i1.36.
4
Association of high sensitivity C-reactive protein with tearing of the long head of the biceps tendon.高敏 C 反应蛋白与肱二头肌长头肌腱撕裂的相关性研究。
BMC Musculoskelet Disord. 2019 Nov 7;20(1):518. doi: 10.1186/s12891-019-2908-2.
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Rotator interval closure: inconsistent techniques and its association with anterior instability. A literature review.肩袖间隙闭合:技术不一致及其与前方不稳定的关联。文献综述
Orthop Rev (Pavia). 2019 Jun 26;11(3):8136. doi: 10.4081/or.2019.8136. eCollection 2019 Sep 24.
6
The Rotator Interval of the Shoulder: Implications in the Treatment of Shoulder Instability.肩旋转间隔:在肩关节不稳定治疗中的意义。
Orthop J Sports Med. 2015 Dec 29;3(12):2325967115621494. doi: 10.1177/2325967115621494. eCollection 2015 Dec.
7
Disorders of the proximal and distal aspects of the biceps muscle.肱二头肌近、远段病变。
J Bone Joint Surg Am. 2013 Jul 3;95(13):1235-45. doi: 10.2106/JBJS.L.00221.
8
Intra-articular variations of the long head of the biceps tendon.肱二头肌长头肌腱关节内变异。
Knee Surg Sports Traumatol Arthrosc. 2011 Sep;19(9):1576-81. doi: 10.1007/s00167-010-1384-x. Epub 2011 Jan 14.