McClelland Damian, Bell Simon N, O'Leary Sean
The Melbourne Shoulder and Elbow Clinic, Brighton, Australia.
Acta Orthop Belg. 2009 Oct;75(5):595-8.
A displaced Long Head of Biceps (LHB) tendon is commonly encountered in association with subscapularis rotator cuff tears. Management options for the displaced tendon consist of tenotomy, tenodesis or relocation with reconstruction of the biceps pulley. We present 16 patients in whom LHB relocation and reconstruction of the biceps pulley, was performed in association with subscapularis rotator cuff repair. During follow-up ultrasound scanning was used to assess LHB mobility and location. Eight of the 16 patients had a static LHB tendon at an average follow-up of 26 months. Four of the 6 patients who had a groove deepening procedure combined with the tendon relocation had a static tendon on ultrasound scanning. Relocation of the LHB and reconstruction of the biceps pulley appears to offer no advantage over tenotomy or tenodesis alone when managing the displaced LHB tendon in conjunction with subscapularis tears.
肱二头肌长头（LHB）肌腱移位常与肩胛下肌肩袖撕裂同时出现。对于移位肌腱的处理方法包括腱切断术、腱固定术或通过重建肱二头肌滑车进行复位。我们报告了16例患者，他们在接受肩胛下肌肩袖修复的同时进行了LHB复位及肱二头肌滑车重建。在随访期间，使用超声扫描评估LHB的活动度和位置。16例患者中有8例在平均26个月的随访时LHB肌腱位置固定。在6例接受了滑车加深手术并联合肌腱复位的患者中，有4例在超声扫描时肌腱位置固定。在处理与肩胛下肌撕裂相关的移位LHB肌腱时，LHB复位及肱二头肌滑车重建似乎并不比单纯的腱切断术或腱固定术更具优势。
