Department of Orthopaedic Surgery, Section of Shoulder and Elbow Surgery, Division of Sports Medicine, Rush University Medical Center, Chicago, IL, USA.
J Am Acad Orthop Surg. 2010 Nov;18(11):645-56. doi: 10.5435/00124635-201011000-00002.
Tendinopathy of the long head of the biceps brachii encompasses a spectrum of pathology ranging from inflammatory tendinitis to degenerative tendinosis. Disorders of the long head of the biceps often occur in conjunction with other shoulder pathology. A thorough patient history, physical examination, and radiographic evaluation are necessary for diagnosis. Nonsurgical management, including rest, nonsteroidal anti-inflammatory drugs, physical therapy, and injections, is attempted first in patients with mild disease. Surgical management is indicated for refractory or severe disease. In addition to simple biceps tenotomy, a variety of tenodesis techniques has been described. Open biceps tenodesis has been used historically. However, promising results have recently been reported with arthroscopic tenodesis.
肱二头肌长头腱鞘炎包括一系列病理变化，从炎症性肌腱炎到退行性肌腱病。肱二头肌长头的疾病常与其他肩部病变同时发生。全面的病史、体格检查和影像学评估对诊断是必要的。对于轻度疾病患者，首先尝试非手术治疗，包括休息、非甾体抗炎药、物理治疗和注射。对于难治性或严重疾病，手术治疗是指征。除了简单的肱二头肌切断术外，还描述了多种肌腱固定技术。开放式肱二头肌肌腱固定术历史上已被使用。然而，最近关节镜下肌腱固定术的报告结果令人鼓舞。
