Uzel A-P, Bertino R, Boileau P
Service d'Orthopédie et Traumatologie, CHU Pointe-à-Pitre, Route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe, France.
Musculoskelet Surg. 2011 Jul;95 Suppl 1:S79-82. doi: 10.1007/s12306-011-0098-7. Epub 2011 Mar 4.
During a dissection on a 103-year-old female cadaver, a bilateral spontaneous tenodesis of the long head of the biceps (LHB) with massive rotator cuff tear was discovered at the bicipital groove. Neer et al. have introduced the term of cuff-tear arthropathy to define severe disorganization of the glenohumeral joint with collapse of the humeral head that occurs following some massive tears of the rotator cuff, and we found this aspect during our dissection. The tendon of the LHB is a well-known source of shoulder pain, and the majority of degenerative changes in the LHB are associated with pathology of the rotator cuff. When there are complete rotator cuff tears and a rupture of the LHB, the ineluctable evolution of the shoulder is the ascension of the humeral head and the creation of a neoarticulation like in our case. This aspect is an acromial acetabulization as described roentgenographically by Hamada et al.
在对一具103岁女性尸体进行解剖时，在肱二头肌沟处发现双侧肱二头肌长头（LHB）自发性肌腱固定伴巨大肩袖撕裂。Neer等人引入了“肩袖撕裂性关节病”这一术语，以定义肩袖发生一些巨大撕裂后出现的肱骨头塌陷导致的盂肱关节严重紊乱，我们在解剖过程中发现了这一情况。LHB肌腱是肩部疼痛的一个众所周知的来源，LHB的大多数退行性变化与肩袖病变有关。当肩袖完全撕裂且LHB断裂时，肩部不可避免的演变是肱骨头上升并形成一个新关节，就像我们这个病例一样。这一情况就是Hamada等人在X线片上所描述的肩峰髋臼化。
