Steadman Philippon Research Institute, Vail, Colorado 81657, USA.
Arthroscopy. 2011 Apr;27(4):581-92. doi: 10.1016/j.arthro.2010.10.014.
Lesions of the long head biceps tendon (LHB) are frequent causes of shoulder pain and disability. Biceps tenotomy and tenodesis have gained widespread acceptance as effective procedures to manage both isolated LHB pathology and combined lesions of the rotator cuff and biceps-labral complex. The function of the LHB tendon and its role in glenohumeral kinematics presently remain only partially understood because of the difficulty of cadaveric and in vivo biomechanical studies. The purpose of this article is to offer an up-to-date review of the anatomy and biomechanical properties of the LHB and to provide an evidence-based approach to current treatment strategies for LHB disorders.
长头肱二头肌肌腱(LHB)损伤是引起肩部疼痛和功能障碍的常见原因。肱二头肌切断和固定术已被广泛接受为有效治疗孤立性 LHB 病变和肩袖与二头肌-盂唇复合体联合病变的方法。由于尸体和体内生物力学研究的困难,目前对 LHB 肌腱的功能及其在盂肱关节运动学中的作用仍知之甚少。本文旨在对 LHB 的解剖学和生物力学特性进行最新综述,并为 LHB 病变的当前治疗策略提供循证方法。