Longo Umile Giuseppe, Loppini Mattia, Marineo Gianluca, Khan Wasim S, Maffulli Nicola, Denaro Vincenzo
Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Via Alvaro del Portillo, Trigoria, Rome, Italy.
Sports Med Arthrosc Rev. 2011 Dec;19(4):321-32. doi: 10.1097/JSA.0b013e3182393e23.
Pathologies of tendon of the long head of the biceps (LHB) are an important cause of shoulder pain. They include tendinopathy, rupture, superior labrum anterior and posterior lesions, pulley tears, and tendon instability. Conservative management of symptomatic LHB tendinopathy is commonly accepted as the first-line treatment. It consists of rest, nonsteroidal anti-inflammatory drugs, corticosteroid injections, and physical therapy. Biceps tenotomy and tenodesis are the most common surgical procedures to manage both isolated LHB pathology and biceps-glenoid complex tears combined with rotator cuff tears. However, controversy persists about the superiority of one of them because there is no evidence of significant differences in functional scores or patient satisfaction between the 2 techniques. This article provides an overview on biomechanical function of the LHB and current strategies for treatment of LHB disorders.
肱二头肌长头肌腱（LHB）病变是肩部疼痛的重要原因。这些病变包括肌腱病、断裂、上盂唇前后部损伤、滑车撕裂和肌腱不稳定。有症状的LHB肌腱病的保守治疗通常被认为是一线治疗方法。它包括休息、使用非甾体类抗炎药、皮质类固醇注射和物理治疗。肱二头肌肌腱切断术和肌腱固定术是治疗孤立的LHB病变以及与肩袖撕裂合并的肱二头肌-关节盂复合体撕裂最常用的外科手术。然而，关于这两种手术哪种更具优势仍存在争议，因为没有证据表明这两种技术在功能评分或患者满意度上存在显著差异。本文概述了LHB的生物力学功能以及目前治疗LHB疾病的策略。
