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肱二头肌肌腱镜检查:肱二头肌长头肌腱关节外部分的关节镜评估

Biceps Tenoscopy: Arthroscopic Evaluation of the Extra-articular Portion of the Long Head of Biceps Tendon.

作者信息

Saithna Adnan, Longo Alison, Leiter Jeff, MacDonald Peter, Old Jason

机构信息

Department of Orthopaedic Surgery, Pan Am Clinic, Winnipeg, Manitoba, Canada.

Department of Clinical Engineering, Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, England.

出版信息

Arthrosc Tech. 2016 Dec 19;5(6):e1461-e1465. doi: 10.1016/j.eats.2016.08.018. eCollection 2016 Dec.

Abstract

The recent literature shows that imaging modalities, physical examination tests, and glenohumeral arthroscopy all have low sensitivities and specificities with respect to the diagnosis of the long head of biceps tendon pathology. Biceps tenoscopy is a strategy that aims to reduce the rate of missed diagnoses by improving visualization of the extra-articular part of the tendon. This is an area of predilection of pathology that is not adequately visualized with conventional arthroscopic techniques. This technical note presents the surgical technique for biceps tenoscopy.

摘要

近期文献表明,就肱二头肌长头肌腱病变的诊断而言,影像学检查、体格检查以及肩关节镜检查的敏感性和特异性均较低。肱二头肌肌腱镜检查是一种旨在通过改善肌腱关节外部分的可视化来降低漏诊率的策略。这是一个病变好发部位,传统关节镜技术无法充分观察到该部位。本技术说明介绍了肱二头肌肌腱镜检查的手术技术。

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本文引用的文献

1
Shoulder Arthroscopy Does Not Adequately Visualize Pathology of the Long Head of Biceps Tendon.
Orthop J Sports Med. 2016 Jan 8;4(1):2325967115623944. doi: 10.1177/2325967115623944. eCollection 2016 Jan.
2
Physical examination tests and imaging studies based on arthroscopic assessment of the long head of biceps tendon are invalid.
Knee Surg Sports Traumatol Arthrosc. 2017 Oct;25(10):3229-3236. doi: 10.1007/s00167-015-3862-7. Epub 2015 Nov 26.
3
Magnetic Resonance Imaging Currently Fails to Fully Evaluate the Biceps-Labrum Complex and Bicipital Tunnel.
Arthroscopy. 2016 Feb;32(2):238-44. doi: 10.1016/j.arthro.2015.08.008. Epub 2015 Oct 4.
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Biceps tenoscopy in arthroscopic treatment of primary synovial chondromatosis of the shoulder.
Arthrosc Tech. 2014 Aug 25;3(4):e539-45. doi: 10.1016/j.eats.2014.06.011. eCollection 2014 Aug.
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Arthroscopic versus open comparison of long head of biceps tendon visualization and pathology in patients requiring tenodesis.
Arthroscopy. 2015 Jan;31(1):29-34. doi: 10.1016/j.arthro.2014.07.025. Epub 2014 Sep 18.
8

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