Clement X, Baldairon F, Clavert P, Kempf J-F
Centre de Chirurgie Orthopédique et de la Main, 10, Avenue Achille-Baumann, 67400 Illkirch-Graffenstaden, France.
Centre de Chirurgie Orthopédique et de la Main, 10, Avenue Achille-Baumann, 67400 Illkirch-Graffenstaden, France.
Orthop Traumatol Surg Res. 2018 Feb;104(1):23-26. doi: 10.1016/j.otsr.2017.09.016. Epub 2017 Oct 18.
Treatment of long head of the biceps lesions is controversial. A new technique of self-locking "T" tenotomy was developed in our department in 2013.
The main objective of the present study was to assess onset of Popeye sign after "T" tenotomy, with comparison to long head of the biceps tenodesis.
A continuous retrospective study included 180 patients with long head of the biceps lesion, either isolated or associated with rotator cuff tear.
130 underwent "T" tenotomy (group A), and 50 tenodesis (group B). Mean age was 57.9 years (range, 23-88 years) in group A and 50.8 years (range, 20-66 years) in group B. At last follow-up, 27.7% of patients in group A and 24% in group B showed Popeye sign (P=0.616), after equivalence test and adjustment on age and occupational activity. Bicipital groove pain was more frequent in the tenodesis group (44% versus 25.4%; P=0.025).
Self-locking "T" tenotomy did not significantly differ from tenodesis in onset of Popeye sign or clinical results, and showed better postoperative course.
IV, retrospective study.
肱二头肌长头病变的治疗存在争议。2013年我们科室研发了一种自锁“T”形腱切断术新技术。
本研究的主要目的是评估“T”形腱切断术后“大力水手”征的发生情况，并与肱二头肌长头腱固定术进行比较。
一项连续性回顾性研究纳入了180例肱二头肌长头病变患者，病变可为孤立性或合并肩袖撕裂。
130例行“T”形腱切断术（A组），50例行腱固定术（B组）。A组平均年龄57.9岁（范围23 - 88岁），B组平均年龄50.8岁（范围20 - 66岁）。在末次随访时，经年龄和职业活动等效性检验及调整后，A组27.7%的患者和B组24%的患者出现“大力水手”征（P = 0.616）。腱固定术组肱二头肌沟疼痛更常见（44%对25.4%；P = 0.025）。
自锁“T”形腱切断术在“大力水手”征的发生或临床结果方面与腱固定术无显著差异，且术后病程更佳。
IV级，回顾性研究。
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