Kennedy Nicholas I, Godin Jonathan A, Ferrari Marcio B, Sanchez George, Cinque Mark E, Hussain Zaamin B, Provencher Matthew T
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
The Steadman Clinic, Vail, Colorado, U.S.A.
Arthrosc Tech. 2017 Aug 28;6(4):e1415-e1420. doi: 10.1016/j.eats.2017.05.028. eCollection 2017 Aug.
Bicep tendon pathology often arises from chronic overuse injuries, acute trauma, or degenerative changes in the glenohumeral joint. These injuries can cause significant shoulder pain, and can greatly limit range of motion and, in turn, activities of daily living. The diagnosis of biceps pathologies can be challenging, because patients often present with nonspecific symptoms. Some bicep tendon pathologies may be treated nonoperatively; however, biceps tendon subluxation and the presence of rotator cuff or SLAP lesions require surgical management. One of the options for the treatment of bicep tendon pathology includes miniopen subpectoral biceps tenodesis. The purpose of this Technical Note is to describe in detail our preferred operative technique for miniopen subpectoral biceps tenodesis with 2 different fixation methods.
肱二头肌肌腱病变通常源于慢性过度使用损伤、急性创伤或盂肱关节的退行性改变。这些损伤可导致严重的肩部疼痛，并可极大地限制活动范围，进而影响日常生活活动。肱二头肌病变的诊断可能具有挑战性，因为患者常表现出非特异性症状。一些肱二头肌肌腱病变可采用非手术治疗；然而，肱二头肌肌腱半脱位以及存在肩袖或SLAP损伤则需要手术治疗。治疗肱二头肌肌腱病变的选择之一包括小切口胸小肌下肱二头肌固定术。本技术说明的目的是详细描述我们采用两种不同固定方法进行小切口胸小肌下肱二头肌固定术的首选手术技术。
