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一种全关节镜下、长度张力调节的胸大肌上缘肱二头肌肌腱固定技术。

An All-Arthroscopic, Length-Tensioned Suprapectoral Biceps Tenodesis Technique.

作者信息

Rao Allison J, Bernardoni Eamon, Verma Nikhil, Trenhaile Scott

机构信息

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

OrthoIllinois, Rockford, Illinois, U.S.A.

出版信息

Arthrosc Tech. 2017 Sep 18;6(5):e1599-e1605. doi: 10.1016/j.eats.2017.06.016. eCollection 2017 Oct.

DOI:10.1016/j.eats.2017.06.016
PMID:29354480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5709792/
Abstract

Biceps tenodesis remains a popular choice for treating anterior shoulder pain in the setting of primary biceps tendinitis or biceps pain due to concomitant glenohumeral joint pathology. A variety of surgical approaches and fixation construct options are available for biceps tenodesis. The advantages of an all-arthroscopic biceps tenodesis include anatomic maintenance of the length-tension relation with strength preservation and improved cosmetic results. This technique can be technically challenging but allows for a minimally invasive approach to anchor the biceps. In this Technical Note, we describe a suprapectoral biceps tenodesis using an all-arthroscopic approach in the setting of concomitant rotator cuff repair. This technique offers a viable alternative to the open subpectoral biceps tenodesis.

摘要

肱二头肌固定术仍然是治疗原发性肱二头肌肌腱炎或因合并盂肱关节病变导致的肱二头肌疼痛引起的前肩痛的常用选择。对于肱二头肌固定术，有多种手术入路和固定结构可供选择。全关节镜下肱二头肌固定术的优点包括在保持强度的同时解剖学上维持长度-张力关系并改善美容效果。该技术在技术上可能具有挑战性，但允许采用微创方法来固定肱二头肌。在本技术说明中，我们描述了在合并肩袖修复的情况下使用全关节镜入路的胸上肱二头肌固定术。该技术为开放胸下肱二头肌固定术提供了一种可行的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/66eca84dc815/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/ebf7338cc04a/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/ee62fec8258d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/f9fef797d58d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/32f957efbf07/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/c24a3fa67a1c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/f1d3b25367d3/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/f3c7eae9d80a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/408ba1b77a0c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/66eca84dc815/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/ebf7338cc04a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/e02542a7abc4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/ee62fec8258d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/f9fef797d58d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/32f957efbf07/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/c24a3fa67a1c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/f1d3b25367d3/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/f3c7eae9d80a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/408ba1b77a0c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c4b/5709792/66eca84dc815/gr10.jpg

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