University of Virginia Health System.
Arthroscopy. 2018 Jun;34(6):1762-1763. doi: 10.1016/j.arthro.2018.01.041.
The debate regarding the management of long head of the biceps tendon pathology continues to evolve. Previous literature has compared tenotomy and tenodesis, tenodesis above or below the pectoralis major tendon, tenodesis to bony or soft tissue sites, and a host of fixation methods. Recent research compares biomechanical fixation between an all-suture anchor and interference screw for arthroscopic tenodesis. Although the methods have similar biomechanical properties, time-zero cadaveric data has inherent limitations, and importantly, there is a substantial cost differential between these and other implants that surgeons should also consider when choosing a tenodesis method.
关于长头肱二头肌肌腱病变的治疗仍存在争议。既往文献比较了肌腱切断术和肌腱固定术、胸大肌腱上方或下方的肌腱固定术、肌腱固定于骨或软组织部位以及各种固定方法。最近的研究比较了关节镜下肌腱固定术的全缝线锚钉和骨-腱界面螺钉的生物力学固定。尽管这些方法具有相似的生物力学特性，但零时间尸体数据具有固有局限性，而且重要的是，这些方法与其他植入物之间存在显著的成本差异，外科医生在选择肌腱固定方法时也应考虑这些因素。
