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在关节镜下肩袖修复术中,肱二头肌长头腱固定术或腱切断术是否应常规施行?

Should long head of biceps tenodesis or tenotomy be routinely performed in arthroscopic rotator cuff repairs?

作者信息

Moorthy Vikaesh, Tan Andrew Hwee Chye

机构信息

Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.

出版信息

J Orthop. 2020 Mar 25;21:161-165. doi: 10.1016/j.jor.2020.03.033. eCollection 2020 Sep-Oct.

Abstract

PURPOSE

The long head of the biceps tendon (LHBT) lesions are frequently associated with partial or complete rotator cuff tears (RCTs), but controversy revolves around their optimal surgical management.

METHODS

Hence this article aims to review the current literature available on the role of biceps surgery in rotator cuff surgery and whether it should be routinely performed in rotator cuff repairs.

RESULTS

Furthermore, we also discuss the advantages and drawbacks of tenotomy or tenodesis of LHBT in rotator cuff surgery.

CONCLUSION

We conclude this article with recommendations for surgeons performing rotator cuff repairs and future research in this area.

摘要

目的

肱二头肌长头肌腱(LHBT)损伤常与部分或完全性肩袖撕裂(RCT)相关,但围绕其最佳手术治疗存在争议。

方法

因此,本文旨在综述现有关于肱二头肌手术在肩袖手术中的作用以及在肩袖修复中是否应常规进行的文献。

结果

此外,我们还讨论了在肩袖手术中对LHBT进行肌腱切断术或肌腱固定术的优缺点。

结论

我们在本文结尾为进行肩袖修复的外科医生提供了建议,并对该领域未来的研究提出了建议。

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