Gifford Abbott, Tauro Tracy, Haunschild Eric, Okoroha Kelechi, Cole Brian J
Department of Orthopaedic Surgery, Division of Sports Medicine, Section of Cartilage Restoration, Rush University Medical Center, Chicago, Illinois, U.S.A.
Arthrosc Tech. 2020 Mar 10;9(4):e445-e451. doi: 10.1016/j.eats.2019.11.017. eCollection 2020 Apr.
The proximal biceps tendon is a common source of shoulder pain and dysfunction. When patients continue to have pain after exhaustive nonoperative treatment, the long head of the biceps tendon can be effectively treated with a tenotomy or tenodesis. Although biceps tenotomy is a less complex and highly reliable treatment, there is the potential for suboptimal outcomes including muscle cramping, fatigue, cosmetic deformity, and supination weakness. Biceps tenodesis eliminates the source of shoulder pain while securing the tendon proximally. Currently, there are multiple techniques for performing a biceps tenodesis (arthroscopic, open suprapectoral, open subpectoral) and myriad fixation methods (bio-tenodesis screw, bone bridge, cortical button, all-suture anchor). Our article presents a technique for a mini-open subpectoral biceps tenodesis using an onlay technique with an all-suture anchor preloaded with needles. This technique allows efficient and proper tendon fixation while minimizing potential complications.
肱二头肌近端肌腱是肩部疼痛和功能障碍的常见原因。当患者在经过彻底的非手术治疗后仍持续疼痛时，肱二头肌长头肌腱可以通过腱切断术或腱固定术进行有效治疗。虽然肱二头肌腱切断术是一种不太复杂且高度可靠的治疗方法，但仍有可能出现不理想的结果，包括肌肉痉挛、疲劳、外观畸形和旋后无力。肱二头肌腱固定术在近端固定肌腱的同时消除了肩部疼痛的根源。目前，有多种进行肱二头肌腱固定术的技术（关节镜下、开放胸大肌上、开放胸大肌下）和无数的固定方法（生物腱固定螺钉、骨桥、皮质纽扣、全缝合锚钉）。我们的文章介绍了一种使用预装针的全缝合锚钉进行开放胸大肌下小切口肱二头肌腱固定术的技术。该技术可实现高效、恰当的肌腱固定，同时将潜在并发症降至最低。
