Apivatgaroon Adinun, Chernchujit Bancha
Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathumthani, Thailand.
Arthrosc Tech. 2020 Apr 10;9(5):e611-e615. doi: 10.1016/j.eats.2020.01.015. eCollection 2020 May.
Proximal tendinopathy of the long head of the biceps (LHB) is a common shoulder problem that requires surgical intervention, especially in patients with concomitant rotator cuff tears. The comparative results of biceps tenotomy and biceps tenodesis are still doubtful; both techniques show good to excellent results in terms of postoperative pain and functional outcomes. The described technique-all-arthroscopic LHB transfer-is an optional biceps tenodesis technique using all-arthroscopic soft-tissue tenodesis and arthroscopic suturing of the LHB to the short head of the biceps and coracoacromial ligament combined with release of the LHB from the bicipital groove.
肱二头肌长头近端肌腱病是一种常见的肩部问题，需要手术干预，尤其是在合并肩袖撕裂的患者中。肱二头肌切断术和肱二头肌固定术的比较结果仍存在疑问；两种技术在术后疼痛和功能结果方面均显示出良好至优异的效果。所描述的技术——全关节镜下肱二头肌长头转移术——是一种可选的肱二头肌固定术，采用全关节镜下软组织固定术，并通过关节镜将肱二头肌长头缝合至肱二头肌短头和喙肩韧带，同时将肱二头肌长头从二头肌沟中松解出来。
