Carvalho Cassiano Diniz, Cohen Carina, Belangero Paulo Santoro, Pochini Alberto de Castro, Andreoli Carlos Vicente, Ejnisman Benno
Departamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2020 Jun;55(3):329-338. doi: 10.1055/s-0039-3402472. Epub 2020 Feb 27.
To identify the clinical, radiological, and arthroscopic correlation of long head of the biceps tendon injuries and their influence on pain when associated with rotator cuff injuries. Between April and December 2013, 50 patients were evaluated, including 38 (76%) women and 12 (24%) men, with a mean age of 65.1 years old. The patients were operated by the Shoulder and Elbow Group, Discipline of Sports Medicine, Orthopedics and Traumatology Department, Universidade Federal de São Paulo. The subjects underwent repair of the rotator cuff lesion with clinical, radiological and/or arthroscopic evidence of involvement of the long head of the biceps tendon. An association between pain at palpation of the intertubercular groove of the humerus and high-grade partial lesions (partial rupture of the tendon affecting more than 50% of its structure) was observed at the arthroscopy ( = 0.003). There was also an association between the high-grade lesion of the long head of the biceps and injury to the supraspinatus muscle tendon ( < 0.05). For each centimeter of the supraspinatus muscle tendon injury, the patient presented a 1.7 higher probability of having a high-grade lesion at the long head of the biceps. Pain at the anterior shoulder region during palpation of the intertubercular groove of the humerus may be related to high-grade lesions to the long head of the biceps. Rotator cuff injury and its size are risk factors for high-grade injuries to the long head of the biceps tendon.
确定肱二头肌长头肌腱损伤的临床、放射学及关节镜检查相关性，以及其与肩袖损伤相关时对疼痛的影响。2013年4月至12月间，对50例患者进行了评估，其中女性38例（76%），男性12例（24%），平均年龄65.1岁。这些患者由圣保罗联邦大学骨科与创伤科运动医学学科肩肘组进行手术。受试者接受了肩袖损伤修复，其肱二头肌长头肌腱受累有临床、放射学和/或关节镜检查证据。关节镜检查发现，肱骨结节间沟触诊疼痛与高级别部分损伤（肌腱部分断裂累及超过其结构的50%）之间存在关联（P = 0.003）。肱二头肌长头高级别损伤与冈上肌腱损伤之间也存在关联（P < 0.05）。冈上肌腱损伤每增加1厘米，患者肱二头肌长头出现高级别损伤的可能性就高出1.7倍。肱骨结节间沟触诊时前肩部区域疼痛可能与肱二头肌长头高级别损伤有关。肩袖损伤及其大小是肱二头肌长头肌腱高级别损伤的危险因素。
