Tang Jin, Zhao Jinzhong
Operating Theater, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Arthrosc Tech. 2020 Nov 11;9(11):e1715-e1720. doi: 10.1016/j.eats.2020.07.015. eCollection 2020 Nov.
Disorders of the long head of the biceps (LHB) are common conditions that lead to an impediment of shoulder function. Fixation of the LHB is an effective way to alleviate LHB-related symptoms while maintaining its muscular function. However, fixation failure usually occurs after LHB tenodesis with routine 1-position fixation. To reduce the fixation failure rate, we introduce a 2-position LHB fixation technique. This includes locating the extra-articular part of the LHB efficiently, thorough debridement of the anterior subdeltoid space and the region around the LHB, and 2-position fixation with knotless suture anchors at the superior edge of the pectoralis major and at the proximal end of the bicipital groove. Our clinical experience indicates that this procedure can be performed safely and effectively when certain guidelines are followed. We believe that the introduction of this technique will provide a special fixation option for patients with LHB disorders.
肱二头肌长头（LHB）疾病是导致肩部功能障碍的常见病症。LHB固定是缓解LHB相关症状并维持其肌肉功能的有效方法。然而，常规单位置固定的LHB腱固定术后通常会发生固定失败。为降低固定失败率，我们引入了双位置LHB固定技术。这包括有效定位LHB的关节外部分、彻底清理肩峰下间隙前部和LHB周围区域，以及使用无结缝合锚钉在胸大肌上缘和肱二头肌沟近端进行双位置固定。我们的临床经验表明，遵循特定指南时，该手术可安全有效地进行。我们相信，这项技术的引入将为LHB疾病患者提供一种特殊的固定选择。
