Zalneraitis B Holt, Milam Brian P, Turner Eric K, Gasbarro Gregory, Galvin Joseph W
Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, Washington, U.S.A.
The Shoulder, Elbow, Wrist, and Hand Center, Mercy Medical Center, Baltimore, Maryland, U.S.A.
Arthrosc Tech. 2020 Oct 23;9(11):e1851-e1853. doi: 10.1016/j.eats.2020.08.009. eCollection 2020 Nov.
Biceps tenotomy is a common procedure performed in arthroscopic shoulder surgery. Numerous studies have demonstrated the effectiveness of both biceps tenotomy and tenodesis to relieve pain and restore function for the diagnoses of bicipital tenosynovitis, SLAP tears, rotator interval pulley lesions, and failed SLAP repairs. It is also frequently performed as a concomitant procedure with arthroscopic rotator cuff repair. We report a technique to improve the efficiency of arthroscopic bicep tenotomy using a biceps squeeze maneuver. This is a simple method of manually squeezing the biceps muscle belly while performing the arthroscopic biceps tenotomy. This shortens and tensions the intra-articular portion of the tendon to facilitate a more safe and efficient procedure.
肱二头肌肌腱切断术是关节镜下肩部手术中常见的操作。大量研究表明，对于肱二头肌腱鞘炎、SLAP损伤、旋转间隔滑车损伤以及SLAP修复失败的诊断，肱二头肌肌腱切断术和肌腱固定术在缓解疼痛和恢复功能方面均有效。它也经常作为关节镜下肩袖修复的伴随操作进行。我们报告一种使用肱二头肌挤压手法来提高关节镜下肱二头肌肌腱切断术效率的技术。这是一种在进行关节镜下肱二头肌肌腱切断术时手动挤压肱二头肌肌腹的简单方法。这会缩短并拉紧肌腱的关节内部分，以利于更安全、高效地进行手术。
