Department of Orthopaedic Surgery, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal.
Department of Orthopaedic Surgery, Hospital dos SAMS de Lisboa, Lisbon, Portugal.
JBJS Case Connect. 2021 Feb 17;11(1):01709767-202103000-00020. doi: e20.00149.
Three patients (age, 15-34 years) who had a history of chronic traumatic anteroinferior glenohumeral instability (2-10 dislocations) and preoperatively documented Bankart and Hill-Sachs lesions underwent all-arthroscopic trans-subscapular transposition of the long head of the biceps that was fixed on the anteroinferior glenoid using a novel double double-pulley all-suture anchor method that has not been reported previously.
Excellent 12-month clinical and imaging outcomes, with substantial improvements in the Western Ontario Shoulder Index and the Rowe score in the first consecutive patients who underwent this original technical variant of dynamic anterior stabilization and the surgical pearls and pitfalls are described in detail.
三例患者（年龄 15-34 岁）有慢性创伤性前下盂肱关节不稳定病史（2-10 次脱位），术前影像学检查发现 Bankart 损伤和 Hill-Sachs 损伤，采用一种新颖的双双滑索全缝线锚钉方法行全关节镜下肱二头肌长头经肩胛盂下前侧转移术，该方法之前尚未有报道。
首批连续接受这种动态前侧稳定术原始技术变异的患者，获得了 12 个月的优异临床和影像学结果，Western Ontario 肩指数和 Rowe 评分有显著改善。详细描述了手术要点和技巧。
