Chevallier Romain, Calo Miche, Srikumaran Uma, Nayar Suresh, Nourissat Geoffroy
Clinique Maussins Nollet, Paris, France.
Orthopaedics and Traumatology Department, Ospedale San Luigi Gonzaga, Orbassano, Italy.
Arthrosc Tech. 2021 Jan 16;10(2):e555-e559. doi: 10.1016/j.eats.2020.10.040. eCollection 2021 Feb.
Pathology of the long head of the biceps can contribute to substantial shoulder pain. After nonoperative treatment has failed, either open or arthroscopic tenotomy or tenodesis can be recommended depending on age, occupation, function, and cosmetic preference. While classic tenodesis techniques rely on tendon-to-bone fixation, multiple studies have shown superior healing results for fixation between similar types of tissue, such as tendon-to-tendon. In this technique, we present the "sandwich technique," performed entirely arthroscopically. A single 4-strand anchor with bioabsorbable screw is used to provide 2 types of fixation. Two strands are first used to lasso-loop the long head of the biceps to the bicipital groove, providing bone-to-tendon fixation. The other strands are then used to anchor rotator interval tissue to the tendon, providing a similar tissue or tendon-to-tendon patch augmentation.
肱二头肌长头的病变可导致严重的肩部疼痛。在非手术治疗失败后，可根据年龄、职业、功能和美观偏好，推荐采用开放或关节镜下的腱切断术或腱固定术。虽然经典的腱固定技术依赖于肌腱与骨的固定，但多项研究表明，在相似类型的组织之间进行固定，如肌腱与肌腱之间的固定，愈合效果更佳。在本技术中，我们介绍一种完全通过关节镜操作的“三明治技术”。使用一个带有可生物吸收螺钉的单股4股锚钉来提供两种固定方式。首先，两股用于将肱二头肌长头套索环固定于肱二头肌沟，实现骨与肌腱的固定。然后，其他股用于将旋转间隙组织固定于肌腱，提供类似组织或肌腱与肌腱之间的补片增强。
