Terra Bernardo Barcellos, Sassine Tannous Jorge, Ejnisman Benno, de Castro Pochini Alberto, Belangero Paulo Santoro
Center of Sports Medicine of Santa Casa de Vitória ES.
Center of Sports Medicine of São Paulo Federal University.
Arthrosc Tech. 2021 Feb 19;10(3):e669-e673. doi: 10.1016/j.eats.2020.10.056. eCollection 2021 Mar.
Superior capsule reconstruction is a valuable intervention for some patients who present symptomatic irreparable posterosuperior rotator cuff tears. Superior capsule reconstruction techniques most commonly use either fascia lata autograft or dermal allograft. Both options have literature support but also present a few drawbacks such as donor site issues, potential allergic reactions, and high cost of the operation. The long head of biceps is a potential graft for rotator cuff tears and may be particularly useful in bridging the gap in irreparable massive rotator cuff tears, specifically as an alternative to more traditional superior capsular reconstruction. Long head of biceps transposition may offer unique and significant advantages over other techniques and can be an effective and valuable alternative in selected cases. The tendon's insertion into the glenoid is left intact, whereas laterally it is transferred to a more central humeral head position and sutured with anchors onto the footprint of the supraspinatus tendon acting as a superior static stabilizer of the shoulder joint. The purpose of this article is to propose a technical modification of superior capsular reconstruction using long head of the biceps tendon autograft.
对于一些出现症状性不可修复的后上盂唇撕裂的患者，上盂唇重建是一种有价值的干预措施。上盂唇重建技术最常用的是阔筋膜自体移植或真皮异体移植。这两种选择都有文献支持，但也存在一些缺点，如供区问题、潜在的过敏反应和手术成本高。肱二头肌长头是修复肩袖撕裂的一种潜在移植物，在桥接不可修复的巨大肩袖撕裂间隙方面可能特别有用，特别是作为更传统的上盂唇重建的替代方法。肱二头肌长头转位可能比其他技术具有独特且显著的优势，在某些选定的病例中可以是一种有效且有价值的替代方法。肌腱在肩胛盂的附着点保持完整，而在外侧将其转移到更靠近肱骨头中心的位置，并用锚钉缝合到冈上肌腱的附着点上，作为肩关节的上静态稳定器。本文的目的是提出一种使用肱二头肌长头肌腱自体移植对上盂唇重建进行技术改良的方法。
