Tulane University School of Medicine.
Arthroscopy. 2021 Jun;37(6):1777-1778. doi: 10.1016/j.arthro.2021.03.015.
The optimal treatment for proximal biceps tendon lesions identified at the time of arthroscopic rotator cuff repair remains a topic for debate. The decision between biceps tenotomy and tenodesis is one in which we will likely never have a clear-cut answer. Proponents of biceps tenotomy and biceps tenodesis will cite the pros and cons of each surgical option to support their treatment of choice. Several meta-analyses have shown no superior outcomes with either treatment. Cost analysis and surgical efficiency may favor biceps tenotomy, whereas the possible development of a Popeye deformity, biceps cramping, and supination strength favor tenodesis. The surgical treatment of choice requires an informed discussion and shared decision making between surgeon and patient to determine patients' expectations and maximize surgical outcomes for each individual patient.
在关节镜下修复肩袖损伤时发现的肱二头肌肌腱近端病变的最佳治疗方法仍然存在争议。在肱二头肌肌腱切断术和肌腱固定术之间做出选择，我们可能永远不会得到一个明确的答案。肱二头肌肌腱切断术和肌腱固定术的支持者会引用每种手术选择的优缺点来支持他们的治疗选择。几项荟萃分析显示，两种治疗方法均无优越的结果。成本分析和手术效率可能有利于肱二头肌肌腱切断术，而可能出现的“大力水手”畸形、肱二头肌痉挛和旋后力量则有利于肌腱固定术。手术治疗的选择需要外科医生和患者之间进行知情讨论和共同决策，以确定患者的期望，并最大限度地提高每个患者的手术效果。
