Kandeel Amr Abdel-Mordy
Department of Orthopedics & Traumatology, Faculty of Medicine, Menoufia University, Egypt, Shebien El-kom, Menoufia Governorate, Egypt.
Arthrosc Tech. 2021 May 17;10(6):e1531-e1537. doi: 10.1016/j.eats.2021.02.021. eCollection 2021 Jun.
As an alternate to sling glenohumeral restabilization mechanism of Latarjet procedure, recent different arthroscopic soft-tissue reconstructive techniques have been described for the management of glenohumeral instability. One of these techniques is trans-subscapularis bony tenodesis of long head of biceps (instead of coracoid graft transfer) to the anteroinferior glenoid. For simplification of the latter technique, the current article reports an alternative arthroscopic technique for management of glenohumeral instability in patients with type V SLAP lesion or poor soft-tissue quality of the anterior capsulolabral complex. In this technique, Bankart repair is followed by soft-tissue tenodesis of long head of biceps to upper border of subscapularis tendon by 2 simple stitches of non-absorbable sutures. Compared with previous ones, the currently reported technique is versatile, quick, technically simple, entirely intra-articular, and cost-saving; however, it is nonanatomic and should be investigated in biomechanical and cohort clinical studies to clarify its long-term validity.
作为拉塔热手术肩盂肱关节再稳定机制吊带的替代方法，最近已经描述了用于治疗肩盂肱关节不稳的不同关节镜软组织重建技术。其中一种技术是将肱二头肌长头经肩胛下肌进行骨性固定（而不是喙突移植转移）至肩胛下盂前部。为简化后一种技术，本文报道了一种用于治疗Ⅴ型SLAP损伤或前关节囊盂唇复合体软组织质量差的患者肩盂肱关节不稳的替代关节镜技术。在该技术中，Bankart修复之后，通过2针不可吸收缝线将肱二头肌长头进行软组织固定至肩胛下肌腱上缘。与先前的技术相比，目前报道的技术具有多功能性、快速、技术简单、完全在关节内且节省成本；然而，它是非解剖性的，应在生物力学和队列临床研究中进行研究以阐明其长期有效性。
