Panico Leighann, Roy Trinava, Namdari Surena
Department of Orthopedic Surgery, UPMC Pinnacle, Harrisburg, Pennsylvania.
Rowan University School of Osteopathic Medicine, Stratford, New Jersey.
JBJS Rev. 2021 Oct 25;9(10):01874474-202110000-00007. doi: e21.00092.
»: Pathology of the long head of the biceps tendon is a common source of shoulder pain and often occurs in combination with other shoulder disorders.
»: Nonsurgical management, including rest and activity modification, use of nonsteroidal anti-inflammatory drugs, physical therapy, and corticosteroid injections, is usually the first line of treatment.
»: Patients with symptoms that are refractory to nonsurgical management are indicated for biceps tenotomy or various tenodesis procedures.
»: Although several studies have reported a higher incidence of "Popeye" deformity, muscle cramping, and pain in the bicipital groove postoperatively with tenotomy compared with tenodesis, there are no substantial differences in functional scores or patient satisfaction between the 2 techniques.
»: To date, both tenotomy and tenodesis have been shown to be effective options in the management of long head of the biceps tendinopathy, and there are advantages to each procedure.
肱二头肌长头肌腱病变是肩部疼痛的常见原因，且常与其他肩部疾病合并发生。
非手术治疗，包括休息、调整活动方式、使用非甾体类抗炎药、物理治疗和皮质类固醇注射，通常是一线治疗方法。
非手术治疗无效的患者适合进行肱二头肌肌腱切断术或各种肌腱固定术。
尽管有几项研究报告称，与肌腱固定术相比，肌腱切断术后“大力水手”畸形、肌肉痉挛和肱二头肌沟疼痛的发生率更高，但这两种技术在功能评分或患者满意度方面并无实质性差异。
迄今为止，肌腱切断术和肌腱固定术在肱二头肌长头肌腱病的治疗中均被证明是有效的选择，且每种手术都有其优点。
