肱二头肌肌腱固定术后骨折的发生率及报告情况：一项系统评价。
The rate and reporting of fracture after biceps tenodesis: A systematic review.
作者信息
Huddleston Hailey P, Kurtzman Joey S, Gedailovich Samuel, Koehler Steven M, Aibinder William R
机构信息
SUNY Downstate Medical Center, Department of Orthopaedic Surgery and Rehabilitation Medicine, Brooklyn, NY, 11203, USA.
出版信息
J Orthop. 2021 Nov 24;28:70-85. doi: 10.1016/j.jor.2021.11.014. eCollection 2021 Nov-Dec.
Abstract
BACKGROUND
The purpose of this systematic review was to (1) define the cumulative humerus fracture rate after BT and (2) compare how often fracture rate was reported compared to other complications.
METHODS
A systematic review was performed using the PRISMA guidelines.
RESULTS
39 studies reported complications and 30 reported no complications. Of the 39 studies that reported complications, 5 studies reported fracture after BT (n = 669, cumulative incidence of 0.53%). The overall non-fracture complication rate was 12.9%.
DISCUSSION
Due to the relatively high incidence of fracture, surgeons should ensure that this complication is disclosed to patients undergoing BT.
摘要
背景
本系统评价的目的是（1）确定肉毒毒素（BT）治疗后肱骨骨折的累积发生率，以及（2）比较与其他并发症相比，骨折发生率的报告频率。
方法
采用PRISMA指南进行系统评价。
结果
39项研究报告了并发症，30项研究报告无并发症。在报告并发症的39项研究中，5项研究报告了BT治疗后发生骨折（n = 669，累积发生率为0.53%）。总体非骨折并发症发生率为12.9%。
讨论
由于骨折发生率相对较高，外科医生应确保向接受BT治疗的患者披露这一并发症。
相似文献
1
The rate and reporting of fracture after biceps tenodesis: A systematic review.肱二头肌肌腱固定术后骨折的发生率及报告情况：一项系统评价。
J Orthop. 2021 Nov 24;28:70-85. doi: 10.1016/j.jor.2021.11.014. eCollection 2021 Nov-Dec.
2
Biceps Tenodesis for Superior Labrum Anterior-Posterior Tear in the Overhead Athlete: A Systematic Review.肩袖上盂唇前后撕裂的肱二头肌肌腱固定术：系统评价。
Am J Sports Med. 2021 Feb;49(2):522-528. doi: 10.1177/0363546520921177. Epub 2020 Jun 24.
3
Incidence and Characteristics of Humeral Shaft Fractures After Subpectoral Biceps Tenodesis.胸大肌下肱二头肌肌腱固定术后肱骨干骨折的发生率及特征
Orthop J Sports Med. 2019 Mar 28;7(3):2325967119833420. doi: 10.1177/2325967119833420. eCollection 2019 Mar.
4
Does Biceps Tenotomy or Tenodesis Have Better Results After Surgery? A Systematic Review and Meta-analysis.肱二头肌切开术或肌腱固定术在手术后的效果更好吗？系统评价和荟萃分析。
Clin Orthop Relat Res. 2021 Jul 1;479(7):1561-1573. doi: 10.1097/CORR.0000000000001672.
5
Biomechanical analysis of subpectoral biceps tenodesis: effect of screw malpositioning on proximal humeral strength.胸大肌下肱二头肌固定术的生物力学分析：螺钉位置不当对肱骨近端强度的影响。
Am J Sports Med. 2015 Jan;43(1):69-74. doi: 10.1177/0363546514554563. Epub 2014 Nov 4.
6
Subpectoral Biceps Tenodesis With PEEK Interference Screw: A Biomechanical Analysis of Humeral Fracture Risk.肱二头肌经胸肌下入路采用 PEEK 干涉螺钉固定术：肱骨干骨折风险的生物力学分析。
Arthroscopy. 2018 Mar;34(3):806-813. doi: 10.1016/j.arthro.2017.09.012. Epub 2017 Dec 26.
7
Torsional Fracture of the Humerus after Subpectoral Biceps Tenodesis with an Interference Screw: A Biomechanical Cadaveric Study.使用干涉螺钉进行胸大肌下肱二头肌肌腱固定术后肱骨的扭转骨折：一项生物力学尸体研究
Clin Biomech (Bristol). 2015 Nov;30(9):915-20. doi: 10.1016/j.clinbiomech.2015.07.009. Epub 2015 Jul 26.
8
Outcomes and Complications After Primary Arthroscopic Suprapectoral Versus Open Subpectoral Biceps Tenodesis for Superior Labral Anterior-Posterior Tears or Biceps Abnormalities: A Systematic Review and Meta-analysis.原发性关节镜下胸大肌上入路与开放性胸大肌下入路肱二头肌长头肌腱固定术治疗上盂唇前后向损伤或肱二头肌异常后的疗效与并发症：一项系统评价和荟萃分析
Orthop J Sports Med. 2020 Aug 28;8(8):2325967120945322. doi: 10.1177/2325967120945322. eCollection 2020 Aug.
9
Humerus Fractures After Open Subpectoral Biceps Tenodesis: Three Cases with 2-year Functional Outcome Data and Review of the Literature.肱骨干骨折后路下肌肌腱固定术后：2 年功能结果的 3 例病例报告及文献复习。
JBJS Case Connect. 2020 Jan-Mar;10(1):e0033. doi: 10.2106/JBJS.CC.19.00033.
10
Open subpectoral biceps tenodesis in patients over 65 does not result in an increased rate of complications.65岁以上患者行胸下肱二头肌固定术不会导致并发症发生率增加。
BMC Musculoskelet Disord. 2017 Nov 6;18(1):430. doi: 10.1186/s12891-017-1780-1.
引用本文的文献
1
All-suture anchor size and drill angle influence load to failure in a porcine model of subpectoral biceps tenodesis, a biomechanical study.全缝线锚钉大小和钻孔角度对猪模型下胸肌二头肌肌腱固定术失效负荷的影响：一项生物力学研究。
BMC Musculoskelet Disord. 2024 May 23;25(1):408. doi: 10.1186/s12891-024-07503-0.
2
Return to Sports and Clinical Results After All-Arthroscopic Biceps Tenodesis Using a 2.7-mm Knotless PEEK Suture Anchor.使用2.7毫米无结聚醚醚酮缝合锚钉进行全关节镜下二头肌肌腱固定术后的运动恢复情况及临床结果
Orthop J Sports Med. 2024 Apr 3;12(4):23259671241237798. doi: 10.1177/23259671241237798. eCollection 2024 Apr.
3
Subpectoral proximal humeral anatomy: Guidance to decrease risk of fracture following subpectoral biceps tenodesis.胸小肌下肱骨近端解剖结构：降低胸小肌下肱二头肌固定术后骨折风险的指南。
Shoulder Elbow. 2023 Dec;15(6):647-652. doi: 10.1177/17585732231159392. Epub 2023 Feb 23.
4
The high resistance loop (H-loop) technique used for all-inside arthroscopic knotless suprapectoral biceps tenodesis: A case series.用于全关节镜下无结胸大肌上缘肱二头肌肌腱固定术的高阻力环（H环）技术：病例系列
Front Surg. 2022 Sep 14;9:917853. doi: 10.3389/fsurg.2022.917853. eCollection 2022.
本文引用的文献
1
Implant-Free Subpectoral Biceps Tenodesis Is Biomechanically at Higher Risk of Spiral Fracture of the Humerus Compared With Implant-Free Suprapectoral Biceps Tenodesis.与无植入物的胸上二头肌固定术相比，无植入物的胸下二头肌固定术在生物力学上导致肱骨螺旋骨折的风险更高。
Arthrosc Sports Med Rehabil. 2020 Dec 26;3(1):e73-e78. doi: 10.1016/j.asmr.2020.08.011. eCollection 2021 Feb.
2
Proximal Humerus Fracture Following Arthroscopic Biceps Tenodesis.关节镜下肱二头肌肌腱固定术后近端肱骨骨折
J Orthop Sports Phys Ther. 2020 Nov;50(11):649. doi: 10.2519/jospt.2020.9497.
3
Clinical Outcomes of an All-Arthroscopic Biceps Tenodesis Using the Anterolateral Anchor During Concomitant Double-Row Rotator Cuff Repair.在同期双排肩袖修复术中使用前外侧锚钉进行全关节镜下肱二头肌肌腱固定术的临床结果
Orthop J Sports Med. 2020 Oct 9;8(10):2325967120959142. doi: 10.1177/2325967120959142. eCollection 2020 Oct.
4
Arthroscopic Biceps Tenodesis Outcomes: A Comparison of Inlay and Onlay Techniques.关节镜下肱二头肌肌腱固定术的结果：嵌压技术与重叠技术的比较。
Am J Sports Med. 2020 Oct;48(12):3051-3056. doi: 10.1177/0363546520952357. Epub 2020 Sep 14.
5
Outcomes and Complications After Primary Arthroscopic Suprapectoral Versus Open Subpectoral Biceps Tenodesis for Superior Labral Anterior-Posterior Tears or Biceps Abnormalities: A Systematic Review and Meta-analysis.原发性关节镜下胸大肌上入路与开放性胸大肌下入路肱二头肌长头肌腱固定术治疗上盂唇前后向损伤或肱二头肌异常后的疗效与并发症：一项系统评价和荟萃分析
Orthop J Sports Med. 2020 Aug 28;8(8):2325967120945322. doi: 10.1177/2325967120945322. eCollection 2020 Aug.
6
Comparison between SLAP Repair and Biceps Tenodesis with Concomitant Rotator Cuff Repair in Patients Older than 45 Years: Minimum 2-Year Clinical and Imaging Outcomes.45 岁以上患者 SLAP 修复与二头肌长头腱固定术联合肩袖修复的比较：至少 2 年的临床和影像学结果。
Clin Orthop Surg. 2020 Sep;12(3):364-370. doi: 10.4055/cios19157. Epub 2020 Jul 21.
7
Long Head of the Biceps Tendon Tenotomy versus Subpectoral Tenodesis in Rotator Cuff Repair.肱二头肌长头肌腱切断术与肩袖修复下胸肌肌腱固定术的比较。
Clin Orthop Surg. 2020 Sep;12(3):371-378. doi: 10.4055/cios19168. Epub 2020 Jun 24.
8
Costs, Complications, and Reoperations Associated With Primary Arthroscopic Rotator Cuff Repair With or Without Acromioplasty and/or Biceps Tenodesis.与原发性关节镜下肩袖修补术（伴或不伴肩峰成形术和/或肱二头肌固定术）相关的成本、并发症及再次手术情况。
Arthrosc Sports Med Rehabil. 2020 Jul 29;2(4):e369-e376. doi: 10.1016/j.asmr.2020.05.010. eCollection 2020 Aug.
9
Increased Risk of Humeral Fracture With Open Versus Arthroscopic Tenodesis of the Long Head of the Biceps Brachii.肱二头肌长头开放与关节镜下腱固定术相比，肱骨骨折风险增加。
Arthrosc Sports Med Rehabil. 2020 Jul 16;2(4):e329-e332. doi: 10.1016/j.asmr.2020.04.010. eCollection 2020 Aug.
10
The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis.肩袖修复中长头肱二头肌的处理：高位与胸肌下腱固定术的对比研究。
J Sport Health Sci. 2023 Sep;12(5):613-618. doi: 10.1016/j.jshs.2020.08.004. Epub 2020 Aug 11.
Zotero 插件