Ihsan Kilic Ali, Hapa Onur, Ozmanevra Ramadan, Demirhan Demirkiran Nihat, Gursan Onur
Department of Orthopaedics and Traumatology, Siirt State Hospital, Siirt, Turkey.
Department of Orthopaedics and Traumatology, 064073University of Dokuz Eylül, Izmir, Turkey.
J Orthop Surg (Hong Kong). 2021 Sep-Dec;29(3):23094990211056978. doi: 10.1177/23094990211056978.
The aim of the present study was to prospectively evaluate the elbow flexion and supination strengths and the functional outcomes of patients following arthroscopic rotator cuff repair combined with simultaneous biceps tenodesis.
19 patients who underwent arthroscopic rotator cuff repair and biceps tenodesis with at least 24 months of follow-up were included. Patients were evaluated using a visual analog scale (VAS) for bicipital groove pain, American Shoulder and Elbow Surgeons (ASES), and constant scores (CS), biceps apex distance (BAD), elbow flexion, and supination strengths.
The VAS for biceps groove measurement averages in the postoperative 6th, 12th, and 24th months was lower in comparison to preoperative data and was considered to be statistically significant ( .05). The constant score, an average of all postoperative measurements and scores, was found to be higher than preoperative values and was considered to be statistically significant (01). There was a significant difference in the operated and non-operated forearm supination and elbow flexion muscle strength measurements at the postoperative 3- and 6-month follow-ups ( .01).
Arthroscopic biceps tenodesis into the anchors of the lateral row in combination with rotator cuff repair provides an increase in the strength of elbow flexion and forearm supination, while decreasing pain.
Level IV.
本研究的目的是前瞻性评估关节镜下肩袖修复联合同期肱二头肌固定术后患者的肘部屈曲和旋后力量以及功能结果。
纳入19例行关节镜下肩袖修复和肱二头肌固定且随访至少24个月的患者。使用视觉模拟量表（VAS）评估肱二头肌沟疼痛情况，采用美国肩肘外科医师学会（ASES）评分和常数评分（CS）、肱二头肌顶点距离（BAD）、肘部屈曲和旋后力量对患者进行评估。
术后第6、12和24个月肱二头肌沟测量的VAS平均值与术前数据相比更低，且被认为具有统计学意义（P<0.05）。术后所有测量值和评分的平均常数评分高于术前值，且被认为具有统计学意义（P<0.01）。术后3个月和6个月随访时，手术侧和非手术侧前臂旋后和肘部屈曲肌肉力量测量存在显著差异（P<0.01）。
关节镜下将肱二头肌固定于外侧排锚钉并联合肩袖修复可增加肘部屈曲和前臂旋后力量，同时减轻疼痛。
四级。
