George Washington University School of Medicine, Washington, DC.
William Beaumont Army Medical Center, El Paso, Texas.
Arthroscopy. 2022 Sep;38(9):2620-2627. doi: 10.1016/j.arthro.2022.03.021. Epub 2022 Mar 30.
To report short-term outcomes following biceps tenodesis combined with arthroscopic posterior labral repair of type VIII SLAP lesions in active-duty military patients.
All consecutive patients from January 2012 through December 2018 who underwent biceps tenodesis combined with arthroscopic posterior labral repair of type VIII SLAP tears performed by the senior surgeon with complete outcome scores and minimum 2.5 years follow-up were identified. Exclusion criteria included concomitant glenoid microfracture, rotator cuff repair, or other capsulolabral repair. Outcome measures were completed by patients within 7 days before surgery and at latest follow-up. Biceps tenodesis performed was a mini-open, through a subpectoral approach, using a double-loaded 2.9mm suture-anchor.
Thirty-two patients met the inclusion criteria for the study. All patients were active-duty military at time of surgery. Average follow-up was 73.53 ± 22.37 months. Thirty-one patients achieved the minimal clinically important difference, 30 of 32 reached the substantial clinical benefit, and 31 of 32 met the patient acceptable symptomatic state, as defined for the American Shoulder and Elbow Surgeons Shoulder Score. Similarly, 30 of 32 patients reached the minimal clinically important difference, 29 of 32 achieved the substantial clinical benefit, and 32 of 32 met the patient acceptable symptomatic state for the Single Assessment Numeric Evaluation. There were no significant changes in forward flexion, external rotation, or internal rotation between pre- and postoperative measurements. Three patients reported postoperative complications and 1 patient progressed to further surgery. Thirty (93.75%) patients remained on active-duty military service and were able to return to preinjury levels of activity.
Active-duty military patients with type VIII SLAP tears had statistically and clinically significant increases in outcome scores, marked improvement in pain, and high rates of return to unrestricted active-duty following mini-open subpectoral biceps tenodesis combined with posterior labral repair.
IV, retrospective case series.
报告肱二头肌肌腱固定术联合关节镜下 8 型 SLAP 病变后盂唇修复术治疗现役军人患者的短期疗效。
回顾性分析 2012 年 1 月至 2018 年 12 月间由资深外科医生采用肱二头肌肌腱固定术联合关节镜下 8 型 SLAP 撕裂后盂唇修复术治疗的所有连续患者，所有患者均获得完整的结局评分和至少 2.5 年的随访，并排除了同时进行盂唇微骨折、肩袖修复或其他肩袖盂唇修复的患者。术前 7 天内和末次随访时由患者完成结局测量。肱二头肌肌腱固定术采用经胸小肌下入路的微创切口，使用双负载 2.9mm 缝线锚钉。
32 例患者符合本研究纳入标准。所有患者均为现役军人。平均随访时间为 73.53±22.37 个月。31 例患者达到了最小临床重要差异，30 例患者达到了显著临床获益，31 例患者达到了患者可接受的症状状态，这是根据美国肩肘外科医师协会（American Shoulder and Elbow Surgeons）评分定义的。同样，30 例患者达到了最小临床重要差异，29 例患者达到了显著临床获益，32 例患者达到了患者可接受的症状状态。术前和术后的前屈、外旋和内旋测量值无显著变化。3 例患者报告术后并发症，1 例患者进展为进一步手术。30（93.75%）例患者仍在现役，并能够恢复到受伤前的活动水平。
8 型 SLAP 撕裂的现役军人患者经肱二头肌肌腱固定术联合关节镜下后盂唇修复术后，在结局评分、疼痛显著改善和重返现役方面均有显著的统计学和临床意义。
IV，回顾性病例系列研究。
