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使用单一门户进行操作和观察的关节镜下肱二头肌肌腱切断术:兔模型与技术

Arthroscopic Biceps Tenotomy Using a Single Portal for Working and Viewing: A Rabbit Model and Technique.

作者信息

Xu Junjie, Han Kang, Su Wei, Zhao Jinzhong

机构信息

Department of Sports Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

出版信息

Arthrosc Tech. 2022 May 11;11(6):e983-e988. doi: 10.1016/j.eats.2022.01.019. eCollection 2022 Jun.

DOI:10.1016/j.eats.2022.01.019
PMID:35782833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9243671/
Abstract

Biceps tenotomy (BT) is a common surgery used to address anterior shoulder pain and joint dysfunction in humans. Using animal models to simulate human conditions is an effective and essential research strategy to further understand histologic and biomechanical processes that occur after BT, including the pathology of the detached biceps, secondary tendinopathic conditions of the rotator cuffs, and glenohumeral functional changes. This Technical Note presents a comprehensive step-by-step description of an arthroscopic BT procedure in rabbits. This technique is particularly beneficial, as the mini-invasive arthroscopic technique in a rabbit model is similar to that performed in humans. which resulted in less scarring and injuries to other adjacent structures in comparison with open surgery.

摘要

肱二头肌切断术(BT)是一种用于治疗人类肩部前部疼痛和关节功能障碍的常见手术。使用动物模型模拟人类情况是进一步了解BT术后发生的组织学和生物力学过程的有效且必要的研究策略,这些过程包括肱二头肌离断的病理学、肩袖继发性肌腱病情况以及盂肱关节功能变化。本技术说明全面逐步描述了兔关节镜下BT手术。该技术特别有益,因为兔模型中的微创关节镜技术与人类实施的技术相似,与开放手术相比,其瘢痕形成较少,对其他相邻结构的损伤也较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/7eef8a7e51d2/gr8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/2a7a994fbce0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/7634a18f900d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/d6168af50959/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/2b2c66cd5870/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/7eef8a7e51d2/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/eabf418a7bf5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/cab1b7e4d791/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/1f00818ba453/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/2a7a994fbce0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/7634a18f900d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/d6168af50959/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/2b2c66cd5870/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7b/9243671/7eef8a7e51d2/gr8.jpg

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本文引用的文献

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Arthroscopic Tenotomy of the Long Head of the Biceps Tendon and Section of the Anterior Joint Capsule Produce Moderate Osteoarthritic Changes in an Experimental Sheep Model.关节镜下肱二头肌长头肌腱切断术和前关节囊切开术在实验羊模型中产生中度骨关节炎变化。
Int J Environ Res Public Health. 2021 Jul 13;18(14):7471. doi: 10.3390/ijerph18147471.
2
Clinical Outcomes of Revision Biceps Tenodesis for Failed Long Head of Biceps Surgery: A Systematic Review.翻修肱二头肌长头肌腱固定术治疗肱二头肌长头肌腱手术失败的临床疗效:系统评价。
Arthroscopy. 2021 Dec;37(12):3529-3536. doi: 10.1016/j.arthro.2021.04.063. Epub 2021 May 21.
3
Increased Load to Failure in Biceps Tenodesis With All-Suture Suture Anchor Compared With Interference Screw: A Cadaveric Biomechanical Study.
与骨内螺钉相比,全缝线锚钉固定肱二头肌肌腱止点的失效负荷增加:一项尸体生物力学研究。
Arthroscopy. 2021 Oct;37(10):3016-3021. doi: 10.1016/j.arthro.2021.03.085. Epub 2021 Apr 23.
4
Histologic changes during healing with autologous fascia lata graft after superior capsule reconstruction in rabbit model.兔模型中自体阔筋膜移植物重建上囊后愈合过程中的组织学变化。
J Shoulder Elbow Surg. 2021 Oct;30(10):2247-2259. doi: 10.1016/j.jse.2021.02.019. Epub 2021 Mar 12.
5
Technique description: Incisionless ultrasound-assisted biceps tenotomy in dogs.技术描述:犬类无切口超声辅助肱二头肌肌腱切断术
Open Vet J. 2021 Jan;10(4):457-464. doi: 10.4314/ovj.v10i4.14. Epub 2020 Dec 22.
6
Long Head of Biceps Tenotomy Is Not Inferior to Suprapectoral Tenodesis in Arthroscopic Repair of Nontraumatic Rotator Cuff Tears: A Multicenter, Non-inferiority, Randomized, Controlled Clinical Trial.关节镜下修复非外伤性肩袖撕裂:长头肱二头肌肌腱切断术并不逊于肩峰下经皮肌腱固定术:一项多中心、非劣效性、随机、对照临床试验。
Arthroscopy. 2021 Jun;37(6):1767-1776.e1. doi: 10.1016/j.arthro.2021.01.036. Epub 2021 Feb 6.
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Arthroscopic Extra-articular 2-Position Fixation of the Long Head of the Biceps.关节镜下肱二头肌长头腱关节外双位点固定术
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J Am Vet Med Assoc. 2020 Dec 1;257(11):1157-1164. doi: 10.2460/javma.2020.257.11.1157.
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Comparison of changes in shoulder functions between biceps tenotomy and tenodesis in an animal model.动物模型中肱二头肌肌腱切断术与肌腱固定术之间肩部功能变化的比较。
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Comparison of two different superior capsule reconstruction methods in the treatment of chronic irreparable rotator cuff tears: a biomechanical and histologic study in rabbit models.两种不同的上囊重建方法治疗慢性不可修复性肩袖撕裂的比较:兔模型的生物力学和组织学研究。
J Shoulder Elbow Surg. 2019 Mar;28(3):530-538. doi: 10.1016/j.jse.2018.08.022. Epub 2018 Nov 19.