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关节镜下对沙漏状肱二头肌的识别与处理

Arthroscopic Identification and Management of Hourglass Biceps.

作者信息

Xu Shin, Field Larry D

机构信息

Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.

出版信息

Arthrosc Tech. 2022 Jun 21;11(6):e1123-e1126. doi: 10.1016/j.eats.2022.02.032. eCollection 2022 Jun.

DOI:10.1016/j.eats.2022.02.032
PMID:35782846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9244851/
Abstract

The hourglass biceps is a condition in which the intra-articular portion of the biceps tendon becomes inflamed and hypertrophies relative to the remaining tendon. This condition can be seen in association with rotator cuff and labral pathology and may lead to anterior shoulder pain. Diagnosis requires careful visualization and inspection of the biceps tendon during shoulder arthroscopy, as the presentation may be subtle. Surgical treatment includes tenotomy or tenodesis, depending on patient factors and surgeon preference.

摘要

沙漏状肱二头肌是一种肱二头肌腱关节内部分发生炎症且相对于其余肌腱出现肥大的病症。这种病症可与肩袖和盂唇病变相关联，并可能导致肩部前方疼痛。诊断需要在肩关节镜检查期间仔细观察和检查肱二头肌肌腱，因为其表现可能不明显。手术治疗包括腱切断术或腱固定术，具体取决于患者因素和外科医生的偏好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/15b7a94c13d8/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/945a737a2061/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/db9fdff145af/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/1d8215550c0b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/e5464ec64718/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/5c7a6cc8286e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/5a1535164875/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/15b7a94c13d8/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/945a737a2061/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/db9fdff145af/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/1d8215550c0b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/e5464ec64718/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/5c7a6cc8286e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/5a1535164875/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/9244851/15b7a94c13d8/gr7.jpg

相似文献

1
Arthroscopic Identification and Management of Hourglass Biceps.关节镜下对沙漏状肱二头肌的识别与处理
Arthrosc Tech. 2022 Jun 21;11(6):e1123-e1126. doi: 10.1016/j.eats.2022.02.032. eCollection 2022 Jun.
2
[Entrapment of the long head of the biceps: the "hourglass biceps". Another cause of pain and locking of the shoulder].[肱二头肌长头卡压：“沙漏形肱二头肌”。肩部疼痛和交锁的另一个原因]
Rev Chir Orthop Reparatrice Appar Mot. 2003 Dec;89(8):672-82.
3
Entrapment of the long head of the biceps tendon: the hourglass biceps--a cause of pain and locking of the shoulder.肱二头肌长头肌腱卡压：沙漏样肱二头肌——肩部疼痛和交锁的一个原因。
J Shoulder Elbow Surg. 2004 May-Jun;13(3):249-57. doi: 10.1016/j.jse.2004.01.001.
4
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5
Arthroscopic tenodesis versus tenotomy of the long head of biceps tendon in simultaneous rotator cuff repair.在同时进行肩袖修复时，关节镜下二头肌长头肌腱固定术与肌腱切断术的比较
Arch Orthop Trauma Surg. 2016 Jan;136(1):101-6. doi: 10.1007/s00402-015-2343-2. Epub 2015 Oct 24.
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Biceps Tenodesis Versus Tenotomy in the Treatment of Lesions of the Long Head of the Biceps Tendon in Patients Undergoing Arthroscopic Shoulder Surgery: A Prospective Double-Blinded Randomized Controlled Trial.肱二头肌肌腱止点重建术与肌腱切断术治疗关节镜肩袖手术患者长头肌腱病变的前瞻性双盲随机对照研究。
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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。
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Biceps Tenotomy Versus Tenodesis.肱二头肌肌腱切断术与肌腱固定术
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Arthroscopy. 2021 Jun;37(6):1777-1778. doi: 10.1016/j.arthro.2021.03.015.

本文引用的文献

1
A meta-analysis of level I evidence comparing tenotomy vs tenodesis in the management of long head of biceps pathology.一项比较十腱切断术与十腱固定术治疗长头肱二头肌病变的 I 级证据的荟萃分析。
J Shoulder Elbow Surg. 2021 May;30(5):961-968. doi: 10.1016/j.jse.2021.02.002. Epub 2021 Feb 16.
2
Biceps tenodesis versus tenotomy: a systematic review and meta-analysis of level I randomized controlled trials.肱二头肌腱固定术与腱切断术的比较：I 级随机对照试验的系统评价和荟萃分析。
J Shoulder Elbow Surg. 2021 May;30(5):951-960. doi: 10.1016/j.jse.2020.11.012. Epub 2020 Dec 26.
3
Diagnostic value of the hourglass biceps test for the detection of intra-articular long head of the biceps hypertrophy.
沙漏状肱二头肌试验对检测关节内肱二头肌长头肥大的诊断价值。
JSES Int. 2020 Jul 11;4(4):906-912. doi: 10.1016/j.jseint.2020.06.005. eCollection 2020 Dec.
4
Biceps Tenodesis Versus Tenotomy in the Treatment of Lesions of the Long Head of the Biceps Tendon in Patients Undergoing Arthroscopic Shoulder Surgery: A Prospective Double-Blinded Randomized Controlled Trial.肱二头肌肌腱止点重建术与肌腱切断术治疗关节镜肩袖手术患者长头肌腱病变的前瞻性双盲随机对照研究。
Am J Sports Med. 2020 May;48(6):1439-1449. doi: 10.1177/0363546520912212. Epub 2020 Mar 30.
5
Management of Biceps Tendon Pathology: From the Glenoid to the Radial Tuberosity.二头肌肌腱病变的治疗：从盂肱关节到桡骨粗隆。
J Am Acad Orthop Surg. 2018 Feb 15;26(4):e77-e89. doi: 10.5435/JAAOS-D-17-00085.
6
Surgical treatment of lesions of the long head of the biceps brachii tendon with rotator cuff tear: a prospective randomized clinical trial comparing the clinical results of tenotomy and tenodesis.伴有肩袖撕裂的肱二头肌长头肌腱损伤的手术治疗：一项比较肌腱切断术和肌腱固定术临床结果的前瞻性随机临床试验
J Shoulder Elbow Surg. 2016 Jul;25(7):1107-14. doi: 10.1016/j.jse.2016.02.006.
7
Tenotomy or tenodesis for long head biceps lesions in shoulders with reparable rotator cuff tears: a prospective randomised trial.肩袖撕裂可修复的肩部肱二头肌长头病变的肌腱切断术或肌腱固定术：一项前瞻性随机试验。
Knee Surg Sports Traumatol Arthrosc. 2015 Feb;23(2):464-9. doi: 10.1007/s00167-013-2587-8. Epub 2013 Jul 5.
8
Disorders of the long head of biceps tendon.肱二头肌长头肌腱疾病
J Shoulder Elbow Surg. 2012 Jan;21(1):136-45. doi: 10.1016/j.jse.2011.07.016. Epub 2011 Oct 17.
9
Entrapment of the long head of the biceps tendon: the hourglass biceps--a cause of pain and locking of the shoulder.肱二头肌长头肌腱卡压：沙漏样肱二头肌——肩部疼痛和交锁的一个原因。
J Shoulder Elbow Surg. 2004 May-Jun;13(3):249-57. doi: 10.1016/j.jse.2004.01.001.