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一种用于胸上肌二头肌固定术的全关节镜下简易双360°套索环技术

An All-Arthroscopic Simple Double 360° Lasso Loop Technique for Supraopectoral Biceps Tenodesis.

作者信息

Zhang Yongqiang, Wu Meng, Zhang Zhao, Xu Hong, Zhou Yadong, Liu Jintong

机构信息

Department of Joint Surgery and Sports Medicine, 521 Hospital of Norinco Group, Shaanxi, China.

Department of Surgical Anesthesiology, 521 Hospital of Norinco Group, Shaanxi, China.

出版信息

Arthrosc Tech. 2023 May 1;12(6):e795-e800. doi: 10.1016/j.eats.2023.02.008. eCollection 2023 Jun.

DOI:10.1016/j.eats.2023.02.008
PMID:37424650
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10323638/
Abstract

In many shoulder joint diseases, there is often a combination of long head biceps tendon（LHBT）pathology. Biceps pathology is one of the main causes of shoulder pain, and it is effectively managed with tenodesis. Biceps tenodesis can be performed in a variety of ways with different fixation and at different locations. This article introduces an all-arthroscopic suprapectoral biceps tenodesis technique with a 2-suture anchor. Double 360° Lasso Loop is used to fix the biceps tendon, and only one puncture of the biceps tendon was required, which caused little damage to the tendon and was not easy for the suture to slip and fail.

摘要

在许多肩关节疾病中，常常合并有肱二头肌长头肌腱（LHBT）病变。肱二头肌病变是肩痛的主要原因之一，通过腱固定术可有效治疗。肱二头肌腱固定术可以多种方式进行，采用不同的固定方法和在不同的位置进行。本文介绍一种使用双缝线锚钉的全关节镜下胸大肌上缘肱二头肌腱固定技术。采用双360°套索环固定肱二头肌肌腱，只需对肱二头肌肌腱进行一次穿刺，对肌腱造成的损伤小，且缝线不易滑脱和失效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f35/10323638/131d51c7d88a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f35/10323638/c8b8c7053e0b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f35/10323638/c3d64a0edc27/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f35/10323638/131d51c7d88a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f35/10323638/c8b8c7053e0b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f35/10323638/c3d64a0edc27/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f35/10323638/131d51c7d88a/gr3.jpg

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本文引用的文献

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2
Arthroscopic Suprapectoral Biceps Tenodesis: The Best of Both Worlds.关节镜下胸大肌上缘肱二头肌固定术：两全其美之选。
Arthrosc Tech. 2022 Sep 21;11(9):e1619-e1623. doi: 10.1016/j.eats.2022.05.008. eCollection 2022 Sep.
3
The 360 Double Lasso Loop for Biceps Tenodesis: Tips and Tricks.用于肱二头肌肌腱固定术的360双套索环：技巧与窍门。
Arthrosc Tech. 2021 Jul 13;10(8):e1889-e1895. doi: 10.1016/j.eats.2021.04.012. eCollection 2021 Aug.
4
The "Sandwich Tenodesis": An Arthroscopic Technic for Combined Soft-Tissue and Bony Fixation of the Long Head of the Biceps.“三明治腱固定术”：一种用于肱二头肌长头软组织与骨联合固定的关节镜技术。
Arthrosc Tech. 2021 Jan 16;10(2):e555-e559. doi: 10.1016/j.eats.2020.10.040. eCollection 2021 Feb.
5
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.
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Arthroscopic Tenodesis of the Long Head Biceps Tendon Using a Double Lasso-Loop Suture Anchor Configuration.使用双套索环缝线锚定结构进行关节镜下肱二头肌长头肌腱固定术
Arthrosc Tech. 2019 Sep 19;8(10):e1137-e1143. doi: 10.1016/j.eats.2019.05.028. eCollection 2019 Oct.
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