Hassebrock Jeffrey D, Sylvia Stephen M, McCarthy Timothy P, Bravman Jonathan T
Department of Orthopedic Surgery, University of Colorado, Boulder, Colorado, USA.
Arthrosc Tech. 2023 Jun 12;12(7):e1091-e1095. doi: 10.1016/j.eats.2023.02.047. eCollection 2023 Jul.
Arthroscopic subscapularis repair continues to improve with the advancement of surgical technique and critical focus on careful intraoperative evaluation. As identification of these tears increases, there is an expected increase in repair rates as well. Anatomically, the upper border of the subscapularis and the long head of the biceps (LHB) tendon are in close relation. Many surgeons have advocated concomitant LHB tenotomy versus tenodesis in conjunction with operative subscapularis tears. We hypothesized that in the setting of a preserved anatomic biceps pulley and no LHB pathology, isolated subscapularis repair would result in excellent clinical outcomes when compared with subscapularis repair and biceps tenotomy or tenodesis.
随着手术技术的进步以及对术中仔细评估的高度重视，关节镜下肩胛下肌修复术不断改进。随着这些撕裂伤的识别率提高，修复率也有望增加。在解剖学上，肩胛下肌的上边界与肱二头肌长头（LHB）肌腱关系密切。许多外科医生主张在手术修复肩胛下肌撕裂时，同时进行LHB腱切断术或腱固定术。我们假设，在保留解剖学上的肱二头肌滑车且无LHB病变的情况下，与肩胛下肌修复术联合肱二头肌腱切断术或腱固定术相比，单纯肩胛下肌修复术将产生优异的临床效果。
