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评估两种肱二头肌固定技术的临床效果:环扣式和胸大肌下肱二头肌固定术。

Evaluating clinical outcomes of two biceps tenodesis techniques: Loop 'N' Tack and subpectoral biceps tenodesis.

作者信息

Quintana Julio Ojea, Talamo Michael, Liddy Nicole, Sygall Kyle, Tomaszewski Paul, Miller Seth, Sethi Paul M

机构信息

Orthopaedic & Neurosurgery Specialists Foundation for Clinical Research and Education, ONSF, Greenwich, CT, USA.

出版信息

JSES Int. 2023 Apr 17;8(2):274-277. doi: 10.1016/j.jseint.2023.03.015. eCollection 2024 Mar.

Abstract

PURPOSE

Biceps tenodesis is an effective surgical procedure that can address pathologies of the long head of the biceps tendon. The purpose of this study was to evaluate clinical outcomes following two different biceps tenodesis techniques: Loop 'N' Tack biceps tenodesis and subpectoral biceps tenodesis.

HYPOTHESIS

Patients undergoing both the subpectoral biceps tenodesis and Loop 'N' Tack biceps tenodesis will have improvements in patient-reported outcomes.

METHODS

Hundred and sixty five consecutive patients who underwent biceps tenodesis were retrospectively identified and contacted by phone to collect visual analog scale pain scores, University of California, Los Angeles shoulder scores, Simple Shoulder Test scores, Single Assessment Numeric Evaluation scores, and American Shoulder and Elbow Surgeons scores. Range of motion, elbow flexion strength, and incidence of bicipital groove pain and Popeye deformity were recorded.

RESULTS

One Hundred and forty five patients were included in the study (55 subpectoral, 90 Loop 'N' Tack). Patients in both groups reported high American Shoulder and Elbow Surgeons, Simple Shoulder Test, University of California, Los Angeles, Single Assessment Numeric Evaluation shoulder function scores, low visual analog scale pain scores, and had a minimal risk of complications when measured one year postoperatively.

CONCLUSION

Loop 'N' Tack biceps tenodesis and subpectoral biceps tenodesis techniques are reliable and effective procedures that can reduce pain scores and restore shoulder function when patients require surgical intervention.

摘要

目的

肱二头肌肌腱固定术是一种有效的外科手术,可解决肱二头肌长头的病变问题。本研究的目的是评估两种不同的肱二头肌肌腱固定术的临床效果:环扣式(Loop 'N' Tack)肱二头肌肌腱固定术和胸大肌下肱二头肌肌腱固定术。

假设

接受胸大肌下肱二头肌肌腱固定术和环扣式肱二头肌肌腱固定术的患者在患者报告的结果方面都会有所改善。

方法

回顾性确定了165例连续接受肱二头肌肌腱固定术的患者,并通过电话联系以收集视觉模拟量表疼痛评分、加州大学洛杉矶分校肩关节评分、简易肩关节测试评分、单评估数字评价评分和美国肩肘外科医师评分。记录活动范围、肘关节屈曲力量以及肱二头肌沟疼痛和肱肌畸形的发生率。

结果

145例患者纳入研究(55例胸大肌下固定,90例环扣式固定)。两组患者术后一年时,美国肩肘外科医师、简易肩关节测试、加州大学洛杉矶分校、单评估数字评价的肩关节功能评分均较高,视觉模拟量表疼痛评分较低,并发症风险极小。

结论

当患者需要手术干预时,环扣式肱二头肌肌腱固定术和胸大肌下肱二头肌肌腱固定术是可靠且有效的手术方法,可降低疼痛评分并恢复肩关节功能。

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Early Versus Delayed Active Range of Motion After Open Subpectoral Biceps Tenodesis.开放性胸小肌下肱二头肌固定术后早期与延迟主动活动范围
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