Jacques Anna, Slater Charles A, Ross James
Department of Orthopedic Surgery, Broward Health Medical Center, Fort Lauderdale, Florida, U.S.A.
Baptist Health Orthopedic Care, Deerfield Beach, Florida, U.S.A.
Arthrosc Tech. 2024 Jan 1;13(3):102873. doi: 10.1016/j.eats.2023.11.001. eCollection 2024 Mar.
Tendinopathy and partial tears of the long head of the biceps tendon are a common cause of anterior shoulder pain and are often associated with many other shoulder pathologies. Multiple open and arthroscopic tenodesis techniques exist in the literature, with varying locations along the proximal humerus and a multitude of different implants. This article describes a cost-effective, implant-free, subpectoral biceps tenodesis technique that can be used as open or in conjunction with arthroscopy. Our technique differs from other tunnel techniques in its modified docking configuration into the intraosseous canal, decreasing stresses at the bone-tendon interface. With the cost amounting to 5% to 10% of techniques using implants, this is a cost-saving and reliable option for tenodesis.
肱二头肌长头肌腱病和部分撕裂是肩部前方疼痛的常见原因,且常与许多其他肩部病变相关。文献中存在多种开放和关节镜下的腱固定技术,其在肱骨近端的位置不同,植入物也多种多样。本文介绍了一种经济高效、无植入物的胸大肌下肱二头肌腱固定技术,该技术可用于开放手术或与关节镜联合使用。我们的技术与其他隧道技术的不同之处在于其改良的对接方式,即进入骨内通道,从而降低了骨-肌腱界面的应力。该技术的成本仅为使用植入物技术的5%至10%,是一种节省成本且可靠的腱固定选择。