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使用肩峰下锁定缝线锚钉(SALSA)技术的关节镜下胸大肌上缘肱二头肌固定术

Arthroscopic suprapectoral biceps tenodesis utilizing the subacromial locking stitch anchor (SALSA) technique.

作者信息

Blanda Jennifer N, Dmochowski Jakub M, Duralde Xavier A

机构信息

Orthopedic Surgery Department, Wellstar Atlanta Medical Center, Atlanta, GA, USA.

Peachtree Orthopaedic Clinic, Atlanta, GA, USA.

出版信息

JSES Rev Rep Tech. 2024 Mar 16;4(3):472-475. doi: 10.1016/j.xrrt.2024.02.006. eCollection 2024 Aug.

DOI:10.1016/j.xrrt.2024.02.006
PMID:39157218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11329038/
Abstract

Biceps tenodesis is an accepted treatment option for various pathologies of the long head of the biceps tendon and labrum. Many techniques have been published, both arthroscopic and open, that utilize various fixation techniques and locations of the tenodesis, yet none has been proven to be superior. We introduce a novel method, the SALSA (subacromial locking stitch anchor), an all-arthroscopic suprapectoral biceps tenodesis utilizing a running locking stitch from a double-loaded biocomposite anchor. This technique provides a reliable method of multipoint fixation including the transverse humeral ligament that avoids many of the potential complications encountered with other techniques.

摘要

肱二头肌肌腱固定术是治疗肱二头肌长头肌腱和盂唇各种病变的一种公认的治疗选择。已经发表了许多技术,包括关节镜和开放手术,这些技术采用了各种固定技术和肌腱固定位置,但没有一种被证明是 superior。我们介绍一种新方法,即SALSA(肩峰下锁定缝线锚钉),这是一种全关节镜下胸大肌上方肱二头肌肌腱固定术,利用双负载生物复合材料锚钉进行连续锁定缝合。该技术提供了一种可靠的多点固定方法,包括横肱韧带,避免了其他技术中遇到的许多潜在并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/96964561ac0a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/109118fe0292/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/06e9a426ff05/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/b6fa70e2218f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/b6ebab35e879/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/96964561ac0a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/109118fe0292/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/06e9a426ff05/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/b6fa70e2218f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/b6ebab35e879/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebea/11329038/96964561ac0a/gr5.jpg

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本文引用的文献

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Complications of biceps tenodesis based on location, fixation, and indication: a review of 1526 shoulders.基于位置、固定方式和适应证的肱二头肌肌腱固定术并发症:1526 例肩关节回顾研究。
J Shoulder Elbow Surg. 2019 Mar;28(3):461-469. doi: 10.1016/j.jse.2018.09.005. Epub 2018 Dec 18.
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Subpectoral Biceps Tenodesis With PEEK Interference Screw: A Biomechanical Analysis of Humeral Fracture Risk.肱二头肌经胸肌下入路采用 PEEK 干涉螺钉固定术:肱骨干骨折风险的生物力学分析。
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Biceps Tenodesis: Biomechanical Assessment of 3 Arthroscopic Suprapectoral Techniques.
肱二头肌固定术:三种关节镜下胸肌上入路技术的生物力学评估
Orthopedics. 2017 Nov 1;40(6):e1009-e1016. doi: 10.3928/01477447-20170925-03. Epub 2017 Oct 3.
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A cadaveric assessment of the risk of nerve injury during open subpectoral biceps tenodesis using a bicortical guidewire.使用双皮质导丝对开放式胸肌下肱二头肌肌腱固定术时神经损伤风险的尸体评估。
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Arthroscopic suprapectoral and open subpectoral biceps tenodesis: a comparison of restoration of length-tension and mechanical strength between techniques.关节镜下胸大肌上和开放胸大肌下肱二头肌肌腱固定术:两种技术之间长度-张力恢复和机械强度的比较
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Biceps tenotomy versus tenodesis: clinical outcomes.肱二头肌切断术与肌腱固定术:临床结果。
Arthroscopy. 2012 Apr;28(4):576-82. doi: 10.1016/j.arthro.2011.10.017. Epub 2012 Jan 28.
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Biceps tenotomy versus tenodesis: a review of clinical outcomes and biomechanical results.肱二头肌切断术与肌腱固定术:临床疗效和生物力学结果的综述。
J Shoulder Elbow Surg. 2011 Mar;20(2):326-32. doi: 10.1016/j.jse.2010.08.019. Epub 2010 Nov 4.
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J Am Acad Orthop Surg. 2010 Nov;18(11):645-56. doi: 10.5435/00124635-201011000-00002.
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