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全关节镜下肱二头肌肌腱固定术之威灵伯勒入口的解剖学描述及技术要点

Anatomical Description and Technical Considerations of the Portal of Willingboro for All-Arthroscopic Biceps Tenodesis.

作者信息

McMillan Sean, Clancy Dillon, Ford Elizabeth

机构信息

Virtua Health System, Willingboro & Camden Campuses, Willingboro, New Jersey, U.S.A.

Orthopedic Surgery, Inspira Health Network, St. Davids, Pennsylvania, U.S.A.

出版信息

Arthrosc Tech. 2024 May 9;13(8):103022. doi: 10.1016/j.eats.2024.103022. eCollection 2024 Aug.

DOI:10.1016/j.eats.2024.103022
PMID:39233813
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11369943/
Abstract

The portal of Willingboro is a unique portal designed as a means of all arthroscopic biceps tenodesis for biceps tendinopathy. The portal allows for tenodesis to be efficiently and effectively performed in the subgroove space with low technical demand. This Technical Note provides detailed descriptions of the anatomical structures and standard shoulder arthroscopy portals relevant to the location of the portal of Willingboro. The structures discussed include the standard anterior, posterior, and lateral shoulder arthroscopy portals along with the axillary and musculocutaneous nerves, subscapularis and pectoralis major tendons, axillary artery, and major bony anatomic landmarks of the shoulder region. These descriptions may be used as a guideline or reference for safe creation of the portal of Willingboro.

摘要

威灵伯勒入路是一种独特的入路，设计用于作为治疗肱二头肌肌腱病的所有关节镜下肱二头肌肌腱固定术的一种手段。该入路允许在低技术要求的情况下，在肱二头肌沟下间隙高效且有效地进行肌腱固定术。本技术说明详细描述了与威灵伯勒入路位置相关的解剖结构和标准肩关节镜入路。所讨论的结构包括标准的肩关节镜前、后和外侧入路，以及腋神经和肌皮神经、肩胛下肌腱和胸大肌腱、腋动脉和肩部区域的主要骨性解剖标志。这些描述可作为安全创建威灵伯勒入路的指导或参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/578a5f6334ac/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/ef7993be1026/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/251a59f2abd0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/ba54c44c2123/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/69858804059c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/9a3972e0d234/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/578a5f6334ac/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/ef7993be1026/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/251a59f2abd0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/ba54c44c2123/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/69858804059c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/9a3972e0d234/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4217/11369943/578a5f6334ac/gr6.jpg

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Arthrosc Sports Med Rehabil. 2023 May 25;5(3):e663-e670. doi: 10.1016/j.asmr.2023.03.007. eCollection 2023 Jun.
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Surgical anatomy of the axillary artery: clinical implications for open shoulder surgery.腋动脉的外科解剖：对开放肩部手术的临床意义。
J Shoulder Elbow Surg. 2021 Jun;30(6):1266-1272. doi: 10.1016/j.jse.2020.09.018. Epub 2020 Oct 15.
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Anterior shoulder anatomy and subcoracoid impingement: An anatomical study.
肩前解剖结构与喙突下撞击征：解剖学研究。
Morphologie. 2020 Dec;104(347):221-227. doi: 10.1016/j.morpho.2020.06.001. Epub 2020 Jun 20.
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Biceps tenotomy versus tenodesis: patient-reported outcomes and satisfaction.肱二头肌切断术与肌腱固定术：患者报告的结果和满意度。
J Orthop Surg Res. 2020 Feb 18;15(1):56. doi: 10.1186/s13018-020-1581-3.
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Surgical treatment for long head of the biceps tendinopathy: a network meta-analysis.手术治疗肱二头肌长头肌腱病：网状荟萃分析。
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Joints. 2019 Dec 13;7(2):37-40. doi: 10.1055/s-0039-3401818. eCollection 2019 Jun.
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