Hespanhol Bernardo P, Secundino Armando, Baracho Filipe, Cohen Carina, Piva Fernanda, Machado Pedro
Shoulder Surgery, Hospital do Trabalhador, Curitiba, BRA.
Cureus. 2024 Dec 25;16(12):e76360. doi: 10.7759/cureus.76360. eCollection 2024 Dec.
Introduction The aim of this article is to evaluate the clinical and functional outcomes of subpectoral tenodesis of the long head of the biceps (LHB) in the treatment of proximal biceps pathologies. Methods A retrospective, cross-sectional study was conducted through the analysis of medical records from 24 patients and 26 shoulders who underwent the subpectoral tenodesis technique using bone tunnels. Three patients were excluded due to insufficient data to calculate the functional scores. The final study sample comprised 21 patients and 23 shoulders. Clinical and functional outcomes were evaluated based on the American Shoulder and Elbow Surgeons (ASES) Score and the Long Head of Biceps (LHB) Score. Additionally, the main indications for the procedure and potential complications were thoroughly assessed. Results The average follow-up time was four years and, of the 21 patients (23 shoulders), 19 (82.6%) were male and 4 (17.4%) were female shoulders, with a mean age of 41.6 years. The main indication for surgery was superior labral anterior to posterior injury in 12 (52.2%) cases, followed by subluxation and tenosynovitis. No case presented aesthetic deformity or pain on palpation at the LHB. Patients showed significant improvement in the ASES score (average from 75.13 to 98.52) and LHB score (average from 68.82 to 98.34). Conclusion The subpectoral tenodesis technique is a safe procedure, with good clinical and functional outcomes for the treatment of proximal biceps pathologies.
引言 本文旨在评估肱二头肌长头（LHB）胸肌下固定术治疗肱二头肌近端病变的临床和功能结果。方法 通过分析24例患者和26个肩部接受使用骨隧道的胸肌下固定术的病历，进行了一项回顾性横断面研究。3例患者因数据不足无法计算功能评分而被排除。最终研究样本包括21例患者和23个肩部。根据美国肩肘外科医师（ASES）评分和肱二头肌长头（LHB）评分评估临床和功能结果。此外，还对该手术的主要适应症和潜在并发症进行了全面评估。结果 平均随访时间为4年，21例患者（23个肩部）中，19例（82.6%）为男性，4例（17.4%）为女性肩部，平均年龄为41.6岁。手术的主要适应症是12例（52.2%）的上盂唇前后损伤，其次是半脱位和腱鞘炎。没有病例出现LHB处的美学畸形或触诊疼痛。患者的ASES评分（平均从75.13提高到98.52）和LHB评分（平均从68.82提高到98.34）有显著改善。结论 胸肌下固定术是一种安全的手术，在治疗肱二头肌近端病变方面具有良好的临床和功能结果。
