Wei Wang, Ni Jianlong, Song Qichun, Li Ruiying, Wang Dazhi, Chen Zhihao, Tian Zenan, Shi Zhibin
Department of Sports Medicine and Pediatric Orthopaedics, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an Jiaotong University, Xi'an, China.
Arthrosc Tech. 2024 Sep 5;14(2):103219. doi: 10.1016/j.eats.2024.103219. eCollection 2025 Feb.
Arthroscopic tenodesis of the long head of the biceps tendon (LHBT) is a common procedure in a series of bicipital tendinopathies, including tendinitis, SLAP lesions, and tendon instability. Locating and exposing the LHBT during arthroscopy present a technical challenge in tenodesis. Blind exploration of the subacromial space may result in inadvertent tendon transection and iatrogenic damage to surrounding structures, leading to increased patient trauma, bleeding, and operation time. Using the tubercle-traction and touch-tendon method facilitates a roadmap-style, accurate, prompt exposure of the LHBT, minimizing blind exploration-related damage to the subacromial bursal area and adjacent structures, which is conducive to early and rapid postoperative shoulder recovery for patients.
肱二头肌长头肌腱（LHBT）关节镜下固定术是一系列肱二头肌肌腱病（包括肌腱炎、SLAP损伤和肌腱不稳定）中的常见手术。在关节镜检查期间定位和暴露LHBT在固定术中是一项技术挑战。盲目探查肩峰下间隙可能导致意外的肌腱横断和对周围结构的医源性损伤，从而增加患者创伤、出血和手术时间。使用结节牵引和触摸肌腱法有助于以路线图式、准确、迅速地暴露LHBT，将与盲目探查相关的对肩峰下滑囊区域和相邻结构的损伤降至最低，这有利于患者术后肩部早期快速恢复。
