Khalil Mohamed Hussein, Gad Ahmed Mahmoud
Cairo University, Giza, Egypt.
J Orthop Surg Res. 2025 Apr 17;20(1):385. doi: 10.1186/s13018-025-05769-1.
To evaluate the functional outcomes of arthroscopic onlay dynamic anterior stabilization (DAS) using the long head of the biceps (LHB) tendon for treatment of anterior glenohumeral instability (AGI) with limited to subcritical glenoid bone loss (GBL).
Twenty-five patients underwent arthroscopic DAS using LHB tendon between March 2022 and October 2022 for treatment of anterior glenohumeral instability (AGI) with limited to subcritical glenoid bone loss (GBL) were included in a prospective study with a minimum follow-up period of 2 years. The shoulder functional outcomes were assessed using the Rowe and the Quick Disabilities of Arm, Shoulder and Hand (Quick DASH) scores both preoperative and at 2 years follow-up. Magnetic resonance imaging (MRI) was done 6 months after surgery to evaluate LHB tendon healing to the anterior glenoid.
The study included 25 patients complaining of recurrent AGI. Twenty-one patients were males and four patients were females. The mean age of the patients at surgery was 22.75 ± 3.24 years. The mean duration between the first shoulder dislocation episode and surgery was 5.5 ± 2.13 months. The right shoulder was injured in 15 patients while the left shoulder was involved in 10 patients. The mean follow-up period was 24.25 ± 0.82 months. DAS using the long head of the biceps tendon resulted in a statistically significant improvement of the mean Rowe and the Quick DASH scores between preoperative and 2 years postoperative. Recurrent dislocation was reported in two (8%) patients during the follow-up period.
Arthroscopic onlay dynamic anterior stabilization using the long head of the biceps tendon is a safe and effective method for the treatment of recurrent anterior shoulder instability with GBL up to 25%.
Level IV, case series study.
评估使用肱二头肌长头（LHB）肌腱进行关节镜下覆盖动态前路稳定术（DAS）治疗盂肱关节前向不稳定（AGI）伴有限至临界以下盂骨丢失（GBL）的功能结果。
2022年3月至2022年10月期间，25例因AGI伴有限至临界以下GBL而接受使用LHB肌腱的关节镜下DAS治疗的患者纳入一项前瞻性研究，随访期至少2年。术前及术后2年使用Rowe评分和上肢、肩部和手部快速残疾评定量表（Quick DASH）评估肩部功能结果。术后6个月进行磁共振成像（MRI）以评估LHB肌腱与盂前缘的愈合情况。
该研究纳入了25例主诉复发性AGI的患者。其中21例为男性，4例为女性。患者手术时的平均年龄为22.75±3.24岁。首次肩关节脱位发作至手术的平均时间为5.5±2.13个月。15例患者右肩受伤，10例患者左肩受累。平均随访期为24.25±0.82个月。使用肱二头肌长头肌腱进行DAS导致术前至术后2年的平均Rowe评分和Quick DASH评分有统计学意义的改善。随访期间有2例（8%）患者出现复发性脱位。
使用肱二头肌长头肌腱进行关节镜下覆盖动态前路稳定术是治疗GBL达25%的复发性肩关节前向不稳定的一种安全有效的方法。
IV级，病例系列研究。
