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采用盂唇增强的改良动态前路稳定术：肱二头肌悬吊技术。

Modified Dynamic Anterior Stabilization With Labral Augmentation: Hanging Biceps Technique.

作者信息

Kim Bo Taek, Miranda Luis Alfredo, Duerinckx Quentin, Baek Chang Hee, Kany Jean

机构信息

Department of Orthopaedic Surgery, Yeosu Baek Hospital, Jeollanam-do, Republic of Korea.

Department of Orthopaedic Surgery, Clinique de l'Union, Ramsay Santé, Boulevard De Ratalens, Saint Jean, France.

出版信息

Arthrosc Tech. 2024 Nov 2;14(4):103294. doi: 10.1016/j.eats.2024.103294. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103294
PMID:40452977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126035/
Abstract

Anterior glenohumeral instability presents a complex clinical challenge, commonly resulting from labral tears, humeral head lesions, or glenoid bone defects. Recently, the dynamic anterior stabilization procedure has emerged as a promising alternative, using the long head of the biceps to mimic the stabilizing function of the conjoint tendon. We introduce a modified onlay dynamic anterior stabilization procedure with labral augmentation using the hanging long head of the biceps technique for patients with anteroinferior glenohumeral instability with subcritical glenoid bone loss.

摘要

肩肱关节前侧不稳定带来了复杂的临床挑战，通常由盂唇撕裂、肱骨头损伤或肩胛盂骨缺损引起。最近，动态前侧稳定手术已成为一种有前景的替代方法，利用肱二头肌长头来模拟联合腱的稳定功能。我们介绍一种改良的覆盖式动态前侧稳定手术，该手术采用肱二头肌长头悬挂技术进行盂唇增强，用于治疗伴有临界以下肩胛盂骨丢失的肩肱关节前下不稳定患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/92ff41691a91/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/15d9e97a2e35/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/a16a0387a44c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/bad1e9591f63/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/715b5c1bb270/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/28594b24ba80/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/92ff41691a91/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/15d9e97a2e35/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/a16a0387a44c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/bad1e9591f63/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/715b5c1bb270/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/28594b24ba80/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c81/12126035/92ff41691a91/gr6.jpg

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本文引用的文献

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Arthroscopic Bankart repair vs. Latarjet procedure for recurrent shoulder instability: a meta-analysis of clinical outcomes and complication rates in general and athletic populations.关节镜下 Bankart 修复术与 Latarjet 手术治疗复发性肩关节不稳定：普通人群和运动员人群中临床结果和并发症发生率的荟萃分析。
J Shoulder Elbow Surg. 2024 Dec;33(12):e652-e674. doi: 10.1016/j.jse.2024.06.024. Epub 2024 Aug 14.
2
Current Concepts on the Management of Shoulder Instability in Throwing Athletes.投掷运动员肩部不稳定管理的当前概念
Curr Rev Musculoskelet Med. 2024 Sep;17(9):353-364. doi: 10.1007/s12178-024-09910-1. Epub 2024 Jun 25.
3
Remplissage May Decrease the Redislocation Rate After Arthroscopic Bankart Repair in Patients With an Engaging Hill-Sachs Defect: A Systematic Review and Meta-analysis of Studies With Minimal 2-Year Follow-up.
对于存在嵌顿性希尔-萨克斯损伤的患者，关节镜下Bankart修复术后充填法可能降低再脱位率：一项对至少随访2年的研究的系统评价和荟萃分析。
Am J Sports Med. 2025 Mar;53(3):717-726. doi: 10.1177/03635465241249492. Epub 2024 May 14.
4
Lower Range of Recurrent Instability Rates Following Bankart Repair and Remplissage Compared to Isolated Bankart Repair in Patients With "Nonengaging/On-Track" Hill-Sachs Lesions and <20% Glenoid Bone Loss.与单纯Bankart修复相比，在患有“非嵌顿/正常轨迹”Hill-Sachs损伤且关节盂骨丢失<20%的患者中，Bankart修复联合Remplissage术后复发性不稳定率的较低范围
Arthroscopy. 2025 Apr;41(4):1085-1095. doi: 10.1016/j.arthro.2024.04.036. Epub 2024 May 11.
5
Editorial Commentary: Arthroscopic Subscapular Sling Procedure for Anterior Glenohumeral Instability Has Limitations: Dynamic Anterior Stabilization Using Long Head of the Biceps Tendon May Represent a More Favorable Alternative.述评：关节镜下肩胛下肌吊带术治疗盂肱关节前向不稳存在局限性：应用肱二头肌长头腱进行动态前向稳定术可能是更优的选择。
Arthroscopy. 2024 Oct;40(10):2553-2555. doi: 10.1016/j.arthro.2024.04.017. Epub 2024 May 3.
6
Complications following arthroscopic Bankart repair: a systematic review.关节镜下 Bankart 修复术后的并发症：系统评价。
J Shoulder Elbow Surg. 2024 Feb;33(2):435-440. doi: 10.1016/j.jse.2023.08.013. Epub 2023 Sep 27.
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Am J Sports Med. 2023 Aug;51(10):2642-2649. doi: 10.1177/03635465231180621. Epub 2023 Jun 21.
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Dynamic Anterior Stabilization of the Shoulder With Adjustable-Loop Device.使用可调环装置对肩部进行动态前路稳定术。
Arthrosc Tech. 2022 Dec 21;12(1):e39-e44. doi: 10.1016/j.eats.2022.08.055. eCollection 2023 Jan.
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Arthroscopic Dynamic Anterior Stabilization Using Either Long Head of the Biceps or Conjoined Tendon Transfer for Anterior Shoulder Instability Results in a Similarly Low Recurrence Rate.关节镜下动态前稳定术治疗肩关节前向不稳：使用肱二头肌长头或联合肌腱转位的疗效相似，复发率低。
Arthroscopy. 2023 Jul;39(7):1618-1627. doi: 10.1016/j.arthro.2022.12.040. Epub 2023 Jan 25.