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关节镜下双束双环扎技术治疗肱二头肌近端固定术

Arthroscopic Double-Cinch Double-Cerclage Technique for Proximal Biceps Tenodesis.

作者信息

Fierro Porto Guido, Matos Jorge Vélez, Lacouture Juan David, Salas Damiani Corina, Rojas Liévano Jorge, González Gómez Juan Carlos

机构信息

Division of Shoulder and Elbow Surgery, Department of Orthopedics and Traumatology, Fundación Santa Fe de Bogotá, Bogotá, Colombia.

Universidad de los Andes, School of Medicine, Bogotá, Colombia.

出版信息

Arthrosc Tech. 2025 Feb 12;14(6):103464. doi: 10.1016/j.eats.2025.103464. eCollection 2025 Jun.

Abstract

Pathologies of the long head of the biceps often result in disabling shoulder symptoms, ranging from pain to significant functional impairment. The management of pathologies of the long head of the biceps through biceps tenodesis has evolved to include various approaches, encompassing different tenodesis locations and a range of fixation methods. This technical note introduces an arthroscopic technique for proximal biceps tenodesis at the bicipital groove. This approach incorporates a unique construct of circumferential and trans-tendon suture passing. Potential advantages of this technique include enhanced fixation strength and resistance. Compared with open subpectoral tenodesis, it has the potential for fewer complications. Additionally, the technique is both reproducible and particularly suitable for surgeons with less experience, thereby broadening its applicability in clinical settings.

摘要

肱二头肌长头病变常导致肩部症状致残,从疼痛到严重功能障碍不等。通过肱二头肌固定术治疗肱二头肌长头病变的方法不断演变,包括各种术式,涵盖不同的固定位置和一系列固定方法。本技术说明介绍一种在肱二头肌沟进行近端肱二头肌固定术的关节镜技术。该方法采用独特的环形和跨肌腱缝线穿过结构。该技术的潜在优势包括增强固定强度和抗阻力能力。与开放的胸小肌下固定术相比,其并发症可能更少。此外,该技术具有可重复性,特别适合经验较少的外科医生,从而扩大了其在临床环境中的适用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a9/12255394/c8fa52ecdab3/gr1.jpg

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