Berlemann U, Bayley I
Problem Shoulder Unit, Royal National Orthopaedic Hospital Trust, Stanmore, U.K.
J Shoulder Elbow Surg. 1995 Nov-Dec;4(6):429-35. doi: 10.1016/s1058-2746(05)80034-5.
Fifteen shoulders of 14 patients with a keyhole tenodesis of the long head of the biceps were reviewed at an average follow-up of 7 years (3 years, 1 month to 13 years, 2 months). In 13 cases additional shoulder disease was noted during the operation. Eight patients had undergone rotator cuff decompression before the reference biceps tenodesis was performed. Eight (53%) cases achieved an excellent result; one was rated as good, four were rated as fair, and two had failures. Seven shoulders had an improved result from short to long term, and only two deteriorated. An upward migration of the humeral head on x-ray evaluation was noted but was without clinical significance. A local anesthetic test to the long head of the biceps before the operation seemed to be valuable in assessing chances of a good long-term result.
对14例患者的15个肩部进行了肱二头肌长头锁孔肌腱固定术，平均随访7年（3年1个月至13年2个月）。13例在手术中发现有其他肩部疾病。8例患者在进行参考肱二头肌肌腱固定术前已接受过肩袖减压术。8例（53%）结果为优；1例为良，4例为可，2例失败。7个肩部从短期到长期结果有所改善，只有2个肩部恶化。X线评估发现肱骨头有向上移位，但无临床意义。术前对肱二头肌长头进行局部麻醉试验似乎对评估长期良好结果的可能性有价值。
