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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Biceps Lesion Associated With Rotator Cuff Tears
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Biceps Lesion Associated With Rotator Cuff Tears

机译：肱二头肌病变伴肩袖撕裂

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Background: Various tenodesis methods are being used for long head of the biceps tendon lesions. However, there is no consensus on the most appropriate surgical method. Hypothesis: There are significant differences in incidence of cosmetic deformity and persistent bicipital pain between open subpectoral and arthroscopic intracuff tenodesis groups. Study Design: Cohort study; Level of evidence, 3. Methods: This study included 72 patients who underwent biceps tenodesis and rotator cuff repair between January 2009 and May 2014 and who were followed for at least 1 year. Open subpectoral tenodesis was performed in 39 patients (group A), and arthroscopic intracuff tenodesis was performed in 33 patients (group B). Results: In group A, the mean visual analog scale (VAS) score for pain during motion and mean University of California, Los Angeles (UCLA) and Constant scores significantly improved from 4.6, 18.6, and 64.5 preoperatively to 1.9, 30.5, and 86.5 at last follow-up, respectively ( P < .001 for all). In group B, these scores significantly improved from 5.1, 17.6, and 62.9 preoperatively to 1.8, 31.5, and 85.9 at last follow-up, respectively ( P < .001 for all). Popeye deformity was noted in 2 (5.2%) patients from group A and 5 (15.6%) patients from group B ( P = .231). Additionally, persistent bicipital tenderness was noted in 1 (2.6%) patient from group A and 8 (24.2%) patients from group B ( P = .012). Conclusion: Both open subpectoral tenodesis and arthroscopic intracuff tenodesis show good clinical outcomes for long head of the biceps tendon lesions. However, open subpectoral tenodesis may be more appropriate, considering the low incidence of Popeye deformity and tenderness.
机译：背景：对于二头肌腱长头病变，已采用了多种腱固定方法。但是，关于最合适的手术方法尚无共识。假设：开放式胸下和关节镜下袖带内腱膜松解术组之间的化妆品畸形和持续性双头痛的发生率存在显着差异。研究设计：队列研究;证据等级，3。方法：本研究包括72例在2009年1月至2014年5月之间接受二头肌腱固定和肩袖修复的患者，并且随访了至少1年。 39例（A组）进行了开放性胸膜下肌腱切开术，B组（33组）进行了关节镜下袖套内腱切术。结果：在A组中，运动中疼痛的平均视觉模拟量表（VAS）评分以及加利福尼亚大学洛杉矶分校（UCLA）和Constant评分的平均值从术前的4.6、18.6和64.5显着提高到1.9、30.5和86.5在最后一次随访中（分别为P <.001）。在B组中，这些分数从术前的5.1、17.6和62.9显着提高到最后一次随访时的1.8、31.5和85.9（所有P均＜0.001）。 A组的2名（5.2％）患者和B组的5名（15.6％）患者出现了眼睑畸形（P = .231）。此外，A组的1名患者（2.6％）和B组的8名患者（24.2％）出现持续性二头肌压痛（P = .012）。结论：开放式胸膜下腱膜成形术和关节镜下袖套内腱膜成形术均对长头二头肌腱病变表现出良好的临床效果。但是，考虑到眼睑畸形和压痛的发生率较低，开放式胸膜下肌腱膜狭窄可能更合适。

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