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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Patient Satisfaction After Biceps Tenotomy
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Patient Satisfaction After Biceps Tenotomy

机译：二头肌切开术后的患者满意度

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Background: Biceps tenotomy and tenodesis are frequently performed for proximal biceps lesions; however, there continues to be debate as to which method is superior. This study examined patient-reported outcomes after biceps tenotomy. Hypothesis: Biceps tenotomy in the setting of concomitant shoulder pathology is a reasonable option with high satisfaction rates and a low incidence of pain and cramping in middle-aged to older individuals. Study Design: Case series; Level of evidence, 4. Methods: A total of 104 patients (mean age, 63.5 years; range, 40-81 years) were evaluated at the time of surgery and at a mean follow-up of 38.4 months (range, 22-57 months). Biceps tenotomy was performed as a component of more extensive shoulder surgery in all patients. Patient satisfaction, frequency of cramping and spasms, biceps pain, weakness, and cosmetic deformity were evaluated at over 1-year follow-up. Results: Ninety-one percent of patients were satisfied or very satisfied with their surgical outcome, and 95% would have their surgery again. Three patients who reported being unsatisfied or very unsatisfied had either advanced glenohumeral arthritis or an irreparable rotator cuff tear. Cosmetic deformity occurred in 13% of patients. Twenty percent reported spasms and cramping in their biceps, and 19% reported some biceps pain; however, frequency of spasms and cramping was typically once weekly, and biceps pain was reported as severe or very severe in only 2 patients. Subjective biceps weakness was reported in 17% of patients. Age had no effect on outcome measures, and female sex was associated with less limitation and greater satisfaction after tenotomy compared with men. Conclusion: Our results indicate that patient-reported downsides to biceps tenotomy were usually mild and/or infrequent and did not affect patient satisfaction. We conclude that biceps tenotomy is a viable option that can lead to a high rate of patient satisfaction and outcomes in middle-aged to older individuals undergoing shoulder surgery with biceps pathology.
机译：背景：二头肌近端病变经常进行二头肌腱切开术和腱切断术;但是，关于哪种方法更好仍然存在争议。这项研究检查了二头肌腱切开术后患者报告的结局。假设：在伴发肩部病理的情况下进行二头肌腱切开术是一种合理的选择，对中年人至老年人而言，满意率高，疼痛和痉挛的发生率低。研究设计：案例系列;证据等级：4。方法：手术时对104例患者（平均年龄63.5岁;范围40-81岁）进行了评估，平均随访38.4个月（范围22-57岁）。个月）。在所有患者中，二头肌腱切开术是更广泛的肩部手术的一部分。在1年以上的随访中评估了患者的满意度，痉挛和痉挛的频率，二头肌疼痛，无力和美容畸形。结果：91％的患者对手术结果感到满意或非常满意，而95％的患者将再次接受手术。报告不满意或非常不满意的三名患者患有晚期盂肱型关节炎或无法修复的肩袖撕裂。 13％的患者发生了美容畸形。 20％的人报告二头肌痉挛和抽筋，而19％的人报告二头肌疼痛。但是，痉挛和痉挛的频率通常每周一次，并且据报道只有二例患者的二头肌疼痛严重或非常严重。据报道17％的患者出现主观二头肌无力。年龄对结局指标没有影响，与男性相比，女性在进行切开术后的局限性降低且满意度更高。结论：我们的结果表明，患者报告的二头肌腱切开术的缺点通常较轻和/或不常见，并且不影响患者满意度。我们得出的结论是，二头肌腱切开术是一种可行的选择，它可以使中老年至进行二头肌病理学肩关节手术的老年患者获得较高的患者满意度和结果。

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