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首页> 外文期刊>Journal of Hand Surgery. American Volume >Surgical correction of the 'popeye Biceps' deformity: Dual-window approach for combined subpectoral and deltopectoral access and proximal biceps tenodesis
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Surgical correction of the 'popeye Biceps' deformity: Dual-window approach for combined subpectoral and deltopectoral access and proximal biceps tenodesis

机译：“大眼二头肌”畸形的手术矫正：双窗方法用于合并胸下和胸膜上入路及近端二头肌腱索狭窄

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摘要

"Popeye biceps" deformity represents the appearance of a distally retracted biceps muscle resulting from either a traumatic long biceps tendon (LBT) rupture or an iatrogenic LBT tenotomy. Cosmetic and functional problems associated with the deformity may necessitate surgical correction, and surgical exposure using multiple incisions is recommended. The technique presented here describes a novel mini-open approach using a single 1-in incision that provides access to 3 peripectoral anatomical zones. Preoperative sonographic localization of the ruptured and retracted LBT is used to guide incision placement, and facilitates intraoperative tendon retrieval via a limited incision and minimal dissection. Inferolateral retraction of the mini-incision window permits infrapectoral and subpectoral LBT mobilization and dissection. Deltopectoral access via superomedial retraction of the same skin window is used to expose the suprapectoral zone and is employed for LBT retrieval and proximal tenodesis. Technical tips for safe dissection via a mini-incision, and methods for biological LBT augmentation are discussed.
机译：“眼睑二头肌”畸形表示由外伤性长二头肌腱（LBT）破裂或医源性LBT腱切术引起的向远端缩回的二头肌肌肉的外观。与畸形相关的外观和功能问题可能需要进行手术矫正，建议使用多个切口进行手术暴露。此处介绍的技术描述了一种新颖的微型开放式方法，该方法使用一个1英寸切口来提供对3个胸膜周围解剖区域的访问。破裂和缩回的LBT的术前超声定位可用于指导切口放置，并通过有限的切口和最小的解剖量促进术中肌腱的取出。小切口窗的外侧向内缩回允许镜下和镜下LBT动员和解剖。通过同一个皮肤窗口的超膜回缩术进行的胸膜顶入入术可暴露上睑上皮区，并用于LBT取回和近端肌腱固定术。讨论了通过小切口安全解剖的技术提示，以及生物LBT增强的方法。

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