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首页> 外文期刊>Journal of shoulder and elbow surgery >Biceps tenodesis associated with arthroscopic repair of rotator cuff tears.
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Biceps tenodesis associated with arthroscopic repair of rotator cuff tears.

机译：与关节镜修复肩袖撕裂相关的二头肌腱固定。

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Associated lesions of the biceps tendon are commonly found during arthroscopic repair of rotator cuff tears. These lesions are treated with tenodesis, classically performed through an open approach. However, it seems reasonable to seek a single approach to correct both lesions; therefore, we have proposed a new arthroscopic technique that allows an exclusive arthroscopic tenodesis by including the biceps tendon in the rotator cuff suture, a surgical technique with a single suture of the rotator cuff that includes the biceps tendon. We treated 97 shoulders in 96 patients arthroscopically for complete rotator cuff tears. Of these shoulders, 15 required tenodesis for treatment of biceps tendon lesions. Through an arthroscopic approach, a subacromial decompression followed by a rotator cuff repair was carried out in association with a biceps tenodesis. In this technique, one limb of the suture was passed through the biceps tendon, and the other was passed through the rotator cuff tear, bringing both tissues together in the final suture. Of the patients, 9 were men and 5 were women. Their mean age was 71 years (range, 41-80 years). The dominant arm was affected in all patients. Postoperative evaluation, by use of the UCLA score, after a mean follow-up period of 32.4 months showed satisfactory results in 93.4% of patients: 11 had excellent results, 3 had good results, and only 1 had an unsatisfactory result. In this case a postoperative magnetic resonance imaging scan showed an intact rotator cuff and biceps tenodesis. The suture involving the rotator cuff and the biceps tendon proved effective to correct both lesions, with the main advantage being that an additional approach was not required.
机译：二头肌腱的相关病变通常在关节镜检查修复肩袖撕裂时发现。这些病变采用手腱固定术治疗，传统上是通过开放式方法进行的。然而，寻求一种单一的方法来纠正这两种病变似乎是合理的。因此，我们提出了一种新的关节镜技术，该技术通过将二头肌肌腱包括在肩袖缝合线中而允许独家的关节镜腱膜剥脱术，这是一种对包括二头肌腱的肩袖进行单一缝合的手术技术。我们对96例患者的97个肩部进行了关节镜检查，以治疗完全性肩袖撕裂。在这些肩膀中，有15个需要进行腱内固定以治疗二头肌腱损伤。通过关节镜检查方法，进行了肩峰下减压，然后进行肩袖修复并与肱二头肌腱定相关。在这种技术中，缝合线的一个肢体穿过二头肌肌腱，而另一个则穿过肩袖撕裂，从而将两个组织合并在一起形成最终的缝合线。在这些患者中，男9例，女5例。他们的平均年龄为71岁（范围为41-80岁）。优势臂在所有患者中均受到影响。在平均32.4个月的平均随访期后，使用UCLA评分进行的术后评估在93.4％的患者中显示了满意的结果：11例中有出色的结果，3例中有好的结果，只有1例中有不满意的结果。在这种情况下，术后磁共振成像扫描显示完整的肩袖和肱二头肌腱固定。包括肩袖和二头肌腱的缝合线被证明可以有效地矫正两个病变，其主要优点是不需要其他方法。

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