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中华肩肘外科电子杂志 ›› 2020, Vol. 08 ›› Issue (03) : 268 -271. doi: 10.3877/cma.j.issn.2095-5790.2020.03.014

所属专题: 经典病例 经典病例 文献

病例报告

肱二头肌长头腱沙漏样改变一例及文献复习
万彦林1, 李轶津1,(), 姜文学1   
  1. 1. 300192 天津市第一中心医院骨科
  • 收稿日期:2020-04-06 出版日期:2020-08-05
  • 通信作者: 李轶津
  • Received:2020-04-06 Published:2020-08-05
引用本文:

万彦林, 李轶津, 姜文学. 肱二头肌长头腱沙漏样改变一例及文献复习[J]. 中华肩肘外科电子杂志, 2020, 08(03): 268-271.

图1 术前肩关节MRI检查,斜冠状位(图A)及斜矢状位(图B)均未见明显LHBT异常表现,仅横断面可见肱二头肌腱鞘内积液(图C)(箭头所示)
图2 术中探查LHBT沙漏样改变,肌腱局部膨隆、肥厚(箭头指示)
图3 术中给予切断LHBT(箭头所指为近端肌腱切除后,沙漏样改变的肌腱残端)
图4 术中肌腱完全切除后,残余肌腱顺利通过腱鞘回缩至结节间沟以远,关节内无肌腱残留
[1]
Boileau P, Ahrens PM, Hatzidakis AM. Entrapment of the long head of the biceps tendon: the hourglass biceps--a cause of pain and locking of the shoulder[J]. J Shoulder Elbow Surg,2004,13(3):249-257.
[2]
Watch G, Nové-Josserand L, Boileau P, et al. Subluxations and dislocations of the tendon of the long head of the biceps[J]. J Shoulder Elbow Surg,1998,7(2):100-108.
[3]
Pujol N, Hargunani R, Gadikoppula S, et al. Dynamic ultrasound assessment in the diagnosis of intra-articular entrapment of the biceps tendon (hourglass biceps): A preliminary investigation[J]. Int J Shoulder Surg,2009,3(4):80-84.
[4]
Bennett WF. Visualization of the anatomy of the rotator interval and bicipital sheath[J]. Arthroscopy,2001,17(1):107-111.
[5]
Arai R, Mochizuki T, Yamaguchi K, et al. Functional anatomy of the superior glenohumeral and coracohumeral ligaments and the subscapularis tendon in view of stabilization of the long head of the biceps tendon[J]. J Shoulder Elbow Surg,2010,19(1):58-64.
[6]
Lafosse L, Reiland Y, Baier GP, et al. Anterior and posterior instability of the long head of the biceps tendon in rotator cuff tears: a new classification based on arthroscopic observations[J]. Arthroscopy,2007,23(1):73-80.
[7]
Chang KV, Mezian K, Naňka O, et al. Ultrasound-guided interventions for painful shoulder: from anatomy to evidence[J]. J Pain Res, 2018, 11:2311-2322.
[8]
Ricci V, Özçakar L. Looking into the joint when it is frozen: a report on dynamic shoulder ultrasound[J]. J Back Musculoskelet Rehabil, 2019, 32(4):663-665.
[9]
Neer CS.Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report[J]. J Bone Joint Surg, 1972,54(1):41-50.
[10]
Sethi N, Wright R, Yamaguchi K. Disorders of the long head of the biceps tendon[J]. J Shoulder Elbow Surg, 1999,8(6):644-654.
[11]
Virk MS, Cole BJ. Proximal biceps tendon and rotator cuff tears[J].Clin Sports Med,2016,35(1):153-161.
[12]
Mazzocca AD, Cote MP, Arciero CL, et al. Clinical outcomes after subpectoral biceps tenodesis with an interference screw[J]. Am J Sports Med,2008,36(10):1922-1929.
[13]
De Carli A, Vadala A, Zanzotto E, et al. Reparable rotator cuff tears with concomitant long-head biceps lesions: tenotomy or tenotomy/tenodesis? [J].Knee Surg Sports Traumatol Arthrosc,2012,20(12):2553-2558.
[14]
Kukkonen J, Rantakokko J, Virolainen P, et al. The effect of biceps procedure on the outcome of rotator cuff reconstruction[J]. ISRN Orthop, 2013,2013:840965.
[15]
Kelly AM, Drakos MC, Fealy S, et al. Arthroscopic release of the long head ofthe biceps tendon: functional outcome and clinical results[J]. Am J Sports Med,2005,33(2):208-213.
[16]
Kany J, Guinand R, Amaravathi RS, et al. The keyhole technique for arthroscopic tenodesis of the long head of the biceps tendon. In vivo prospective study with a radio-opaque marker[J]. Orthop Traumatol Surg Res, 2015,101(1):31-34.
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