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中华肩肘外科电子杂志 ›› 2023, Vol. 11 ›› Issue (01) : 83 -88. doi: 10.3877/cma.j.issn.2095-5790.2023.01.014

综述

肱二头肌长头腱损伤的诊断及研究进展
王学辉1, 蔚磊1,()   
  1. 1. 014010 内蒙古科技大学包头医学院第一附属医院关节运动医学一科
  • 收稿日期:2022-05-19 出版日期:2023-02-05
  • 通信作者: 蔚磊
  • 基金资助:
    内蒙古自治区卫生健康科技计划项目(202201415)

Diagnosis and research progress of long head biceps tendon injury

Xuehui Wang1, Lei Wei1()   

  • Received:2022-05-19 Published:2023-02-05
  • Corresponding author: Lei Wei
引用本文:

王学辉, 蔚磊. 肱二头肌长头腱损伤的诊断及研究进展[J]. 中华肩肘外科电子杂志, 2023, 11(01): 83-88.

Xuehui Wang, Lei Wei. Diagnosis and research progress of long head biceps tendon injury[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2023, 11(01): 83-88.

肱二头肌长头腱(long head of the biceps tendon,LHBT)绝大部分起自盂上结节和上盂唇,少部分起自盂唇的其他位置,是人体唯一分为关节内段和关节外段肌腱。LHBT的主要功能是曲肘和使前臂旋后,但其在肩部的功能尚存在争议。单纯的LHBT损伤少见,约95%的LHBT损伤多与结节间沟解剖、肩袖损伤、肩峰撞击综合征、肩锁关节紊乱和肩关节前上撞击综合征等疾病有关,明确诊断仍有一定的难度。目前,LHBT损伤机制包括:LHBT肌腱炎或腱鞘炎、LHBT半脱位或脱位、LHBT部分撕裂或完全断裂、肩关节上盂唇损伤、滑车结构损伤。LHBT损伤分型大致分为直接损伤与间接损伤。由于LHBT损伤常伴随肩关节的其他疾病,明确诊断仍有一定的难度,需要结合病史、体格检查和影像学检查,甚至需要有经验的医师反复体格检查及查阅影像学资料后才可确诊。本文从肱二头肌长头腱损伤的解剖、生物力学功能、损伤机制与分型、组织病理研究和诊断进行综述报道,有望对肱二头肌长头腱损伤患者的诊断提供参考。

图1 LHBT解剖结构[1]注:LHBT为肱二头肌长头腱
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