腱板断裂に合併した上腕二頭筋長頭腱障害<BR>- 固定か切離か？ -

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  • Clinical Results for Treatments of Long Head of Biceps Tendon with Rotator Cuff Tears

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Injuries of the long head of the biceps tendon (LHB) are often associated with rotator cuff tears and are the cause of shoulder pain after rotator cuff repair. The purpose of this study is to evaluate the clinical and radiographic results of biceps tenodesis and tenotomy for injuries of LHB with rotator cuff tear. There were 35 shoulders that were treated with biceps tenodesis or tenotomy randomly for injuries of LHB with rotator cuff repair and followed-up over 1 year. We separated and evaluated the technique of sutured to soft-tissue (Group S) and placed into the bone socket of the bicipital groove with anchor (Group A), concerning biceps tenodesis. There were 12 shoulders (6 Males, 6 Females: average age 67.7 years old) in Group S of tenodesis, 13 shoulders (9 males, 4 Females: average age 61.1 years old) in Group A of tenodesis, and 10 shoulders (3 males, 7 Females: average age 65.1 years old) in Group tenotomy. Clinical features and surgical results of the 3 groups were evaluated using JOA score, ROM (flex, ER), existence of Popeye lesion and upward migration of humeral head on the A-P radiograph. There was no significant difference between the 3 groups in JOA score and ROM (flex, ER). There was only one patient in Group tenotomy who exhibited the Popeye lesion. Upper migration of the humeral head on X-ray was slightly apparent in only two cases in Group tenotomy. Clinical and radiographic results of both of biceps tenodesis and tenotomy for injuries of LHB with rotator cuff tear were satisfactory. We will investigate more patients and long term results for both of them.

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  • 肩関節

    肩関節 34 (3), 825-828, 2010

    日本肩関節学会

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