关节镜下胸大肌上缘肌腱固定治疗肱二头肌长头肌腱病损的临床疗效  

Clinical efficacy of arthroscopically assisted fixation at the upper edge of the pectoralis major muscle for the treatment of diseases of the long head of the biceps brachii muscle

作　　者：高立波[1] 胡辉东[1] 高磊[1] GAO Libo;HU Huidong;GAO Lei(Department of Orthopaedics,Changzhou Fourth People's Hospital,Changzhou,Jiangsu 213000,China)

机构地区：[1]常州市第四人民医院骨科,江苏常州213000

出　　处：《手术电子杂志》2024年第5期39-44,共6页Electronic Journal of Medical Operations

摘　　要：目的 分析关节镜下胸大肌上缘肌腱固定治疗肱二头肌长头肌腱病损的临床疗效。方法 选取2021年01月—2023年07月期间于常州市第四人民医院骨科行关节镜下胸大肌上缘肌腱固定治疗肱二头肌长头肌腱病损的患者41例作为研究对象,对比患者术前、术后1个月和术后末次随访时视觉模拟评分(VAS)、美国肩肘关节医师协会(ASES)评分、Constant肩关节评分、术后Popeye畸形发生情况和肘关节屈曲力量变化等。结果 41例患者均获得随访,随访时长8~22个月,平均(12.5±3.8)月。VAS评分在术前、术后1个月和末次随访分别为(6.66±1.02)分、(3.51±1.00)分、(1.10±0.70)分,术后低于术前,差异有统计学意义(P<0.05)。ASES评分在术前、术后1个月和末次随访分别为(50.22±7.70)分、(68.88±4.15)分、(86.95±3.40)分,术后高于术前,差异有统计学意义(P<0.05)。Constant评分在术前、术后1个月和末次随访分别为(53.54±6.64)分、(66.24±6.49)分、(89.78±3.28)分,术后高于术前,差异有统计学意义(P<0.05)。41例均无Popeye畸形发生,末次随访时均未发现肘关节屈曲力量减弱。结论 关节镜下胸大肌上缘固定治疗肱二头肌长头肌腱病损可获得满意的临床效果,术后Popeye畸形以及屈肘力量减弱发生率低,是一种安全有效的手术方式。Objective To investigate the clinical effects of arthroscopically assisted fixation at the upper edge of the pectoralis major muscle for the treatment of diseases of the long head of the biceps brachii muscle.Methods 41 patients were selected in Changzhou Fourth People's Hospital from January 2021 to July 2023 who were treated by arthroscopically assisted fixation at the upper edge of the pectoralis major muscle for the treatment of diseases of the long head of the biceps brachii muscle.Then the VAS score,ASES score and Constant score of function of shoulder were compared.Results All patients were followed up for 8~22 months(average 12.5±3.8 months).The VAS scores at preoperation,1 month postoperation and the last follow-up were respectively(6.66±1.02),(3.51±1.00)and(1.10±0.70),and the difference between preoperative and postoperative was statistically significant(P<0.05).The ASES scores at preoperation,1 month postoperation and the last follow-up were respectively(50.22±7.70),(68.88±4.15)and(86.95±3.40),and the difference between preoperation and postoperation was statistically significant(P<0.05).The Constant score at preoperation,1 month postoperation and the last follow-up were respectively(53.54±6.64),(66.24±6.49)and(89.78±3.28),and the difference between preoperation and postoperation was also statistically significant(P<0.05).There was no Popeye sign in 41 cases,and no weakening of elbow flexion force was found at the last follow-up.Conclusion The method of arthroscopically assisted fixation at the upper edge of the pectoralis major muscle for the treatment of diseases of the long head of the biceps brachii muscle is effective because of its safety and simplicity.

关 键 词：关节镜 肱二头肌长头腱 肌腱固定术 胸大肌上缘固定 

分 类 号：R68[医药卫生—骨科学]