The use of long head biceps tendon autograft for massive rotator cuff tears: a PRISMA compliant systematic review.

IF 6.7 2区医学 Q1 Medicine

British medical bulletin Pub Date : 2022-12-12 DOI:10.1093/bmb/ldac021

Rocco Aicale, Nicola Poeta, Eugenio Savarese, Giulio Bernardini, Francesco Oliva, Nicola Maffulli

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引用次数: 1

Abstract

Introduction: Rotator cuff tears (RCT) are a common cause of shoulder pain and disability, with massive RCT accounting for 10-40% of all rotator cuff tears.

Sources of data: A systematic search of PubMed and Scopus electronic databases was performed up to August 2022, and a total of 17 scientific articles were included in the present PRISMA compliant systematic review.

Areas of agreement: Understanding the geometric patterns in RCT is essential to achieve appropriate repositioning of the injured tendons in their anatomic location. The long head of the biceps tendon (LHBT) is usually exposed when defects of the anterolateral corner are present and can be easily used to augment rotator cuff repairs.

Areas of controversy: There are no definite guideline regarding the management of massive rotator cuff tears.

Growing points: The use of LHBT graft is safe and effective, but technically demanding. All studies were level IV articles of medium to high quality.

Areas timely for developing research: Prospective long term follow-up studies and randomized controlled trials are needed, adding imaging evaluation and appropriate clinical outcome measures at follow-up.

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自体长头二头肌腱移植治疗肩袖大面积撕裂：符合PRISMA的系统综述。

引言：肩袖撕裂（RCT）是肩部疼痛和残疾的常见原因，大量的RCT占所有肩袖撕裂的10-40%。数据来源：截至2022年8月，对PubMed和Scopus电子数据库进行了系统搜索，共有17篇科学文章被纳入符合PRISMA的系统综述。一致的领域：了解RCT中的几何模式对于实现受伤肌腱在其解剖位置的适当重新定位至关重要。当存在前外侧角缺陷时，二头肌腱（LHBT）的长头通常暴露出来，可以很容易地用于增强肩袖修复。争议的领域：对于巨大的肩袖撕裂的处理没有明确的指导方针。成长点：LHBT移植物的使用是安全有效的，但技术要求很高。所有研究均为中高质量的IV级文章。及时开展研究的领域：需要前瞻性的长期随访研究和随机对照试验，在随访中增加影像学评估和适当的临床结果测量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British medical bulletin 医学-医学：内科

CiteScore

13.10

自引率

1.50%

发文量

审稿时长

>12 weeks

期刊介绍： British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors, and medical students in both developed and developing countries. Its key aims are to provide interpretations of growing points in medicine by trusted experts in the field, and to assist practitioners in incorporating not just evidence but new conceptual ways of thinking into their practice.