在可修复的肩袖撕裂伴肱二头肌肌腱长头损伤中,肌腱切开术与肌腱固定术在功能或疼痛方面没有区别

J. Karlsson
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引用次数: 6

摘要

李海杰,郑建勇,金志强,金永元。肱二头肌肌腱长头病变伴肩袖撕裂的手术治疗:一项前瞻性随机临床试验,比较肌腱切断术和肌腱固定术的临床结果。[J]中华肩关节外科杂志,2016;25(7):1107-14。问题:对于可修复的肩袖撕裂和有症状的肱二头肌腱长头病变(LHBT)的患者,肌腱切断术和肌腱固定术的比较疗效如何?设计:随机(分配不隐藏)*,盲法(患者和结果评估者),对照试验,平均随访20或25个月。地点:韩国首尔天主教大学。患者:137例(平均年龄63岁;(77%的女性)需要手术修复中小型肩袖撕裂,并伴有LHBT的症状性部分撕裂(经磁共振成像证实),经药物或皮质类固醇注射保守治疗≥1个月后无改善。排除标准为肩袖撕裂、既往肩部手术或创伤、肩关节关节炎、…
本文章由计算机程序翻译,如有差异,请以英文原文为准。
In Reparable Rotator Cuff Tears with Lesions of the Long Head of the Biceps Brachii Tendon, Tenotomy Did Not Differ from Tenodesis in Terms of Function or Pain
Lee HJ, Jeong JY, Kim CK, Kim YS. Surgical treatment of lesions of the long head of the biceps brachii tendon with rotator cuff tear: a prospective randomized clinical trial comparing the clinical results of tenotomy and tenodesis. J Shoulder Elbow Surg. 2016 Jul;25(7):1107-14. ### Question: In patients with reparable rotator cuff tears and symptomatic lesions of the long head of the biceps brachii tendon (LHBT), what is the comparative efficacy of tenotomy and tenodesis? ### Design: Randomized (allocation not concealed)*, blinded (patients and outcome assessors), controlled trial with follow-up at a mean of 20 or 25 months. ### Setting: The Catholic University of Korea, Seoul, Republic of Korea. ### Patients: 137 patients (mean age, 63 years; 77% women) who needed surgical repair for small to medium-sized rotator cuff tears and had concomitant symptomatic partial tears of the LHBT (confirmed with magnetic resonance imaging) that had shown no improvement after ≥1 month of conservative treatment with medication or corticosteroid injections. The exclusion criteria were large or massive rotator cuff tears, previous shoulder surgery or trauma, glenohumeral arthritis, …
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