【摘要】 目的 探讨关节镜下肱二头肌长头腱切除术对老年人肱二头肌长头腱炎的临床疗效。方法 2014年9月至2016年9月对年龄>60岁经保守治疗失败的肱二头肌长头肌腱炎所致肩关节疼痛患者施行关节镜下肱二头肌长头腱切除术36例。其中男17例,女19例,采用肩关节后、前、外侧入路,分别于盂肱关节内和肩峰下间隙进行操作,在肩胛盂处切断肱二头肌长头腱,并切除残端。采用VAS疼痛评分、Constant-Murley评分及加利福尼亚大学洛杉矶分校(UCLA)评分对患者进行手术前后的评估。结果 36例术后均获得良好的疗效,所有患者均未发生严重并发症,术后5例出现大力水手征。术后3个月、6个月及1年随访时,VAS疼痛评分、UCLA肩关节评分及Constant-Murley肩关节评分较术前均有明显提高,差异有统计学意义(P<0.05)。结论 肩关节镜下肱二头肌长头腱切除术是治疗老年肱二头肌长头腱炎的一种简单、创伤小、恢复快、有效的治疗方法 。更多还原

【Abstract】 Objective To investigate the efficacy of arthroscopic tenotomy of longhead of biceps( LHB) for the treatment of bicipital tendinitis.Methods From September 2014 to September 2016, 36 patients older than 60 years of age,whose conservative treatment for bicipital tendinitis failed were treated by arthroscopic tenotomy. 17 males and 19 females were included, the posterior, anterior and lateral approaches of shoulder arthroscopy were used to operate in the glenoid joint and tsubacromial space, the biceps long head tendon near the glenoid was incised, and the stump was removed.The VAS pain score, University of California at Los Angeles(UCLA) shoulder score, Constant-Murley shoulder score were assessed in pre-operation and post-operation. Results 36 cases achieved good results after operation, with no serious complications observed, and only 5 cases experienced Popeye’s sign. The patients were followed up at postoperative 3 months, 6 months and 1 year, the VAS pain score, UCLA shoulder score and Constant-Murley shoulder score were improved than before. The difference was statistically significant( P<0.05). Conclusion Arthroscopic tenotomy of LHB is a simple, minimally invasive, speedy and effective treatment for the senile patients of bicipital tendinitis.更多还原