Ultrasound guided ultra-minimally invasive long head of the biceps tendon release: Anatomic and cadaver study

IF 1.2 4区医学 Q3 ACOUSTICS Journal of Clinical Ultrasound Pub Date : 2024-09-15 DOI:10.1002/jcu.23828

Guillermo Rodríguez-Maruri MD, PhD, Jose Manuel Rojo-Manaute MD, PhD, Lucia Lavin-Alconero PhD, Luis Cerezal MD, PhD, Miguel del Valle Soto MD, PhD, Cristina Fernández-Buergo MD, Iñaki Erquicia Peralt MD, Sayed Wahezi MD, Juan Antonio Montero PhD

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Abstract

Purpose

The aim of this study was to describe in volunteers and cadavers the location of the vascular structures at risk for performing a new safe and effective ultra-minimally invasive ultrasound guided long head of the biceps tendon (LHBT) release.

Methods

First, with Doppler ultrasound, we defined the position of the acromial artery from our distal cutting point, on the posterior margin of the LHBT. Second, we performed an ultra-minimally invasive ultrasound guided LHBT release in cadavers. We described the stump and reported safety (no rotator cuff, vascular, or articular damages) and efficacy (tendon release rate).

Results

In 20 volunteers, the mean distance from the distal cutting point to the acromial artery was 0.9 ± 0.1 cm (range, 0.3–1.6). Ultra-minimally invasive LHBT release was safe and fully effective in the eight specimens. The proximal stump measured a mean of 2.8 cm (range, 1.9–4). There were no complications.

Conclusions

A safe and effective ultra-minimally invasive ultrasound guided LHBT release in cadavers is feasible through an anterior approach.

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超声引导下超微创肱二头肌长头肌腱松解术：解剖和尸体研究。

目的：本研究的目的是在志愿者和尸体身上描述血管结构的风险位置，以实施一种新的安全有效的超微创超声引导肱二头肌长头肌腱（LHBT）松解术：首先，通过多普勒超声波，我们从 LHBT 后缘的远端切点确定了肩峰动脉的位置。其次，我们在尸体上进行了超微创超声引导下的LHBT松解术。我们对残端进行了描述，并报告了安全性（无肩袖、血管或关节损伤）和有效性（肌腱松解率）：结果：在 20 名志愿者中，远端切点到肩峰动脉的平均距离为 0.9 ± 0.1 厘米（范围为 0.3-1.6）。超微创 LHBT 释放术在 8 例标本中安全有效。近端残端平均长度为2.8厘米（1.9-4厘米）。没有出现并发症：超微创超声引导下尸体LHBT松解术是安全有效的。

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

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.