Long head of biceps tendon management in the setting of massive rotator cuff tears

Javier Ardebol MD, MBA , Kassem Ghayyad MD , Theresa Pak DO , Lisa Galasso MD , Matthew Noble DO , Ali Īhsan Kiliç MD, PhD , Diego Gonzalez-Morgado MD , Mariano E. Menendez MD , Patrick J. Denard MD
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Abstract

Pathology of the long head of the biceps tendon is commonly associated with massive rotator cuff tears (MRCTs), which account for roughly one third of all rotator cuff tears. Treatment options for this condition include tenotomy, tenodesis, augmentation, and the use of the tendon as a graft for partial superior capsule reconstruction. Augmentation and superior capsular reconstruction are evolving techniques in the management of MRCTs. However, similar to the lack of consensus on the treatment of MRCTs, there are no clear guidelines for the management of concurrent biceps tendon pathology.
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大面积肩袖撕裂时的肱二头肌长头肌腱处理
肱二头肌肌腱长头的病变通常与肩袖大面积撕裂(MRCT)有关,约占所有肩袖撕裂的三分之一。这种情况的治疗方法包括腱切开术、腱鞘切除术、肌腱增生术以及使用肌腱作为上囊部分重建的移植物。肌腱增生和上囊重建是治疗 MRCT 的新兴技术。然而,与对 MRCT 的治疗缺乏共识类似,对并发肱二头肌肌腱病变的治疗也没有明确的指导原则。
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6 weeks
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