Hanbin Wang, Hailey P Huddleston, Joey S Kurtzman, Samuel Gedailovich, Liam Deegan, William R Aibinder
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引用次数: 0
Abstract
Background: Biceps tenodesis is used for a variety of shoulder and biceps pathologies. Humeral fracture is a significant complication of this procedure. This cadaveric anatomy study sought to determine the cortical thickness of the humeral proximal shaft to identify the optimal technique to decrease unicortical drilling and reduce the risk of fracture.
Methods: A computed tomography (CT) of eight cadaveric humeral specimens was obtained with a metallic marker placed at the site of subpectoral tenodesis. These scans were examined to define the cortical thickness of the subpectoral region of the humerus and determine angular safe zones for reaming.
Results: At the standard point of a subpectoral tenodesis, a mean angle relative to the coronal plane of 29.2° medially and 21.6° laterally from the deepest portion of the bicipital groove avoided unicortical drilling with a 7 mm reamer. These values varied slightly 1 cm proximal and distal to this level. The thickest regions of cortex in the subpectoral humerus correspond to the ridges of the bicipital groove.
Discussion: To avoid unicortical tunnels, surgeons should limit deviation from the perpendicular approach to no more than 23° relative to the coronal plane medially and 11° relative to the coronal plane laterally.
期刊介绍：
The Journal of African History publishes articles and book reviews ranging widely over the African past, from the late Stone Age to the present. In recent years increasing prominence has been given to economic, cultural and social history and several articles have explored themes which are also of growing interest to historians of other regions such as: gender roles, demography, health and hygiene, propaganda, legal ideology, labour histories, nationalism and resistance, environmental history, the construction of ethnicity, slavery and the slave trade, and photographs as historical sources. Contributions dealing with pre-colonial historical relationships between Africa and the African diaspora are especially welcome, as are historical approaches to the post-colonial period.
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