Abstract：
HYPOTHESIS:It is unknown whether certain methods of distal biceps tendon repair lead to an increased propensity of impingement of the repaired tendon. The purpose of this study was to evaluate various repair techniques in a cadaveric model to determine the radioulnar space available for the repaired biceps tendons. METHODS:Nine matched pairs of quartered, fresh-frozen cadaveric arms were transected at the level of the humeral mid shaft and the distal radiocarpal joint. Distance measurements and the angular relation of the bicipital tuberosity were measured at 5 forearm pronation-supination positions. These measurements were taken under each of the following conditions: intact native biceps, resected native tendon, suture anchor fixation of the biceps, suspensory suture device fixation of the biceps, tendon repair using a tenodesis technique, and fixation of the tendon using a trough technique. RESULTS:There were no significant differences in radioulnar space available after biceps tendon repair with the forearm in a supinated position. However, when the forearm was in a neutral or pronated position, the suture anchor method consistently had the lowest biceps insertion-to-ulna distance (0.6 to 2.1 cm). All forearm positions, except full supination, showed significant differences in terms of radioulnar space available for the repaired biceps. DISCUSSION:This study shows that the space available for the biceps tendon decreases with forearm pronation after reconstruction for all repair techniques. It appears that using suture anchors to repair the biceps tendon may predispose the repaired tendon to impingement when compared with other fixation techniques.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
Krueger CA,Aden JK,Broughton K,Rispoli DMdoi
10.1016/j.jse.2014.02.023subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1717-23issue
11eissn
1058-2746issn
1532-6500pii
S1058-2746(14)00162-1journal_volume
23pub_type
杂志文章abstract：:Several studies have documented an association between the type III acromion and rotator cuff tears. However, controversy exists as to whether the shape of the acromion is an innate anatomic characteristic. The purpose of this study was to evaluate the prevalence of the type III acromion in young asymptomatic athletes...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2001.117124
更新日期：2001-09-01 00:00:00
abstract：:The purpose of this study was to describe the extramedullary humeral morphology in paired humeri to determine whether geometric differences exist from side to side in the same individual. The anatomic characteristics of 28 paired, dry cadaveric humeri were measured by use of an electromagnetic tracking system. Of the ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2006.09.016
更新日期：2007-07-01 00:00:00
abstract：BACKGROUND:The current treatment of partial distal biceps tears is a period of nonoperative management, followed by surgery, if symptoms persist. Little is known about the success rate and outcomes of nonoperative management of this illness. METHODS:We identified 132 patients with partial distal biceps tears through a...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.12.010
更新日期：2018-04-01 00:00:00
abstract：BACKGROUND:Loosening of the glenoid component is a primary reason for failure of an anatomic shoulder arthroplasty. Pegged glenoids were designed in an effort to outperform keeled components. This study evaluated the midterm clinical and radiographic survival of a single implant design with implantation of an in-line p...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2016.12.068
更新日期：2017-08-01 00:00:00
abstract：BACKGROUND:This study investigated early functional outcome, quality of life, and the level of independency in elderly patients after primary reverse shoulder arthroplasty (RSA) for complex fractures of the proximal humerus. METHODS:This was a prospective case series that included 33 patients, aged ≥70 years, with a h...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.01.021
更新日期：2017-08-01 00:00:00
abstract：:Between July 1991 and February 1995, 33 patients underwent bipolar shoulder arthroplasty for painful rotator cuff arthropathy of the shoulder. Twenty-two of these patients have been followed for an average of 28 months (range 24 to 48 months) and comprised the study group. All patients had massive, irreparable rotator...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(97)90083-5
更新日期：1997-11-01 00:00:00
abstract：BACKGROUND:Shoulder arthroscopy is a common orthopedic procedure typically performed on an outpatient basis. Occasionally, patients require an unplanned hospital admission. An understanding of the incidence and risk factors for admission after shoulder arthroscopy may assist surgeons in determining which patients may b...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.09.031
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:Interscalene brachial plexus blocks are a common modality used to provide adjunctive pain relief with shoulder replacement surgery. In 2018, the Federal Drug Administration approved the use of liposomal bupivacaine (LB) for such nerve blocks. We sought to evaluate whether this formulation of bupivacaine woul...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.09.017
更新日期：2020-10-09 00:00:00
abstract：BACKGROUND:Scant data are published about different available therapeutic options for restoration of active elbow flexion in arthrogryposis with varying degrees of improvement. In this retrospective study we evaluated medium-term effects of bipolar latissimus dorsi transfer in patients with arthrogryposis. METHODS:Ped...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.04.002
更新日期：2017-11-01 00:00:00
abstract：:Twenty-three shoulders in 23 patients with failed treatment of three- and four-part proximal humerus fractures subsequently treated with prosthetic arthroplasty were reviewed. The initial treatment was closed in 10 cases and open in 13. The complications of treatment included malunions in 17, nonunions in four, trauma...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(05)80020-5
更新日期：1995-07-01 00:00:00
abstract：:A modified technique of scapulothoracic fusion was used in 6 patients who did not have muscular dystrophy and who were later evaluated clinically. The cause of the painful winging of the scapula was traumatic disruption of the trapezius and the accessory nerve in 3 patients, injury to the brachial plexus in 2, and Spr...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2004.09.008
更新日期：2005-07-01 00:00:00
abstract：:An anatomic structure frequently observed during glenohumeral joint arthroscopy is described as the vincula of the long head of the biceps brachia tendon. These vincula were present in 24.3% of 411 shoulders (390 patients) undergoing shoulder arthroscopy. There was single vinculum in 56 shoulders, two vincula in 32, t...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/1058-2746(92)90095-K
更新日期：1992-05-01 00:00:00
abstract：HYPOTHESIS:The purpose of this study was to conduct a systematic review of the psychometric evidence relating to Constant-Murley score. MATERIALS AND METHODS:A search of 3 databases (Medline, CINAHL, and EMBASE) and a manual search yielded 35 relevant publications. Pairs of raters used structured tools to analyze thes...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jse.2009.04.008
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:As shoulder arthroplasty becomes more common, the number of failed arthroplasties requiring revision is expected to increase. When revision arthroplasty is not feasible, resection arthroplasty has been used in an attempt to restore function and relieve pain. Although outcomes data for resection arthroplasty ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jse.2012.05.025
更新日期：2013-02-01 00:00:00
abstract：BACKGROUND:Little is known about the role that a torn superior labrum (SLAP) plays in glenohumeral stability after biceps tenodesis. This biomechanical study evaluated the contribution of a type II SLAP lesion to glenohumeral translation in the presence of biceps tenodesis. The authors hypothesize that subsequent to bi...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2013.07.036
更新日期：2014-04-01 00:00:00
abstract：INTRODUCTION:Structural glenoid bone grafting in reverse total shoulder arthroplasty (RSA) has previously been reported to have good functional outcomes and low complication rates. We have observed different complication rates and hypothesized that baseplate fixation and severity of deformity may be predictors of early...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2019.07.035
更新日期：2020-03-01 00:00:00
abstract：HYPOTHESIS:Type IIA, IIB, and V lateral clavicular fractures (Craig modification of the Neer classification) are characterized by a constant displacement and are associated with a high rate of nonunion. The aim of this study is to verify whether the reduction and arthroscopic stabilization of these clavicular fractures...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2013.05.016
更新日期：2014-03-01 00:00:00
abstract：BACKGROUND:Significantly displaced juvenile proximal humeral fractures (Neer-Horowitz type 3 and 4) usually require reduction and fixation. The most commonly used fixation methods are Kirschner wire (K-wire) pinning or retrograde elastic stable intramedullary nailing (ESIN). However, results comparing the long-term out...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2014.01.015
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Tenotomy and tenodesis are common treatments for lesions in the long head of biceps tendon (LHBT); however, which treatment is superior is still controversial. This study compared the outcomes of tenotomy with outcomes of tenodesis for treatment of LHBT lesions with rotator cuff tears. METHODS:The study enr...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jse.2016.02.006
更新日期：2016-07-01 00:00:00
abstract：:Forty-three shoulder arthroplasties performed with the use of cemented Neer II humeral components and followed radiographically for a mean of 6.6 years (range, 2-20 years) were analyzed. A humeral component was considered radiographically "at risk" for clinical loosening when a radiolucent line 2 mm or greater in widt...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2001.118482
更新日期：2001-11-01 00:00:00
abstract：BACKGROUND:Repair of proximal humeral fractures with locking plates has greatly improved outcomes. However, an alarming rate of complications including screw cutout and impingement under the acromion has recently been reported. A novel locking plate with smooth pegs was developed to reduce these risks. The purpose of t...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.04.005
更新日期：2013-04-01 00:00:00
abstract：:Reconstruction of a normal glenohumeral relationship is desirable for a successful arthroplasty. Double-contrast computed tomography was performed on 49 healthy shoulders in young volunteers. For creation of a uniform spatial reference system, the subjects were positioned in a thoracobrachial orthosis with the arm add...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(02)86884-7
更新日期：2003-05-01 00:00:00
abstract：:This study presents the results of a new surgical technique, resection of the medial end of the clavicle and interposition of the sternal head of the sternocleidomastoid muscle, that was used for the treatment of 17 painful sternoclavicular (SC) joints, 14 of which were available for review. The etiology of the pain w...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2005.04.005
更新日期：2006-01-01 00:00:00
abstract：HYPOTHESIS:This study evaluated the diagnostic efficacy of computed tomography arthrography (CTA) in the assessment of various shoulder pathologies with arthroscopic correlation. We hypothesized that CTA would be cost-effective and effectively comparable with magnetic resonance arthrography (MRA) for assessing labral d...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2009.04.012
更新日期：2010-01-01 00:00:00
abstract：:Rotator cuff tears represent the most common shoulder injuries in the United States. The debilitating effect of this degenerative condition coupled with the high incidence of failure associated with existing graft choices underscores the clinical need for alternative grafting solutions. The 2 critical design criteria ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jse.2011.11.016
更新日期：2012-02-01 00:00:00
abstract：:Outcome after surgical treatment for nonunion and malunion of midshaft displaced clavicle fractures has generally been described as favorable and equal to results of acute repair. This assumption has been based on subjective criteria, however, and no direct comparison is available in the literature. This study used ob...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.01.001
更新日期：2007-09-01 00:00:00
abstract：:Understanding of the distal biceps anatomy, mechanics, and biology during the last 75 years has greatly improved the physician's ability to advise and to treat patients with ruptured distal tendons. The goal of this paper is to review the past and current advances on complete distal biceps ruptures as well as controve...
journal_title：Journal of shoulder and elbow surgery
pub_type： 历史文章,杂志文章,评审
doi：10.1016/j.jse.2016.05.025
更新日期：2016-10-01 00:00:00
abstract：:Fifty patients who underwent reoperation for failure of previous repair of rotator cuff rupture were evaluated 24 to 84 months after final repair (mean 30 months). Forty-eight of these patients had undergone all previous attempts at repair elsewhere. Most patients had had one or two earlier attempts, but four patients...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/S1058-2746(09)80054-2
更新日期：1992-11-01 00:00:00
abstract：BACKGROUND:Valid patient-reported outcomes (PROs) for the shoulder and elbow do not exist for children. We assessed children's comprehension of the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire and the American Shoulder and Elbow Surgeons (ASES) standardized shoulder assessment form, ident...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.11.009
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Bone mineral density measurements with dual-energy x-ray absorptiometry (DXA) are commonly used to diagnose osteoporosis and assess fracture risk. This study describes the association between radiographic measures of proximal humeral cortical bone thickness and bone mineral density measured by DXA. The study...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.08.018
更新日期：2013-06-01 00:00:00
