肱二头肌长头肌腱的研究进展Advances in the study of long head of bicep tendon
李震,陈贞月,李景银,荆立忠
摘要(Abstract):
肱二头肌长头肌腱(long head of the biceps tendon, LHBT)是盂肱关节内的一种特殊解剖学结构,它起源于肩胛骨盂上结节,经肱骨头上方,在结节间沟上部由内上行向外下,形成滑车复合体(pulley complex)以稳定肩关节。LHBT对肩关节生物力学至关重要,被认为是与肩袖等其他结构协同作用的动态稳定装置。LHBT病理学特征是肩前部疼痛,可由慢性炎症、断裂、SLAP损伤、不稳或以上综合因素所导致。由于LHBT解剖学和生物力学特征,并与肩关节内其他解剖结构相互作用的特性,因此临床上LHBT发生单一性病变是罕见的;其中,肩袖损伤与LHBT的病理变化密切相关。LHBT病变的复杂性是临床医生在诊断和治疗方面所面临的一个重大挑战。
关键词(KeyWords): 肱二头肌长头肌腱;SLAP损伤;滑车损伤
基金项目(Foundation): 山东省高校基金:山东省高校中医药协同创新项目(项目编号:XTCX2014A01-02);; 山东省高等学校科技计划项目(编号:J14LK07)
作者(Author): 李震,陈贞月,李景银,荆立忠
参考文献(References):
- [1]Vangsness CT Jr,Jorgenson SS,Watson T,et al.The origin of the long head of the biceps from the scapula and glenoid labrum.An anatomical study of 100 shoulders[J].J Bone Joint Surg Br,199476(6):951-4.
- [2]Variation in origin of the long head of the biceps brachii tendon in a cadaver[J].Medicine,2018,97(24):e11198.
- [3]Murillo-González J,Cuadra-Blanco CDL,Arráez-Aybar L A,e al.Development of the long head of the biceps brachial tendon:a possible explanation of the anatomical variations[J].Ann Anat2018,218:243-249.
- [4]Gohlke F,Essigkrug B,Schmitz F.The pattern of the collagen fiber bundles of the capsule of the glenohumeral joint[J].J Shoulder Elbow Surg,1994,3(3):111-128.
- [5]Werner A,Mueller T,Boehm D,et al.The stabilizing sling for the long head of the biceps tendon in the rotator cuff interval.A histoanatomic study[J].Am J Sports Med,2000,28(1):28.
- [6]Jon K.In reparable rotator cuff tears with lesions of the long head of the biceps brachii tendon,tenotomy did not differ from tenodesis in terms of function or pain[J].J Bone Joint Surg Am,2017,99(4):351.
- [7]Kang Y,Lee JW,Ahn JM,et al.Instability of the long head of the biceps tendon in patients with rotator cuff tear:evaluation on magnetic resonance arthrography of the shoulder with arthroscopic correlation[J].Skelet Radiol,2017,46(10):1335-1342.
- [8]Boesmueller S,Nógrádi,Antal,Heimel P,et al.Neurofilament distribution in the superior labrum and the long head of the biceps tendon[J].J Orthop Surg Res,2017,12(1):181.
- [9]Boesmueller S,Fialka C,Pretterklieber ML.The arterial supply of the tendon of the long head of the biceps brachii in the human:Acombined anatomical and radiological study[J].Ann Anatomy,2014,196(6):449-455.
- [10]Heuberer PR,K?lblinger R,Buchleitner S,et al.Arthroscopic management of massive rotator cuff tears:an evaluation of debridement,complete,and partial repair with and without force couple restoration[J].Knee Surg Sports Traumatol Arthrosc,2016,24(12):3828-3837.
- [11]Chen RE,Ilya V.Long head of biceps Injury[J].Sports Med Arthroscopy Rev,2018,26(3):139-144.
- [12]Hawkes DH,Alizadehkhaiyat O,Kemp GJ,et al.Electromyographic assessment of muscle fatigue in massive rotator cuff tear[J].JElectromyography Kinesiol,2015,25(1):93-99.
- [13]Beall DP,Williamson EE,Ly JQ,et al.Association of biceps tendon tears with rotator cuff abnormalities:degree of correlation with tears of the anterior and superior portions of the rotator cuf[J]Am J Roentgenol,2003,180(3):633-639.
- [14]Uschok S,Herrmann S,Pauly S,et al.Combined arthroscopic tenodesis of the long head of biceps and rotator cuff repair in antero-superior cuff tears[J].Arch Orthop Trauma Surg,2016,136(9):1-7.
- [15]Boileau P,Ahrens PM,Hatzidakis AM.Entrapment of the long head of the biceps tendon:the hourglass biceps-a cause of pain and locking of the shoulder[J].J Shoulder Elbow Surg,2004,13(3):249-257.
- [16]Andrews JR,Jr CW,Mcleod WD.Glenoid labrum tears related to the long head of the biceps[J].Am J Sports Med,1985,13(5)337-341.
- [17]Snyder SJ,Karzel RP,Pizzo WD,et al.Arthroscopy classics.SLAPlesions of the shoulder[J].Arthroscopy,2010,26(8):1117.
- [18]Maffet MW,Gartsman GM,Moseley B.Superior labrum-biceps tendon complex lesions of the shoulder[J].Am J Sports Med1995,23(1):93-98.
- [19]Burkhart SS,Morgan CD.The peel-back mechanism:its role in producing and extending posterior type II SLA P,lesions and its effect on SLA P,repair rehabilitation[J].Arthroscopy,1998,14(6):637-640.
- [20]H?Lscher T,Weber T,Lazarev I,et al.The influence of rotator cuff tears on glenohumeral stability during abduction tasks[J].J Orthop Res,2016:n/a-n/a.
- [21]Calcei JG,Boddapati V,Altchek DW,et al.Diagnosis and treatment of injuries to the biceps and superior labral complex in overhead athletes[J].Curr Rev Musculoskel Med,2018.
- [22]Lee H J,Jeong J Y,Kim C K,et al.Surgical treatment of lesions of the long head of the biceps brachii tendon with rotator cuff tear:a prospective randomized clinical trial comparing the clinical results of tenotomy and tenodesis[J].J Shoulder Elbow Surg,2016,25(7):1107-1114.
- [23]Habermeyer P,Kaiser E,Knappe M,et al.Functional anatomy and biomechanics of the long biceps tendon[J].Der Unfallchirurg,1987,90(7):319-29.
- [24]Lafosse L,Reiland Y,Baier G P,et al.Anterior and posterior instability of the long head of the biceps tendon in rotator cuff tears:a new classification based on arthroscopic observations[J].Arthroscopy,2007,23(1):73-80.