Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Short-Term Results of Subpectoral Tenodesis of the Proximal Biceps Tendon Using by Interference Screw

간섭나사를 이용한 흉근하 상완 이두근 건 고정술의 단기 추시 결과

  • Kim, Jeong-Woo (Department of Orthopaedic Surgery, School of Medicine, Wonkwang University) ;
  • Kang, Hong-Je (Department of Orthopaedic Surgery, School of Medicine, Wonkwang University)
  • 김정우 (원광대학교 의과대학 정형외과학교실) ;
  • 강홍제 (원광대학교 의과대학 정형외과학교실)
  • Received : 2010.01.15
  • Accepted : 2010.05.04
  • Published : 2010.06.15
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Abstract

Purpose: Our purpose was to retrospectively analyze clinical results of subpectoral tenodesis of the proximal biceps tendon using an interference screw. Materials and Methods: We reviewed 23 cases of patients receiving tenodesis of the proximal biceps tendon between January 2008 and January 2009 for whom we had follow-up data for at least 1 year. Twenty-three cases were operated on using subpectoral tenodesis; 16 of these cases had a rotator cuff tear. The results were judged using a visual analog scale (VAS), ASES, tenderness on the biceps groove, fixation failure and the degree of deformity (BAD). Results: VAS and ASES scores were significantly improved in all patients by the time of the final observation. There were no significant complications or fixation failures. The patients without a tear of the rotator cuff had a better result than patients with a tear of the rotator cuff, but the difference between the two groups was not significant (p>0.05). Conclusion: In patients with pathology of the long head of the biceps brachii, benefits of subpectoral interference screw tenodesis include pain relief, maintenance of functional biceps, muscle strength, and cosmesis. Subpectoral biceps tenodesis using interference screw fixation appears to be a promising, reproducible, reliable technique for addressing anterior shoulder pain related to pathology of the long head of the biceps brachii.

목적: 상완 이두근 장두의 고정술을 시행하는데 있어 흉근하 (subpectoral) 간섭 나사못 고정술의 임상적 결과에 대해 후향적으로 분석하고자 하였다. 대상 및 방법: 2008년 1월부터 2009년 1월까지 상완 이두근 장두의 건 고정술을 시행한 환자를 대상으로 하였으며, 최소 1년 이상 추시가 가능하였던 23예를 대상으로 하였다. 그 중 회전근개 파열을 동반한 경우는 16예였다. 결과는 VAS, ASES, 상완 이두건 구의 통증, 고정실패 및 변형의 정도로 판단하였다 (BAD). 결과: 최종 추시 시 모든 환자에서 수술 전에 비해서 VAS, ASES점수는 의미 있게 호전되었으며 고정의 실패나 합병증은 없었다. 회전근개 파열을 동반한 군과 그렇지 않는 군에서는 최종 추시시 회전근개 파열이 없는 군에서 좋은 결과를 얻을 수 있었으나 통계학적인 의미는 없었다(p>0.05). 결론: 상완 이두건 근위부 병변에 의한 통증이 있는 환자에서 흉근하 건 고정술은 최종 추시시 통증의 경감이나 기능적인 이두근 근력의 유지, 미용상으로 좋은 결과를 얻을 수 있을 것으로 사료된다.

Keywords

References

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