Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Lesions of the Long Head Biceps Pulley

상완 이두근 장두 활차 병변

  • Kim, Chul Hong (Department of Orthopedic Surgery, College of Medicine, Dong-A University) ;
  • Lee, Myung Jin (Department of Orthopedic Surgery, College of Medicine, Dong-A University) ;
  • Kang, Min Soo (Department of Orthopedic Surgery, Dong-Eu Medical Center)
  • 김철홍 (동아대학교 의과대학 정형외과학교실) ;
  • 이명진 (동아대학교 의과대학 정형외과학교실) ;
  • 강민수 (동의의료원 정형외과)
  • Received : 2013.05.29
  • Accepted : 2013.06.20
  • Published : 2013.06.30
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Abstract

Lesions of the long head biceps tendon pulley are frequent causes of shoulder dysfunction and pain. These lesions cause instability of the long head of the biceps tendon (LHB), and intra-articular tear of the subscapularis and the supraspinatus tendon might result from them. The arthroscopic repair of these lesions has not gained widespread acceptance as an effective procedure. Predictable results can be obtained by treating these lesions more definitively with tenotomy or tenodesis. The purpose of this article is to review the anatomy and properties of the LHB pulley and to provide treatment strategies for alleviating pulley lesions.

상완 이두근 장두 활차의 병변은 종종 견관절 통증과 기능저하의 원인 되기도 한다. 이 병변으로 인하여 상완 이두근 장두의 불안정성과 견갑하건 및 극상건의 관절내 부분 파열이 야기되기도 한다. 이러한 활차 병변에 대하여 관절경적 봉합술을 시행하는 것에 대하여는 이견이 존재하는데, 이는 상완 이두근 장두의 건 절단술이나 건 고정술이 더 예측 가능한 결과를 제공하기 때문이다. 이 종설의 목적은 상완 이두근 장두 활차의 구조와 손상 기전 및 치료에 대한 정보를 제공하기 위함이다.

Keywords

References

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