肱二头肌长头腱分型肱二头肌长头腱分型(台湾长庚医院).pdfVIP

Original Article 263 Classification and Analysis of Pathology of the Long Head of the Biceps Tendon in Complete Rotator Cuff Tears Chien-Hao Chen, MD; Chih-Hwa Chen, MD; Chih-Hsiang Chang, MD; Chun-I Su, MD; Kun-Chung Wang, MD; I-Chun Wang, MD; Hsien-Tao Liu, MD; Chung-Ming Yu, MD; Kuo-Yao Hsu1, MD Background: Pathology of the long head of the biceps tendon (LHB) is commonly associ- ated with rotator cuff tears (RCTs). Superior labral anterior-posterior (SLAP) lesions can also occur with RCTs. The purpose of this study was to include SLAP lesions as part of LHB pathology in surgical cases of RCT and define the role of SLAP lesions in RCTs. Methods: We retrospectively evaluated clinical data from 176 cases of complete RCT undergoing surgery. During surgery, the LHB was arthroscopically exam- ined. A modified 6-type classification was used to describe the LHB patholo- gy in these cases: tendinitis, subluxation, dislocation, partial tear, complete rupture and SLAP lesions. The relationship of LHB pathology to different characteristics of RCTs was statistically analyzed. Results: Of RCT cases, 33% had Type 1 (tendinitis), 11% had Type 2 (subluxation), 9% had Type 3 (dislocation), 16% had Type 4 (partial tear), 7% had Type 5 (complete rupture) and 6% had Type 6 (SLAP) lesions. The remaining 18% of cases had no obvious LHB pathology. LHB pathology were associated