20141220高绪仁膝肩关节SCI论文研读会

Dr. Xuren GAO knee & Shoulder Journal Club

       2014年12月20日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee & Shoulder Journal Club)。

       本次研讨的论文题目是：Diagnostic Glenohumeral Arthroscopy Failsto Fully Evaluate the Biceps-Labral Complex.

       通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee & Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节肱二头肌长头腱解剖的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下肩关节肱二头肌长头腱损伤与疾病的诊断、治疗、科研进一步打下了良好的基础。

原文链接:http://www.ncbi.nlm.nih.gov/pubmed/25498874

Diagnostic Glenohumeral Arthroscopy Fails to Fully Evaluate the Biceps-Labral Complex

This work was presented the J. Whit Ewing Resident/Fellow Essay Award—Clinical, at the 2014 Arthroscopy Association of North America Meeting, Hollywood, Florida.

Samuel A. Taylor, M.D.

,

M. Michael Khair, M.D.

,

Lawrence V. Gulotta, M.D.

,

Andrew D. Pearle, M.D.

,

Nikolas J. Baret

,

Ashley M. Newman, B.S.

,

Christopher J. Dy, M.D., M.S.P.H.

,

Stephen J. O'Brien, M.D., M.B.A.

Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York, U.S.A.

Received: April 24, 2014; Accepted: October 3, 2014; Published Online: December 10, 2014

Purpose

The purpose of this study was to define the limits of diagnostic glenohumeral arthroscopy and determine the prevalence and frequency of hidden extra-articular “bicipital tunnel” lesions among chronically symptomatic patients.

Methods

Eight freshfrozen cadaveric specimens underwent diagnostic glenohumeral arthroscopy with percutaneous tagging of the long head of the biceps tendon (LHBT) during maximal tendon excursion. The percentage of visualized LHBT was calculated relative to the distal margin of subscapularis tendon and the proximal margin of the pectoralis major tendon.

Then, a retrospective review of 277 patients who underwent subdeltoid transfer of the LHBT to the conjoint tendon were retrospectively analyzed for lesions of the biceps-labral complex. Lesions were categorized by anatomic location (inside, junctional, or bicipital tunnel). Inside lesions were labral tears. Junctional lesions were LHBT tears visualized during glenohumeral arthroscopy. Bicipital tunnel lesions were extra-articular lesions hidden from view during standard glenohumeral arthroscopy.

ResultsSeventyeight percent of LHBT were visualized relative to the distal margin of the subscapularis tendon and only 55% relative to the proximal margin of the pectoralis major tendon. No portion of the LHBT inferior to the subscapularis tendon was visualized. Forty-seven percent of patients had hidden bicipital tunnel lesions. Scarring was most common and accounted for 48% of all such lesions. Thirty-seven percent of patients had multiple lesion locations. Forty-five percent of patients with junctional lesions also had hidden bicipital tunnel lesions. The only offending lesion was in the bicipital tunnel for 18% of patients.ConclusionsDiagnostic glenohumeral arthroscopy fails to fully evaluate the biceps-labral complex because it visualizes only 55% of the LHBT relative to the proximal margin of the pectoralis major tendon and did not identify extra-articular bicipital tunnel lesions present in 47% of chronically symptomatic patients.Level of Evidence

Level IV, therapeutic case series and cadaveric study.

上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee & Shoulder Journal Club)。

上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee & Shoulder Journal Club)。

上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee & Shoulder Journal Club)。

上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee & Shoulder Journal Club)。

上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee & Shoulder Journal Club)。

上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee & Shoulder Journal Club)。

上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee & Shoulder Journal Club)。

江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren Gao  knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren Gao knee & Shoulder Journal Club  肩关节镜手术 biceps tendon 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear  Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家  肩关节镜手术专家  运动医学科  肩  教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学  Dr.Xuren Gao Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college, Xuzhou,Jiangsu province, China 美国 肩关节镜

肩锁关节脱位 中国 江苏 徐州  肩关节镜手术 Hill-sachs remplissage