Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Is the Strong Fixation Necessary in Performing Biceps Tenodesis?

이두근 장두 건 고정술시 강한 고정이 필요한가?

  • Song, Hyun Seok (Department of Orthopedic Surgery, St.Paul's Hospital, The Catholic University of Korea) ;
  • Choi, Woo Hyuk (Department of Orthopedic Surgery, St.Paul's Hospital, The Catholic University of Korea)
  • 송현석 (가톨릭대학교 의과대학 성바오로병원 정형외과학교실) ;
  • 최우혁 (가톨릭대학교 의과대학 성바오로병원 정형외과학교실)
  • Received : 2012.12.10
  • Published : 2012.12.31
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Abstract

Various biceps tenodesis techniques being used, make it difficult to compare the result of reports. First, the biceps tenodesis could be classified according to being performed by open incision or by the arthroscopic procedure. Second, it could be classified as a soft tissue and bony tenodesis according to the tissue which the long head of biceps is fixed with. Third, it could be classified as a proximal and distal tenodesis according to the location which the long head of biceps is fixed with. Fourth, it could be classified according to the implant (interference screw, suture anchor, knotless suture anchor). A decision should be suspended until an appropriate strength of tenodesis is revealed.

다양한 이두근 건고정술이 시행되고 있어서, 문헌들의 결과를 단순 비교하기 어렵게 만든다. 이두근 장두의 건고정술은 첫째로, 시술을 관혈적 절개를 통하여 시행하는가 또는 관절경을 이용한 방법으로 시행하는가로 구분해 볼 수 있다. 두 번째로는, 이두건 자체를 고정하는 주변 조직에 따라서 연부 조직 건고정술과 골 고정술로 나눌 수 있다. 세 번째로는, 고정하는 위치에 따라 근위부와 원위부로 구분할 수 있다. 네 번째로는, 건 고정술에 기구(간섭 나사, 봉합 나사, 비매듭 봉합 나사 등)를 사용하는 가에 따라서 구분해 볼 수 있다. 적절한 고정력이 어느 정도인지 밝혀지기까지는 단정적인 결론은 보류되어야 한다.

Keywords

References

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