• 제목/요약/키워드: Suture tenodesis

검색결과 4건 처리시간 0.02초

이두근 장두 건 고정술시 강한 고정이 필요한가? (Is the Strong Fixation Necessary in Performing Biceps Tenodesis?)

  • 송현석;최우혁
    • Clinics in Shoulder and Elbow
    • /
    • 제15권2호
    • /
    • pp.148-153
    • /
    • 2012
  • 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.

Intraoperative periprosthetic humeral fracture during reverse shoulder arthroplasty: a sequelae of prior biceps tenodesis

  • Serge Sultanem;Mohamad Y. Fares;Hasan Baydoun
    • Clinics in Shoulder and Elbow
    • /
    • 제26권1호
    • /
    • pp.82-86
    • /
    • 2023
  • Intraoperative periprosthetic humeral fractures are a rare but debilitating complication of reverse shoulder arthroplasty and can occur during multiple stages of the procedure. Prior biceps tenodesis has been found to reduce cortical humeral strength and predispose the patient to humeral fracture. We present a case of a 68-year-old female with a previous history of biceps tenodesis due to an irreparable rotator cuff tear. Months later, and after symptoms persisted, a reverse shoulder arthroplasty was performed. During the surgery and while performing final reduction, a fracture line was observed involving the hole used for the previous tenodesis procedure. The fracture was repaired, and the patient reported favorable outcomes. We report several factors that might have contributed to sustenance of this intraoperative fracture including prior biceps tenodesis, use of a press fit humeral stem, and the sex of the patient. Level of evidence: V.

단순 건고정술이 불가능한 전경골건 견열 손상에 대한 건연장술 이후 건고정술: 증례 보고 (Tenodesis after Tendon Lengthening for Irreparable Tibialis Anterior Tendon Avulsion Injury: A Case Report)

  • 채수휘;서진수;최준영
    • 대한족부족관절학회지
    • /
    • 제26권4호
    • /
    • pp.183-186
    • /
    • 2022
  • Anterior tibialis ruptures are a rare type of injury related to the foot and ankle. Specifically, chronic and non-traumatic ruptures are related to preexisting chronic tendinopathic conditions and anatomical factors. These ruptures may cause persistent pain and functional impairments if neglected. Chronic tibialis anterior ruptures are frequently diagnosed late because the symptoms are not distinct. In cases with chronic or non-traumatic tibialis anterior tendon ruptures, tendons often become irreparable. Hence, various surgical options have been introduced to address this issue. The current surgical treatment options are as follows: free sliding anterior tibialis graft, extensor hallucis longus tendon transfer, and reconstruction with an allograft tendon. To date, there have been few reports about the reconstruction technique using Z-plasty for irreparable tibialis anterior tendon ruptures. In this report, we present a rare case of the application of the tibialis anterior tendon reconstruction technique using Z-plasty and tenodesis for a middle-aged man with an irreparable avulsion injury rupture. We also present the management plan and prognostic outlook, as well as a subsequent review of the relevant literature.