PDF(Pubmed)
Abstract：
Rotator cuff tears (RCT) and instability are the most common surgically treated shoulder pathologies. The concept of augmentation using the long head of the biceps tendon (LHBT) autograft was created to improve the results of surgical treatment of these pathologies, especially in cases of chronic and massive injuries. The popularity of using the LHBT for augmentation is evidenced by the significant number of publications on this topic published in the last 3 years; however, only one systematic review has been published regarding only LHBT augmentation for massive RCTs. Several studies comparing partial repair with partial repair and additional LHBT augmentation for RCT showed superior clinical outcomes and lower re-tear rates when LHBT augmentation was performed. There is a rising popularity of using LHBT as an autograft to perform superior capsule reconstruction (SCR) in case of irreparable rotator cuff tears. In recent years, shoulder stabilization by arthroscopic Bankart repair with biceps augmentation has been promoted with very promising short-term results. The evidence provided by studies appears to be sufficient to recommend the use of LHBT for augmentation whenever necessary; however, larger studies with long-term follow-up are needed.
摘要：
肩袖撕裂（RCT）和不稳定是最常见的手术治疗肩关节病变。使用肱二头肌肌腱（LHBT）自体移植物的长头增强的概念旨在改善这些病变的手术治疗结果，特别是在慢性和严重伤害的情况下。在过去的3年中，关于该主题的大量出版物证明了使用LHBT进行增强的普及；但是，仅发表了一篇关于大量随机对照试验的LHBT增强的系统评价.一些比较部分修复与部分修复和额外LHBT增强用于RCT的研究显示，当进行LHBT增强时，临床效果更好，再撕裂率更低。在不可修复的肩袖撕裂的情况下，使用LHBT作为自体移植物进行出色的胶囊重建（SCR）越来越受欢迎。近年来,通过关节镜下Bankart修复和肱二头肌增强，促进了肩关节的稳定，并取得了非常有希望的短期效果。研究提供的证据似乎足以建议在必要时使用LHBT进行增强；但是，需要进行更大规模的长期随访研究.
