Predictive factors of long head of the biceps tendon disorders-the bicipital groove morphology and subscapularis tendon tear

被引:33
作者
Urita, Atsushi [1 ]
Funakoshi, Tadanao [1 ]
Amano, Toraji [2 ]
Matsui, Yuichiro [1 ]
Kawamura, Daisuke [1 ]
Kameda, Yusuke [1 ]
Iwasaki, Norimasa [1 ]
机构
[1] Hokkaido Univ, Grad Sch Med, Dept Orthopaed Surg, Kita 15,Nishi 7, Sapporo, Hokkaido 0608638, Japan
[2] Hokkaido Univ Hosp Sapporo, Clin Res & Med Innovat Ctr, Sapporo, Hokkaido, Japan
关键词
long head biceps tendon; shoulder pain; multivariate ordinal logistic regression; bicipital groove morphology; subscapularis tendon; rotator cuff tear; ROTATOR CUFF TEARS; LESIONS; SHOULDER; INTERVAL; PORTION; ANATOMY; PULLEY;
D O I
10.1016/j.jse.2015.12.015
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Disorders of the long head of the biceps (LHB) tendon contribute to anterior shoulder pain. Although LHB tendon disorders are associated with rotator cuff disease, distinguishing between biceps and rotator cuff pathology is difficult. The objective was to identify the predictors of LHB tendon disorders associated with a supraspinatus tear. Methods: In 55 patients (average age, 65 years) undergoing arthroscopic rotator cuff repair, bicipital groove morphology were assessed using computed tomography, and subscapularis tear and bicipital groove effusion were assessed using magnetic resonance imaging, retrospectively. The LHB tendon was evaluated arthroscopically according to the Lafosse classification. Univariate and multivariate ordinal logistic regression analyses were conducted for injury grade with all covariates. Results: The arthroscopic evaluation of the LHB tendon showed that there were 23 shoulders classified as grade 0, 15 as grade 1, and 17 as grade 2. Univariate logistic regression analysis showed that the width and depth, a medial spur of the bicipital groove, and a subscapularis tear were significantly associated with LHB tendon disorders. Multivariate ordinal logistic regression analysis identified a medial spur and subscapularis tear as significant predictors of LHB tendon disorders. Conclusions: The preoperative computed tomography and magnetic resonance images, notably the presence of a spur on the bicipital groove or a subscapularis tear, were useful for identifying LHB tendon disorders. When these are found in preoperative images, the clinician should evaluate the patient for the presence of an LHB tendon disorder as a pain generator. (C) 2016 Journal of Shoulder and Elbow Surgery Board of Trustees
引用
收藏
页码:384 / 389
页数:6
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