scholarly journals Editorial Commentary: Long Head Biceps Tendon Autograft Is an Ideal and Cost-effective Graft Choice in Superior Capsular Reconstruction of the Glenohumeral Joint

Author(s):  
Ilya Voloshin
2021 ◽  
Vol 15 (1) ◽  
pp. 8
Author(s):  
Romy Deviandri ◽  
Aidil A Nurshal ◽  
Hanif Fahmat

Cedera otot supraspinatus masif merupakan salah satu cedera yang sering terjadi pada kelompok olahragawan. Pasien akan mengeluhkan nyeri serta kelemahan di bahu yang cedera. Terdapat banyak pilihan teknik untuk menangani cedera tersebut. Penelitian ini akan membandingkan penanganan cedera ini dengan teknik rekonstruksi menggunakan graft dari tendon long head biceps (LHB) dan tendon fascia lata (TFL). Penelitian ini merupakan studi literatur untuk membandingkan teknik dan outcome antara prosedur LHB dan TFL. Dari hasil penelitian, didapatkan hasil bahwa LHB lebih mudah untuk dilakukan dengan efek biomekanika yang sebanding dengan TFL, serta lebih baik dalam hal mencegah migrasi humeral head ke superior. Namun, TFL tampak lebih kuat dan penyembuhannya lebih baik karena mempunyai karakteristik dan struktur biomekanis yang lebih mirip dengan tendon supraspinatus. Kesimpulan penelitian ini, kedua teknik mempunyai keuntungan dan kerugian masing-masing. Namun, kedua teknik sama-sama mempunyai kemampuan yang baik serta dapat menjadi pilihan dalam penanganan cedera otot supraspinatus.


2019 ◽  
Vol 7 (11_suppl6) ◽  
pp. 2325967119S0045
Author(s):  
Shiyi Chen ◽  
Lihong ◽  
Xiliang Shang

Massive or irreparable rotator cuff tears remain a challenging with a high failure rates of the tendon re-tear after surgical treatment in sports medicine practice. Superior capsular reconstruction with either fascia lata autograft or a dermal allograft patch has been described to prevent superior humeral head migration and restore the shoulder muscle force couples to achieve the promising results. A modified and simplified surgical procedure using long head biceps tendon (LHBT) autograft as superior capsular reconstruction (LHBT-SCR) to facilitate the massive rotator cuff repair has been descripted as ”Chinese Way” by a team of French surgeons and Chinese surgeons. The surgical technic has been used in China more than 300 cases. The procedure of this LHBT-SCR has been approved with the advantage of least technical demands, simplifies the original demanding, short the surgical time, satisfy the results and patient acceptance. A multi-center prospective studies with large cohort populations and long-term follow-up has been established in China for its effectiveness. The present will introduce the technic in detail.


2020 ◽  
Vol 5 (8) ◽  
pp. 508-518
Author(s):  
Patrick Goetti ◽  
Patrick J. Denard ◽  
Philippe Collin ◽  
Mohamed Ibrahim ◽  
Pierre Hoffmeyer ◽  
...  

The stability of the glenohumeral joint depends on soft tissue stabilizers, bone morphology and dynamic stabilizers such as the rotator cuff and long head of the biceps tendon. Shoulder stabilization techniques include anatomic procedures such as repair of the labrum or restoration of bone loss, but also non-anatomic options such as remplissage or tendon transfers. Rotator cuff repair should restore the cuff anatomy, reattach the rotator cable and respect the coracoacromial arch whenever possible. Tendon transfer, superior capsular reconstruction or balloon implantation have been proposed for irreparable lesions. Shoulder rehabilitation should focus on restoring balanced glenohumeral and scapular force couples in order to avoid an upward migration of the humeral head and secondary cuff impingement. The primary goal of cuff repair is to be as anatomic as possible and to create a biomechanically favourable environment for tendon healing. Cite this article: EFORT Open Rev 2020;5:508-518. DOI: 10.1302/2058-5241.5.200006


2016 ◽  
Vol 95 (11) ◽  
pp. e183-e184 ◽  
Author(s):  
Ming-Yen Hsiao ◽  
Chen-Yu Hung ◽  
Ke-Vin Chang ◽  
Levent Özçakar

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