کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4067312 1604391 2012 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surgical Correction of the “Popeye Biceps” Deformity: Dual-Window Approach for Combined Subpectoral and Deltopectoral Access and Proximal Biceps Tenodesis
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Surgical Correction of the “Popeye Biceps” Deformity: Dual-Window Approach for Combined Subpectoral and Deltopectoral Access and Proximal Biceps Tenodesis
چکیده انگلیسی

“Popeye biceps” deformity represents the appearance of a distally retracted biceps muscle resulting from either a traumatic long biceps tendon (LBT) rupture or an iatrogenic LBT tenotomy. Cosmetic and functional problems associated with the deformity may necessitate surgical correction, and surgical exposure using multiple incisions is recommended. The technique presented here describes a novel mini-open approach using a single 1-in incision that provides access to 3 peripectoral anatomical zones. Preoperative sonographic localization of the ruptured and retracted LBT is used to guide incision placement, and facilitates intraoperative tendon retrieval via a limited incision and minimal dissection. Inferolateral retraction of the mini-incision window permits infrapectoral and subpectoral LBT mobilization and dissection. Deltopectoral access via superomedial retraction of the same skin window is used to expose the suprapectoral zone and is employed for LBT retrieval and proximal tenodesis. Technical tips for safe dissection via a mini-incision, and methods for biological LBT augmentation are discussed.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Hand Surgery - Volume 37, Issue 9, September 2012, Pages 1917–1924
نویسندگان
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