Surgical correction of the 'Popeye biceps' deformity: dual-window approach for combined subpectoral and deltopectoral access and proximal biceps tenodesis
| Autor: | Bibhas DasGupta, Deepak N. Bhatia |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Reoperation
medicine.medical_specialty medicine.medical_treatment Tenotomy Tenodesis Dissection (medical) Biceps Pectoralis Muscles Postoperative Complications Tendon Injuries medicine Deformity Humans Minimally Invasive Surgical Procedures Orthopedics and Sports Medicine Muscle Skeletal Ultrasonography Rupture business.industry Shoulder Joint Surgical correction medicine.disease Magnetic Resonance Imaging Tendon Surgery medicine.anatomical_structure medicine.symptom Shoulder Injuries business Biceps tendon |
| Zdroj: | The Journal of hand surgery. 37(9) |
| ISSN: | 1531-6564 |
| Popis: | "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. |
| Databáze: | OpenAIRE |
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