Ultrasound-Guided Percutaneous Tenotomy of Biceps Tendon: Technical Feasibility on Cadavers

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• 作者：Luca Maria Sconfienza^&lowast ; ; ^&dagger ; ; ^{io@lucasconfienza.it" class="auth_mail" title="E-mail the corresponding author} ; Giovanni Mauri^&Dagger ; ; ^§ ; ; Carmelo Messina^¶ ; ; Alberto Aliprandi^§ ; ; Francesco Secchi^&dagger ; ; ^§ ; ; Francesco Sardanelli^&dagger ; ; ^§ ; ; Pietro Simone Randelli^&dagger ; ; ^‖
• 关键词：Shoulder ; Long head of biceps tendon ; Tenotomy ; Ultrasound-guided procedure ; Cadavers
• 刊名：Ultrasound in Medicine & Biology
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：42
• 期：10
• 页码：2513-2517
• 全文大小：1392 K

文摘

We tested the technical feasibility of ultrasound-guided percutaneous tenotomy of the long head of the biceps tendon (LHBT) in cadavers. Both shoulders of two fresh cadavers were scanned anteriorly to evaluate the extra-articular portion of the LHBT. Under ultrasound monitoring, a scalpel was advanced obliquely up to touch the superficial medial side of the LHBT, cutting it until the tendon was not visible anymore. Ultrasound evaluation was repeated after the procedure, and anatomic dissection was performed. The procedure was 100% feasible: four cuts were made to completely sever the tendon; the duration was less than 1 min. Skin incision measured 5 mm in two cases and 6 mm in two cases. Anatomic dissection confirmed complete tendon cut in all cases with proximal and distal tendon stumps very close to each other. Ultrasound-guided percutaneous LHBT tenotomy was 100% technically feasible in cadavers with a quick procedure and minimal cutaneous incision.