Attachment types of the long head of the biceps tendon to the glenoid labrum and their relationships with the glenohumeral ligaments

Attachment types of the long head of the biceps tendon to the glenoid labrum and their relationships with the glenohumeral ligaments
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DOI:
10.1016/j.arthro.2005.07.006
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发表时间:
2005-10-01
影响因子:
4.7
通讯作者:
Abe, H
Abe, H
中科院分区:
医学1区
文献类型:
--
作者:
Tuoheti, Y;Itoi, E;Abe, H

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阐明二头肌长头肌腱与盂唇的附着类型及其与盂肱韧带关节盂附着的关系。研究类型:尸体解剖学研究。研究方法:使用101具尸体肩关节,肱二头肌肌腱的关节盂附着类型和盂肱韧带关节盂起点的位置进行了宏观评估,然后在矢状面上进行组织学检查。结果如下:肱二头肌肌腱的关节盂附着类型被定义为28个肩关节(27.7%)完全后部,56个肩关节(55.4%)后部占优势,17个肩关节(16.8%)相等,没有肩关节(0%)完全前部。在所有肩关节中,上级和中间盂肱韧带在12点和1点之间连接(平均12:36点),而下盂肱韧带(IGHL)显示出更大的变化。在后显性和等体型中,IGHL的附着相对较高(后显性型平均为2:49点,等体型平均为1:49点)。全后向型IGHL位于4 ~ 5点(平均4:32点)位置较低。两组比较有显著性差异(P
To clarify the attachment types of the long head of the biceps tendon to the glenoid labrum and their relationships with the glenoid attachment of the glenohumeral ligaments. Types of Study: Anatomic study in cadavers. Methods: Using 101 cadaver shoulders, the glenoid attachment types of the biceps tendon and the location of the glenoid origin of the glenohumeral ligaments were assessed macroscopically and then histologically on the sagittal section. Results: The glenoid attachment types of the biceps tendon were defined as entirely-posterior in 28 shoulders (27.7%), posterior-dominant in 56 shoulders (55.4%), equal in 17 shoulders (16.8%), and entirely anterior in none (0%). In all shoulders, the superior and middle glenohumeral ligaments were attached between 12 and 1 o'clock (average, 12:36 o'clock), whereas the inferior glenohumeral ligament (IGHL) showed greater variation. In the posterior-dominant and equal types, the IGHL was attached relatively high (average 2:49 o'clock for the posterior-dominant type and 1:49 o'clock for the equal type). In the entirely posterior type, the IGHL was attached low, between 4 and 5 o'clock (average, 4:32 o'clock). There was a significant difference between them (P