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| A Comparative Study of Arthroscopic Treatment of Acromion Impingement Syndrome with Tendinitis of Biceps Brachii Long Head (LHBT) in High Joint and Low Intertrochanteric Groove with Small Incision |
| WU Fengchun, LIAO Mingxin, HUANG Jiexin, et al |
| Nanping First Hospital Affiliated to Fujian Medical University, Fujian Nanping 353000, China |
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Abstract Objective: To investigate the comparative study of arthroscopic high intra-articular and small incision low extra-articular LHBT amputation and fixation for SIS patients with long head tendinitis of biceps brachii. Methods: From December 2019 to December 2022, 92 patients with ASES accompanied with tendinitis of biceps brachii long head were selected in our hospital. Among them, 45 patients were treated with high intra-articular LHBT amputation and fixation under arthroscopy (observation group A), and 47 patients were treated with low intra-articular LHBT amputation and fixation under intertrochanteric groove (observation group B). The scores of each dimension, total score and Constant of the University of California (UCLA) shoulder joint scoring system before and after treatment were compared. Results: After treatment, both UCLA scores of each dimension, patient satisfaction, and total scores were increased (P<0.05), but the differences in UCLA scores, patient satisfaction, and total scores before and after treatment in Group A were significantly lower (P<0.05). After treatment, Constant and ASES scores increased in both groups compared to before treatment (P<0.05), but the difference between the Constant and ASES scores of Group A before and after treatment is significantly lower (P<0.05). Compared with 95.74%, 80.00% was significantly less effective (P<0.05). Conclusion: Compared with arthroscopic treatment of high-level intra-articular LHBT amputation and fixation, small-incision low-level intra-articular LHBT amputation and fixation for SIS patients with long head tendinitis of biceps brachii can effectively promote the recovery of shoulder joint function and improve the clinical curative effect.
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2024, Vol. 30 
