AI Article Synopsis
- - The study aimed to identify the location of vascular structures that could be harmed during an ultra-minimally invasive ultrasound-guided release of the long head of the biceps tendon (LHBT) in both volunteers and cadavers.
- - Using Doppler ultrasound, researchers determined that the acromial artery was on average 0.9 cm from their cutting point, and they performed the procedure on cadavers, successfully releasing the tendon without harming surrounding tissues.
- - The results indicated that the new technique was safe and effective, with no complications reported, and the mean length of the tendon stump after the release was 2.8 cm.
Article Abstract
Purpose: The aim of this study was to describe in volunteers and cadavers the location of the vascular structures at risk for performing a new safe and effective ultra-minimally invasive ultrasound guided long head of the biceps tendon (LHBT) release.
Methods: First, with Doppler ultrasound, we defined the position of the acromial artery from our distal cutting point, on the posterior margin of the LHBT. Second, we performed an ultra-minimally invasive ultrasound guided LHBT release in cadavers. We described the stump and reported safety (no rotator cuff, vascular, or articular damages) and efficacy (tendon release rate).
Results: In 20 volunteers, the mean distance from the distal cutting point to the acromial artery was 0.9 ± 0.1 cm (range, 0.3-1.6). Ultra-minimally invasive LHBT release was safe and fully effective in the eight specimens. The proximal stump measured a mean of 2.8 cm (range, 1.9-4). There were no complications.
Conclusions: A safe and effective ultra-minimally invasive ultrasound guided LHBT release in cadavers is feasible through an anterior approach.
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| http://dx.doi.org/10.1002/jcu.23828 | DOI Listing |
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