Intra-articular arthroscopic biceps tenodesis with interference screw : clinical and isokinetic evaluation

© 2020 The Authors.

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 4(2020), 3 vom: 25. Sept., Seite 632-637
1. Verfasser: Schiefer, Márcio (VerfasserIn)
Weitere Verfasser: Cossich, Victor, Siqueira, Gláucio, Monteiro, Martim Teixeira, Nery, Luiz Felipe, Motta, Geraldo
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Shoulder arthroscopy biceps tendon elbow strength isokinetic evaluation tenodesis
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520 |a BACKGROUND: Although biceps tenodesis has been widely used to treat its pathologies, few studies looked at the objective evaluation of elbow strength after this procedure. The purpose of this study is to clinically evaluate patients submitted to long head of the biceps (LHB) tenodesis with interference screws through an intra-articular approach and analyze the results of an isokinetic test to measure elbow flexion and forearm supination strengths 
520 |a METHODS: Patients who had biceps tenodesis were included in the study if they had a minimum follow-up of 24 months. Patients were excluded if they had concomitant irreparable cuff tears or previous or current contralateral shoulder pain or weakness. Postoperative evaluation was based on University of California-Los Angeles (UCLA) shoulder score and on measurements of elbow flexion and supination strength, using an isokinetic dynamometer. Tests were conducted in both arms, with velocity set at 60º/s with 5 concentric-concentric repetitions 
520 |a RESULTS: Thirty-three patients were included and the most common concomitant diagnosis were rotator cuff tear (69%) and superior labrum anterior to posterior (SLAP) lesions (28%). The average UCLA score improved from 15.1 preoperatively to 31.9 in the final follow-up (P < .001). Isokinetic tests showed no difference in peak torque between the upper limbs. One patient had residual pain in the biceps groove. None of the patients had Popeye deformity. UCLA score and follow-up length did not demonstrate correlation with peak torque 
520 |a CONCLUSION: Arthroscopic proximal biceps tenodesis with interference screw, close to the articular margin, yielded good clinical results. Isokinetic tests revealed no difference to the contralateral side in peak torque for both supination and elbow flexion 
650 4 |a Journal Article 
650 4 |a Shoulder 
650 4 |a arthroscopy 
650 4 |a biceps tendon 
650 4 |a elbow strength 
650 4 |a isokinetic evaluation 
650 4 |a tenodesis 
700 1 |a Cossich, Victor  |e verfasserin  |4 aut 
700 1 |a Siqueira, Gláucio  |e verfasserin  |4 aut 
700 1 |a Monteiro, Martim Teixeira  |e verfasserin  |4 aut 
700 1 |a Nery, Luiz Felipe  |e verfasserin  |4 aut 
700 1 |a Motta, Geraldo  |e verfasserin  |4 aut 
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773 1 8 |g volume:4  |g year:2020  |g number:3  |g day:25  |g month:09  |g pages:632-637 
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