Improvement in long head of biceps function and lower rate of biceps deformities after subpectoral tenodesis with cortical button and interference screw vs. arthroscopic tenotomy : a 4-year follow-up

© 2022 The Authors.

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 6(2022), 5 vom: 15. Sept., Seite 820-827
1. Verfasser: Carvalho, Filipe Ferreira (VerfasserIn)
Weitere Verfasser: Nolte, Philip-Christian, Pinheiro, Joao, Guehring, Thorsten, Egenolf, Michael, Chatterjee, Thomas
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2022
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Arthroscopy Flexion Popeye Strength Subpectoral tenodesis Supination Tenotomy
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100 1 |a Carvalho, Filipe Ferreira  |e verfasserin  |4 aut 
245 1 0 |a Improvement in long head of biceps function and lower rate of biceps deformities after subpectoral tenodesis with cortical button and interference screw vs. arthroscopic tenotomy  |b a 4-year follow-up 
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520 |a © 2022 The Authors. 
520 |a Background: This study aimed to evaluate clinical, cosmetic, and strength midterm outcomes in arthroscopic biceps tenotomy and subpectoral biceps tenodesis using bicortical endobutton and interference screw 
520 |a Methods: In this retrospective study, inclusion criteria were long head of the biceps (LHB) pathologies treated either with tenotomy or an additional tenodesis. Postoperative assessment included Long Head of Biceps Score (LHBS), age-adjusted Constant-Murley Score, and Subjective Shoulder Value. Elbow flexion and forearm supination strength were measured. The presence of Popeye sign, cramps, and tenderness over the bicipital grove was evaluated. Statistical analysis of continuous variables without normal distribution was performed using Mann-Whitney U test. Grouped analysis was performed using 2-way analysis of variance. Binominal data were analyzed using chi-square test 
520 |a Results: A total of 73 patients with a mean age of 63.1 ± 9.6 years and a mean follow-up of 4.2 ± 0.5 years were included. Tenotomy was performed in 34 and tenodesis in 39 patients. Tenodesis group displayed a significantly higher LHB score (P = .0006), but no significant differences were detected for the age-adjusted Constant-Murley Score and Subjective Shoulder Value. Tenodesis group showed a significantly lower rate of Popeye deformities (P = .0007) and tenderness over the bicipital groove (P = .004). Patients from the tenotomy group with biceps deformity showed a significantly higher mean contralateral supination strength (P = .002) but no significant difference in contralateral elbow flexion compared with patients without biceps deformity. There was one (1.4%) complication in the tenotomy group (postoperative shoulder stiffness) 
520 |a Conclusion: Both techniques resulted in comparable outcome scores on preselected patients, with tenodesis leading to better LHB function. Tenodesis did not improve elbow flexion and forearm supination strength beyond the tenotomy; however, it reduced the frequency of biceps deformities and tenderness over the bicipital groove. Patients with a strong contralateral forearm supination strength could be at risk of developing a biceps deformity after tenotomy 
650 4 |a Journal Article 
650 4 |a Arthroscopy 
650 4 |a Flexion 
650 4 |a Popeye 
650 4 |a Strength 
650 4 |a Subpectoral tenodesis 
650 4 |a Supination 
650 4 |a Tenotomy 
700 1 |a Nolte, Philip-Christian  |e verfasserin  |4 aut 
700 1 |a Pinheiro, Joao  |e verfasserin  |4 aut 
700 1 |a Guehring, Thorsten  |e verfasserin  |4 aut 
700 1 |a Egenolf, Michael  |e verfasserin  |4 aut 
700 1 |a Chatterjee, Thomas  |e verfasserin  |4 aut 
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