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Biceps tenodesis

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https://www.readbyqxmd.com/read/28623414/tenodesis-is-not-superior-to-tenotomy-in-the-treatment-of-the-long-head-of-biceps-tendon-lesions
#1
Roberto Castricini, Filippo Familiari, Marco De Gori, Daria Anna Riccelli, Massimo De Benedetto, Nicola Orlando, Olimpio Galasso, Giorgio Gasparini
PURPOSE: To compare the effectiveness of tenodesis and tenotomy in the treatment of long head of the biceps tendon (LHBT) lesions. The null hypothesis was that there is no difference in functional scores between the tenotomy and tenodesis groups. METHODS: A total of 69 patients with a combined supraspinatus tear and LHBT lesion aged over 40 years entered this prospective comparative study and were randomly assigned to the arthroscopic LHB tenotomy or tenodesis group...
June 16, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28596975/patient-satisfaction-after-biceps-tenotomy
#2
Brett D Meeks, Natalie M Meeks, Andrew W Froehle, Emily Wareing, Kevin F Bonner
BACKGROUND: Biceps tenotomy and tenodesis are frequently performed for proximal biceps lesions; however, there continues to be debate as to which method is superior. This study examined patient-reported outcomes after biceps tenotomy. HYPOTHESIS: Biceps tenotomy in the setting of concomitant shoulder pathology is a reasonable option with high satisfaction rates and a low incidence of pain and cramping in middle-aged to older individuals. STUDY DESIGN: Case series; Level of evidence, 4...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28594489/diagnosis-and-management-of-the-biceps-labral-complex
#3
Robert J Thorsness, Anthony A Romeo
The long head of the biceps tendon (LHBT) is a common source of pathology. The biceps-labral complex (BLC) is the collective anatomic and clinical features shared by the biceps tendon and the superior labrum. LHBT pathology can be caused by inflammation, instability, or trauma. Numerous tests can be performed to determine the existence of biceps tendon and superior labrum anterior to posterior (SLAP) lesions; however, many of these tests do not have high sensitivity and specificity, which limit their clinical utility...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28583056/the-impact-of-body-mass-index-on-outcomes-following-open-sub-pectoralis-major-biceps-tenodesis
#4
William Rossy, Alan McGee, Steven Shamah, Eric Lepkowsky, Michael Alaia, Laith Jazrawi, Eric Strauss
PURPOSE: Traditionally, biceps tenotomy has been recommended for obese, older, and less active patient populations, while tenodesis is preferred in younger, thinner, and more active individuals. In an effort to better understand the impact obesity has on the surgical management of long head of the biceps tendinopathy, the current study analyzed the effect body mass index had on surgical outcomes following open subpectoralis major biceps tenodesis. METHODS: Patients who underwent biceps tenodesis between June 2006 and December 2013 were identified from our institution's surgical database...
April 2017: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/28567319/anterior-interosseous-nerve-neuropraxia-secondary-to-shoulder-arthroscopy-and-open-subpectoral-long-head-biceps-tenodesis
#5
Jeremiah T Steed, Kathlyn Drexler, Adam N Wooldridge, Matthew Ferguson
Arthroscopic rotator cuff tendon repair is a common elective procedure performed by trained orthopaedic surgeons with a relatively low complication rate. Specifically, isolated neuropraxia of the anterior interosseous nerve (AIN) is a very rare complication of shoulder arthroscopy. An analysis of peer-reviewed published literature revealed only three articles reporting a total of seven cases that describe this specific complication following standard shoulder arthroscopic procedures. This article reports on three patients diagnosed with AIN neuropraxia following routine shoulder arthroscopy done by a single surgeon within a three-year period...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28567157/modified-open-suprapectoral-endobutton-tension-slide-tenodesis-technique-of-long-head-of-biceps-with-restored-tendon-tension-length
#6
Jagadish Prabhu, Mohammed Khalid Faqi, Rashad Khamis Awad, Fahad Alkhalifa
BACKGROUND: The vast majority of biceps tendon ruptures occurs at the proximal insertion and almost always involves the long head. There are several options for long head of biceps (LHB) tenodesis with advantage and disadvantages of each technique. We believe that the suprapectoral LHB tenodesis described in this article enables the restoration of the anatomic length-tension relation in a technically reproducible manner, when following the guidelines set forth in this article, and restores biceps contour and function adequately with a low risk of complications...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28507978/modified-tension-slide-technique-for-anatomical-distal-biceps-tenodesis-using-a-bicortical-endobutton-and-a-tenodesis-screw
#7
Jagadish Prabhu, Mohammed Khalid Faqi, Fahad Al-Khalifa, Rashad Khamis Awad
INTRODUCTION: Many surgical techniques have been described in the literature. In this article, we describe surgical technical details along with tips and tricks of distal biceps tendon tenodesis using the EndoButton and tension - slide technique, a modification of the suspensory cortical button technique, which allows the surgeon to tension and repairs the biceps tendon through the single longitudinal anterior incision. This modification in surgical technique of using dual implants, i...
November 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28495804/sham-surgery-versus-labral-repair-or-biceps-tenodesis-for-type-ii-slap-lesions-of-the-shoulder-a-three-armed-randomised-clinical-trial
#8
Cecilie Piene Schrøder, Øystein Skare, Olav Reikerås, Petter Mowinckel, Jens Ivar Brox
BACKGROUND: Labral repair and biceps tenodesis are routine operations for superior labrum anterior posterior (SLAP) lesion of the shoulder, but evidence of their efficacy is lacking. We evaluated the effect of labral repair, biceps tenodesis and sham surgery on SLAP lesions. METHODS: A double-blind, sham-controlled trial was conducted with 118 surgical candidates (mean age 40 years), with patient history, clinical symptoms and MRI arthrography indicating an isolated type II SLAP lesion...
May 11, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28374091/suprapectoral-biceps-tenodesis-using-a-suture-plate-clinical-results-after-2-years
#9
Christian Schoch, Michael Geyer, Björn Drews
PURPOSE: Several techniques for performing a tenodesis of the long head of biceps (LHB) are described. Only few outcome studies are published. This note describes a unicortical fixation via a suture plate-comparable to a distal biceps refixation-performed arthroscopically or mini-open via standard suprapectoral approach. The aim of this study is to show the clinical outcome after 6, 12, and 24 months. MATERIALS AND METHODS: A consecutive series of 50 (35 male, 15 female) patients at the mean age of 49 years (range 23-75) who underwent tenodesis of the LHB were followed for 2 years...
April 3, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28373953/arthroscopic-partial-repair-of-irreparable-massive-rotator-cuff-tears
#10
Roberto Castricini, Olimpio Galasso, Daria Anna Riccelli, Filippo Familiari, Massimo De Benedetto, Nicola Orlando, Giorgio Gasparini
Several treatment options for chronic, massive rotator cuff tears exist, and they include debridement with possible biceps tenotomy or tenodesis, open or arthroscopic partial repair, muscle or tendon transfer, superior capsule reconstruction, synthetic patch augmentation, and reverse total shoulder arthroplasty. The aim of this technique article is to describe our preferred surgical option for irreparable, massive rotator cuff tears with an irreparable supraspinatus, a reparable infraspinatus, and an intact or reparable subscapularis tendon...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28359698/refuting-the-lipstick-sign
#11
Jason A Grassbaugh, Betsey R Bean, Alyssa R Greenhouse, Henry H Yu, Edward D Arrington, Richard J Friedman, Josef K Eichinger
BACKGROUND: Arthroscopic examination of the tendon has been described as the "gold standard" for diagnosis of tendinitis of the long head of the biceps (LHB). An arthroscopic finding of an inflamed and hyperemic LHB within the bicipital groove has been described as the "lipstick sign." Studies evaluating direct visualization in diagnosis of LHB tendinitis are lacking. METHODS: During a 1-year period, 363 arthroscopic shoulder procedures were performed, with 16 and 39 patients prospectively selected as positive cases and negative controls, respectively...
March 27, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28336230/the-effect-of-concomitant-biceps-tenodesis-on-reoperation-rates-after-rotator-cuff-repair-a%C3%A2-review-of-a-large-private-payer-database-from-2007-to-2014
#12
Brandon J Erickson, Bryce A Basques, Justin W Griffin, Samuel A Taylor, Stephen J O'Brien, Nikhil N Verma, Anthony A Romeo
PURPOSE: To determine if reoperation rates are higher for patients who underwent isolated rotator cuff repair (RCR) than those who underwent RCR with concomitant biceps tenodesis using a large private-payer database. METHODS: A national insurance database was queried for patients who underwent arthroscopic RCR between the years 2007 and 2014 (PearlDiver, Warsaw, IN). The Current Procedural Terminology (CPT) 29,827 (arthroscopy, shoulder, surgical; with RCR) identified RCR patients who were subdivided into 3 groups-group 1: RCR without biceps tenodesis; group 2: RCR with concomitant arthroscopic biceps tenodesis (CPT 29827 and 29,828); group 3: RCR with concomitant open biceps tenodesis (CPT 29827 and 23,430)...
March 20, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28325692/arthroscopic-repair-of-isolated-partial-and-full-thickness-upper-third-subscapularis-tendon-tears-minimum-2-year-outcomes-after-single-anchor-repair-and-biceps-tenodesis
#13
J Christoph Katthagen, Alexander R Vap, Dimitri S Tahal, Marilee P Horan, Peter J Millett
PURPOSE: To investigate outcomes of arthroscopic single-anchor repair and biceps tenodesis of partial- and full-thickness tears of the upper third subscapularis (SSC). METHODS: Thirty-three patients with arthroscopically confirmed isolated SSC tears, Lafosse type I (>50% of the tendon thickness involved), or type II were included. All patients underwent arthroscopic subcoracoid decompression, coracoplasty if the coracohumeral distance was narrowed, biceps tenodesis, and a single-anchor repair of the upper third SSC...
March 18, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28282498/risk-factors-for-revision-surgery-after-superior-labral-anterior-posterior-repair-a-national-perspective
#14
Samuel A Taylor, Ryan M Degen, Alexander E White, Moira M McCarthy, Lawrence V Gulotta, Stephen J O'Brien, Brian C Werner
BACKGROUND: Data regarding risk factors for revision surgery after superior labral anterior-posterior (SLAP) repair are limited to institutional series. PURPOSE: To define risk factors for revision surgery after SLAP repair among patients in a large national database. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: A national insurance database was queried for patients undergoing arthroscopic SLAP repair (Current Procedural Terminology [CPT] code 29807) for the diagnosis of a SLAP tear...
June 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28217562/no-holes-transpectoral-tenodesis-technique-vs-tenotomy-of-the-long-head-of-the-biceps-brachii
#15
Enrico Gervasi, Enrico Sebastiani, Enrico Cautero
BACKGROUND: There is no univocal consensus regarding Long Head of the Biceps (LHB) best treatment between tenotomy and tenodesis. There is no consensus regarding the best location to perform the tenodesis. The LHB tenodesis performed by the proximal tendon excision as first step can miss the proper tension to the muscle belly. Fixations proximal to the pectoralis major can lead to groove pain. This study aims to test the efficacy of a new LHB tenodesis technique by comparing its results with the tenotomy...
October 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28196038/in-reparable-rotator-cuff-tears-with-lesions-of-the-long-head-of-the-biceps-brachii-tendon-tenotomy-did-not-differ-from-tenodesis-in-terms-of-function-or-pain
#16
Jon Karlsson
No abstract text is available yet for this article.
February 15, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28194382/biomechanical-evaluation-of-the-long-head-of-the-biceps-brachii-tendon-fixed-by-three-techniques-a-sheep-model
#17
Carlos Henrique Ramos, Júlio Cezar Uili Coelho
OBJECTIVE: To evaluate the biomechanical properties of the fixation of the long head of the biceps brachii into the humeral bone with suture anchors, interference screw, and soft tissue suture, comparing strength, highest traction load, and types of fixation failure. METHODS: Thirty fresh-frozen sheep shoulders were used, separated into three groups of ten for each technique. After fixation, the tendons were subjected to longitudinal continuous loading, obtaining load-to-failure (N) and displacement (mm)...
January 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28146397/a-prospective-randomized-study-comparing-the-interference-screw-and-suture-anchor-techniques-for-biceps-tenodesis
#18
Ji Soon Park, Sae Hoon Kim, Ho Jin Jung, Ye Hyun Lee, Joo Han Oh
BACKGROUND: Several methods are used to perform biceps tenodesis in patients with superior labrum-biceps complex (SLBC) lesions accompanied by a rotator cuff tear. However, limited clinical data are available regarding the best technique in terms of clinical and anatomic outcomes. PURPOSE: To compare the clinical and anatomic outcomes of the interference screw (IS) and suture anchor (SA) fixation techniques for biceps tenodesis performed along with arthroscopic rotator cuff repair...
February 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28043748/subpectoral-biceps-tenodesis-for-tenosynovitis-of-the-long-head-of-the-biceps-in-active-patients-younger-than-45%C3%A2-years-old
#19
Dimitri S Tahal, J Christoph Katthagen, Alexander R Vap, Marilee P Horan, Peter J Millett
PURPOSE: The objective of this study was to assess the outcomes after subpectoral biceps tenodesis (BT) for long head of the biceps (LHB) tenosynovitis in active patients <45 years old. METHODS: This was an Institutional Review Board-approved, retrospective outcomes study with prospectively collected data. Patients treated with subpectoral BT were included if they met the following criteria: age <45 years, anterior shoulder pain with arthroscopically confirmed LHB tenosynovitis, no concomitant procedures other than debridement and decompression procedures, and minimum 2 years out from surgery...
December 30, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28005117/tenotomy-tenodesis-transfer-a-review-of-treatment-options-for-biceps-labrum-complex-disease
#20
REVIEW
Elizabeth B Gausden, Samuel A Taylor, Prem Ramkumar, Benedict U Nwachukwu, Keith Corpus, Brian J Rebolledo, Alexander White, Stephen J O'Brien
Biceps-labrum complex (BLC) disease is a well recognized source of shoulder pain. The BLC can be divided into 3 anatomical zones: inside, junction, and bicipital tunnel. Despite our evolving understanding, diagnosis of BLC pathology through physical examination, standard imaging techniques, and standard diagnostic glenohumeral arthroscopy can be challenging. Selection of the most appropriate surgical technique in refractory cases should take into account decompression of the extra-articular bicipital tunnel...
November 2016: American Journal of Orthopedics
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