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Biceps tenodesis

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https://www.readbyqxmd.com/read/29351746/concomitant-glenohumeral-injuries-in-neer-type-ii-distal-clavicle-fractures
#1
Tobias Helfen, Georg Siebenbürger, Florian Haasters, Wolfgang Böcker, Ben Ockert
BACKGROUND: To identify the prevalence of concomitant glenohumeral injuries in surgically treated Neer type II distal clavicle fractures and relate its clinical importance. METHODS: Between 11/2011 and 11/2015 41 patients, suffering from a displaced and unstable distal clavicle fracture were included. 20 patients (group 1) received surgical treatment by means of plate osteosynthesis in combination with an arthroscopically assisted coraco-clavicular ligament augmentation...
January 19, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29349009/arthroscopic-repair-of-type-ii-slap-tears-using-suture-anchor-technique
#2
Mathew Hamula, Siddharth A Mahure, Daniel J Kaplan, Brent Mollon, Joseph D Zuckerman, Young W Kwon, Andrew S Rokito
Arthroscopic SLAP tear repair has become an increasingly used treatment for patients presenting with symptomatic SLAP tears after failed nonoperative management. Debridement, SLAP repair, and open or arthroscopic biceps tenodesis or tenotomy have been used for the treatment of SLAP tears. Various techniques for repair have been described, and furthermore, there is a high incidence of concomitant pathology of the shoulder. Repair remains an excellent option in isolated SLAP tears amenable to repair, with excellent outcomes in well-indicated patients...
December 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29344768/diagnosis-and-treatment-of-injuries-to-the-biceps-and-superior-labral-complex-in-overhead-athletes
#3
REVIEW
Jacob G Calcei, Venkat Boddapati, David W Altchek, Christopher L Camp, Joshua S Dines
PURPOSE OF REVIEW: This review discusses the diagnostic and treatment challenges presented by injuries to the biceps and superior labral complex. RECENT FINDINGS: A focused patient history, numerous physical examination maneuvers, and appropriate advanced imaging studies must be utilized to reach an accurate diagnosis. Nonoperative management, even in overhead athletes, has demonstrated relatively good outcomes, while operative outcomes have yielded mixed results...
January 17, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29337716/management-of-biceps-tendon-pathology-from-the-glenoid-to-the-radial-tuberosity
#4
Rachel M Frank, Eric J Cotter, Eric J Strauss, Laith M Jazrawi, Anthony A Romeo
Management of proximal and distal biceps tendon pathology is evolving. The long head of the biceps tendon, if inflamed, may be a pain-producing structure. In appropriately indicated patients, a symptomatic long head of the biceps tendon can be surgically managed via tenotomy, tenodesis, and/or superior labrum anterior to posterior repair. In some patients, primary superior labrum anterior to posterior pathology can be managed via biceps tenodesis. Determining which procedure is most appropriate and which technique and implant are preferred for a given patient with biceps tendon pathology is controversial...
January 15, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29309450/biceps-tenodesis-a-comparison-of-tendon-to-bone-and-tendon-to-tendon-healing-in-a-rat-model
#5
Ekaterina Urch, Samuel A Taylor, Prem N Ramkumar, Paul Enker, Stephen B Doty, Alex E White, Demetris Delos, Mary E Shorey, Stephen J O'Brien
In this article, we report on the differences in the healing biology of biceps tenodesis performed on either bone or soft tissue in a rat model. This work provides further insight into what may be the optimal strategy for managing biceps-labrum complex disease.
November 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29305621/-modern-treatment-strategies-for-the-long-head-of-the-biceps-tendon
#6
REVIEW
S Braun, A B Imhoff
The long head of the biceps and the biceps pulley sling are prone to acute or degenerative injury. As they both were identified as major pain generators, adequate diagnosis and treatment is vital for successful treatment of shoulder pain. Although the basic principles to address either pathology have not changed over the last decades, new trends have evolved to simplify surgical options. SLAP (superior labral tear from anterior to posterior) repair is seen more restrictive and is mostly performed in young individuals, whereas tenotomy or tenodesis are more often used in patients over 30...
January 5, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29287950/subpectoral-biceps-tenodesis-with-peek-interference-screw-a-biomechanical-analysis-of-humeral-fracture-risk
#7
Christopher R Mellano, Rachel M Frank, Jason J Shin, Akshay Jain, William A Zuke, Randy Mascarenhas, Elizabeth Shewman, Brian J Cole, Anthony A Romeo, Nikhil N Verma, Brian Forsythe
PURPOSE: To quantify the torsional load to fracture for subpectoral biceps tenodesis with interference screw fixation. METHODS: We randomized 28 specimens from 14 matched-pair full-length humeri (mean age, 55.3 years) into 3 groups: (1) empty ream group (ERG), (2) screw-only group (SOG), and (3) screw-plus-biceps tendon group (SBG). In each group, 1 humerus of each matched pair was prepared according to group allocation and the contralateral humerus remained intact as a control...
December 26, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29166217/the-radiologist-s-primer-to-imaging-the-noncuff-nonlabral-postoperative-shoulder
#8
Christopher R Smith, Jason T Yoon, Jeremiah R Long, Michael V Friedman, Travis J Hillen, James D Stensby
Many radiologists are familiar with the preoperative imaging assessment of patients with labral tears, rotator cuff abnormalities, and end-stage arthritis, as well as the subsequent primary reconstructions and repairs commonly encountered in routine clinical management. However, the second-line surgical procedures and augmentation procedures performed for refractory or recurrent shoulder instability and the extra-articular surgical procedures of the shoulder girdle may challenge even the most experienced musculoskeletal radiologist...
November 22, 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29146167/incidence-and-return-to-play-after-biceps-tenodesis-in-professional-baseball-players
#9
Peter N Chalmers, Brandon J Erickson, Nikhil N Verma, John D'Angelo, Anthony A Romeo
PURPOSE: To determine return to play (RTP) rates after biceps tenodesis (BT) in professional baseball players. METHODS: Major League Baseball has maintained a prospective database containing all major and minor league baseball players who have undergone shoulder surgery since 2010. All players who had undergone BT were included. Minimum follow-up was 24 months, and thus we included data from 2010 to 2013. Using this database we determined the incidence, demographics, prior surgery history, concomitant procedures, RTP rates, and time to RTP...
November 13, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29110652/open-subpectoral-biceps-tenodesis-in-patients-over-65-does-not-result-in-an-increased-rate-of-complications
#10
Andreas Voss, Simone Cerciello, Jessica DiVenere, Olga Solovyova, Felix Dyrna, John Apostolakos, David Lam, Mark P Cote, Knut Beitzel, Augustus D Mazzocca
BACKGROUND: Long head biceps tendon pathology is a common cause of anterior shoulder pain and is often associated with other shoulder conditions, such as rotator cuff tears and osteoarthritis. It is well accepted that older patients are at increased risk for major and minor peri- and postoperative complications. The purpose of this study is to investigate patients over 65 years old who underwent subpectoral biceps tenodesis and compare the complication rates of this group to those of patients younger than 65 years old...
November 6, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29055727/popeye-sign-tenodesis-vs-self-locking-t-tenotomy-of-the-long-head-of-the-biceps
#11
X Clement, F Baldairon, P Clavert, J-F Kempf
INTRODUCTION: Treatment of long head of the biceps lesions is controversial. A new technique of self-locking "T" tenotomy was developed in our department in 2013. HYPOTHESIS: The main objective of the present study was to assess onset of Popeye sign after "T" tenotomy, with comparison to long head of the biceps tenodesis. MATERIAL AND METHODS: A continuous retrospective study included 180 patients with long head of the biceps lesion, either isolated or associated with rotator cuff tear...
October 18, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29051905/evaluation-of-the-trends-concomitant-procedures-and-complications-with-open-and-arthroscopic-rotator-cuff-repairs-in-the-medicare-population
#12
Andrew R Jensen, Peter S Cha, Sai K Devana, Chad Ishmael, Theo Di Pauli von Treuheim, Anthony D'Oro, Jeffrey C Wang, David R McAllister, Frank A Petrigliano
BACKGROUND: Medicare insures the largest population of patients at risk for rotator cuff tears in the United States. PURPOSE: To evaluate the trends in incidence, concomitant procedures, and complications with open and arthroscopic rotator cuff repairs in Medicare patients. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: All Medicare patients who had undergone open or arthroscopic rotator cuff repair from 2005 through 2011 were identified with a claims database...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29038845/clinical-and-sonographic-evaluation-of-subpectoral-biceps-tenodesis-with-a-dual-suture-anchor-technique-demonstrates-improved-outcomes-and-a-low-failure-rate-at-a-minimum-2-year-follow-up
#13
Matthijs Jacxsens, Erin K Granger, Robert Z Tashjian
INTRODUCTION: The purpose of this study was to evaluate the clinical outcomes and integrity of an open subpectoral biceps tenodesis using a dual suture anchor construct. MATERIALS AND METHODS: Patients with at least 2 years of follow-up were retrospectively evaluated for simple shoulder test (SST), American Shoulder and Elbow Surgeons (ASES) score, and visual analog scales (VAS) for pain, function and satisfaction. A physical exam assessed shoulder range of motion and elbow strength...
October 16, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29018890/-magnetic-resonance-imaging-findings-after-shoulder-surgery-what-the-radiologist-needs-to-know
#14
REVIEW
U L Fahlenkamp, C Gerhardt, K-G A Hermann
Even primary diagnostic evaluation of the shoulder is a challenge for radiologists. Many imaging findings that definitely indicate abnormal findings in the untreated shoulder should be evaluated carefully in postoperative patients. Artifacts caused by implants or metal abrasion pose considerable problems in postoperative magnetic resonance imaging (MRI). Classic approaches to minimizing artifacts caused by foreign bodies include using turbo spin echo sequences, increasing bandwidth, and reducing voxel size...
November 2017: Der Radiologe
https://www.readbyqxmd.com/read/29018839/clinical-assessment-of-physical-examination-maneuvers-for-superior-labral-anterior-to-posterior-lesions
#15
Lyndsay E Somerville, Kevin Willits, Andrew M Johnson, Robert Litchfield, Marie-Eve LeBel, Jaydeep Moro, Dianne Bryant
Purpose  Shoulder pain and disability pose a diagnostic challenge owing to the numerous etiologies and the potential for multiple disorders to exist simultaneously. The evidence to support the use of clinical tests for superior labral anterior to posterior complex (SLAP) is weak or absent. The purpose of this study is to determine the diagnostic validity of physical examination maneuvers for SLAP lesions by performing a methodologically rigorous, clinically applicable study. Methods  We recruited consecutive new shoulder patients reporting pain and/or disability...
October 2017: Surgery Journal
https://www.readbyqxmd.com/read/29016616/a-meta-analysis-comparing-tenotomy-and-tenodesis-for-treating-rotator-cuff-tears-combined-with-long-head-of-the-biceps-tendon-lesions
#16
Xiliang Shang, Jiwu Chen, Shiyi Chen
PURPOSE: The purpose of this meta-analysis was to assess whether there were differences in the outcomes between tenotomy and tenodesis in treating LHBT lesions combined with rotator cuff repairs. METHODS: Using Medline, Embase, and Cochrane, we searched for articles comparing tenotomy and tenodesis combined with rotator cuff repair which were published before April 2016 with the terms "biceps", "tenotomy", "tenodesis", and "rotator cuff". The controlled clinical studies that met the inclusion and exclusion criteria were assessed for quality of methodology by utilizing the Coleman score...
2017: PloS One
https://www.readbyqxmd.com/read/28970991/long-biceps-subpectoral-tenodesis-with-suspensory-button-and-bicortical-fixation
#17
Nuno Gomes, Manuel Ribeiro da Silva, Helder Pereira, Ricardo Aido, Ricardo Sampaio
Tenodesis of the long head of the biceps (LHB) tendon has long been recognized as a valid alternative to address pathologic conditions of this tendon. However, the location and type of fixation is still a matter of discussion, because common complications associated with this procedure include failure of the repair, persistent pain, reaction to the fixation device, cosmetic deformity, and fracture. The authors describe a method of subpectoral LHB tenodesis that aims to preserve bone stock and allows a strong, easy, and reproducible type of fixation with a minimal approach...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28970990/subpectoral-biceps-tenodesis-using-an-expanding-peek-device
#18
Joseph C Tauro, Matthew Moralle, Stephen Iacono
In this Technical Note, we describe a method of mini-open long head biceps subpectoral tenodesis. The implant used is a threadless expanding PEEK (polyether ether ketone) interference device that fixes the biceps tendon in a drill hole in the humerus under the inferior border of the pectoralis major tendon. The diameter of the drill hole varies between 6 and 8 mm depending on the width of the tendon. The procedure can be performed through a 3-cm incision centered on the inferior border of the pectoralis tendon...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28969814/editorial-commentary-treating-hidden-lesions-using-hidden-data-isolated-lesions-of-the-shoulder-biceps-pulley
#19
EDITORIAL
William Ciccone
In a study evaluating a rare condition (isolated lesions of the shoulder biceps pulley), retrospective analysis of a comprehensive, prospective surgical database allows authors to determine the results for the surgical management of this uncommon pathology. The creation and use of a comprehensive surgical database can help surgeons evaluate their own data to help improve patient outcomes. The authors present favorable data on the effectiveness of open subpectoral biceps tenodesis to treat isolated biceps reflection pulley lesions...
October 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28968479/biceps-tenodesis-biomechanical-assessment-of-3-arthroscopic-suprapectoral-techniques
#20
George Vestermark, David Hartigan, Dana Piasecki, James Fleischli, Susan M Odum, Nigel Zheng, Donald F D'Alessandro
Biceps tenodesis maintains the cosmetic appearance and length-tension relationship of the biceps with an associated predictable clinical outcome compared with tenotomy. Arthroscopic suprapectoral techniques are being developed to avoid the disadvantages of the open subpectoral approach. This study biomechanically compared 3 arthroscopic suprapectoral biceps tenodesis techniques performed with a suture anchor with lasso loop technique, an interference screw, and a compressive rivet. For a total of 15 randomized paired tests, 15 pairs of human cadaveric shoulders were used to test 1 technique vs another 5 times with 3 customized setups...
October 2, 2017: Orthopedics
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