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Biceps tenodesis

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https://www.readbyqxmd.com/read/28217562/no-holes-transpectoral-tenodesis-technique-vs-tenotomy-of-the-long-head-of-the-biceps-brachii
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/28003073/editorial-commentary-a-no-difference-study-that-may-make-a-difference-in-the-treatment-of-disorders-of-the-shoulder-biceps-brachii-tendon
#7
EDITORIAL
Jefferson C Brand
Biceps tenodesis for disorders of the biceps brachii is frequently performed; nevertheless the optimum procedure, and particularly the level of tenodesis either above the pectoralis major tendon or inferior to the tendon, is yet to be determined. Both have purported advantages. Studies that do not find a difference in outcomes between the 2 groups in the publishing vernacular are sometimes referred to as no-difference investigations and are slightly less likely to be published, known as publication bias. This may be the rare "no-difference" investigation that makes a difference in the treatment of the biceps brachii...
January 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27909678/bridge-tenodesis-a-secure-fixation-technique-for-biceps-long-head-tendinopathy-during-arthroscopic-rotator-cuff-repair-using-a-suture-bridge-technique
#8
Jin-Young Park, Jae-Hyung Lee, Kyung-Soo Oh, Seok-Won Chung, Jin-Young Bang, Young-Min Noh
Tendinopathy of the long head of the biceps is often found as an intra-articular pathology in the glenohumeral joint. Because long head of the biceps lesions are common, surgical intervention to properly manage the long head of the biceps has become an important issue. Both tenodesis and tenotomy have been shown to provide benefits in biceps long head tendinopathy. But because of concerns about muscle power reduction, cramping, and "Popeye's deformity," which may result from biceps tenotomy, biceps tenodesis is a good option for treating biceps lesions...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27904931/-arthroscopic-tenodesis-or-tenotomy-of-the-long-head-of-the-biceps-tendon-in-preselected-patients-does-it-make-a%C3%A2-difference
#9
M Kerschbaum, N Maziak, M Scheuermann, M Scheibel
BACKGROUND: Are there clinical, cosmetic and/or structural differences between tenotomy and tenodesis of the long head of the biceps tendon (LHB) in patients selected according to commonly used indication criteria? MATERIAL AND METHODS: A total of 85 patients were included in this study. An LHB tenodesis (LHB-TD) was performed in 49 patients and a tenotomy (LHB-TT) in 36 patients. In addition to a standardized examination, the age and gender adjusted Constant score (aCS), the LHB score and the subjective shoulder value (SSV) were assessed...
November 30, 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27885409/-simultaneous-surgical-treatment-of-the-long-head-of-the-biceps-tendon-during-operative-treatment-of-proximal-humeral-fractures
#10
M Kerschbaum, M Werth, C Gerhardt, M Scheibel
BACKGROUND: Pathologic conditions of the long biceps tendon can be found within treatment of proximal humeral fractures or as a source of pain after surgery. However, simultaneous surgical treatment at the index surgical intervention is so far not well established. The purpose of this study is to evaluate the results of a simultaneous biceps treatment during plate osteosynthesis of proximal humeral fractures. MATERIALS AND METHODS: Twenty-seven patients were included into this study...
November 24, 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27847979/relationship-between-subscapularis-tears-and-injuries-to-the-biceps-pulley
#11
Arnaud Godenèche, Laurent Nové-Josserand, Stéphane Audebert, Bruno Toussaint, Patrick J Denard, Alexandre Lädermann
PURPOSE: The purpose of this study was to analyse the relationship between long head of the biceps brachii (LHBT) lesions and subscapularis tears. The hypothesis was that a bicipital pulley might remain intact, even in the case of a subscapularis tear. METHODS: Between 2010 and 2011, all patients who had a primary arthroscopic repair of a subscapularis tear were potentially included in this prospective study. The outcome of interest was the prevalence and type of arthroscopic lesions of the LHBT and bicipital pulley...
November 15, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27765830/superior-labral-anterior-posterior-slap-tears-in-the-military
#12
William Rossy, George Sanchez, Anthony Sanchez, Matthew T Provencher
CONTEXT: Given the notable physical demands placed on active members of the military, comprehension of recent trends in management and outcomes of superior labral anterior-posterior (SLAP) tears in this patient population is critical for successful treatment. EVIDENCE ACQUISITION: Electronic databases, including PubMed, MEDLINE, and Embase, were reviewed for the years 1985 through 2016. STUDY DESIGN: Database review. LEVEL OF EVIDENCE: Level 5...
November 2016: Sports Health
https://www.readbyqxmd.com/read/27703412/all-arthroscopic-modified-rotator-interval-slide-for-massive-anterosuperior-cuff-tears-using-the-subdeltoid-space-surgical-technique-and-early-results
#13
Keith T Corpus, Samuel A Taylor, Stephen J O'Brien, Lawrence V Gulotta
BACKGROUND: Traditional intra-articular arthroscopic repair techniques for massive anterosuperior rotator cuff tears are technically demanding and necessitate sacrifice of the rotator interval to enable visualization. An interval slide allows mobilization through release of the medial aspect of the rotator interval, while leaving the lateral, bridging fibers intact. QUESTIONS/PURPOSES: The purpose of this study was to report a novel, arthroscopic, open-equivalent technique using the subdeltoid space to address these tears along with early clinical results...
October 2016: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/27659242/all-arthroscopic-suprapectoral-versus-open-subpectoral-tenodesis-of-the-long-head-of-the-biceps-brachii-without-the-use-of-interference-screws
#14
Jamison M Green, Mark H Getelman, Stephen J Snyder, Joseph P Burns
PURPOSE: To compare patient-reported outcomes and healing rates after open subpectoral and all-arthroscopic suprapectoral biceps tenodesis without the use of interference screws in patients with more than 2 years of follow-up. METHODS: Patients with at least 2 years of follow-up who underwent open subpectoral biceps tenodesis or all-arthroscopic suprapectoral biceps tenodesis without concomitant rotator cuff repair, labral repair, or Mumford procedure were considered for enrollment in the study...
January 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27599831/outcomes-following-long-head-of-biceps-tendon-tenodesis
#15
REVIEW
Saad M AlQahtani, Ryan T Bicknell
Lesions of the proximal long head of the biceps tendon (LHB) have been considered as a major cause of shoulder pain and dysfunction. The role of the LHB in causing pain has been a source of controversy for many years, and extensive literature is available discussing anatomy, function, pathology, and most importantly appropriate treatment. Despite this, there is a lack of consensus in the literature regarding the management of biceps-related pathology. Biceps tenotomy and tenodesis are common surgical treatment options when dealing with LHB-related pathology...
December 2016: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/27580320/rotator-cuff-sparing-approach-for-antegrade-humeral-nailing-with-biceps-tenodesis-a-technical-trick-with-clinical-implications
#16
Alexander B Christ, Elizabeth B Gausden, Stephen J Warner, Andrew M Nellestein, Ryan R Thacher, Dean G Lorich
Antegrade intramedullary nails are an established, effective method of fixation for humeral shaft fractures. One significant limitation of this technique is chronic postoperative shoulder pain, which is likely related to the standard approach that involves splitting the rotator cuff to gain access to the nail starting point. Furthermore, mounting evidence suggests that both the intra-articular portion of the biceps tendon and the extra-articular portion in the bicipital groove can scar down after trauma, causing pain and limiting shoulder range of motion...
February 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27577549/long-head-biceps-tenodesis-or-tenotomy-in-arthroscopic-rotator-cuff-repair-bite-study-protocol
#17
Derek Friedrich Petrus van Deurzen, Vanessa Antoinet Bernice Scholtes, Nienke Willemien Willigenburg, Navin Gurnani, Lukas Pieter Eduard Verweij, Michel Pieter Jozef van den Bekerom
BACKGROUND: Optimal treatment of the diseased long head of the biceps (LHB) tendon during rotator cuff repair remains a topic of debate: tenotomy or tenodesis. A recent meta analysis revealed no difference in strength or functional outcome between treatments. The included studies varied in methodological quality, and only two were randomized controlled trials (RCTs). As strong evidence in favor of either tenotomy or tenodesis is still lacking, we designed this randomized controlled trial to compare functional outcomes after tenotomy and tenodesis when performed in adjunct to arthroscopic rotator cuff repair...
30, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27574274/proximal-versus-distal-screw-placement-for-biceps-tenodesis-a-biomechanical-study
#18
D J De Villiers, B Loh, M Tacey, P Keith
PURPOSE: To assess the maximum and end torque of a fourth-generation composite humerus model with no screw inserted or with a screw inserted in the distal (subpectoral) position or proximal (suprapectoral) position. METHODS: 24 large-size, fourth-generation composite humeri were randomised to the control (n=8), proximal (n=8), or distal (n=8) group. For the latter 2 groups, an 8-mm-head interference screw (7x25 mm) was inserted at 1 cm proximal and 1 cm distal to the superior aspect of the insertion of the pectoralis major tendon, respectively...
August 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/27552466/clinical-and-sonographic-evaluation-of-bicortical-button-for-proximal-biceps-tenodesis
#19
James R Meadows, Matthew M Diesselhorst, Jonathan T Finnoff, Britta L Swanson, Kyle E Swanson
Use of a cortical button for proximal biceps tenodesis has demonstrated strength comparable to that of other types of fixation in biomechanical models, but few studies have evaluated the clinical outcome of such fixation. In the study reported here, 18 patients who underwent open subpectoral biceps tenodesis with a bicortical button were assessed, at minimum 12-month follow-up, with the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, a pain scale, physical examination, biceps supination strength testing, and ultrasonographic evaluation (to determine tenodesis integrity and proximity of the button to the axillary nerve)...
July 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27552463/biomechanical-evaluation-of-two-arthroscopic-biceps-tenodesis-techniques-proximal-interference-screw-and-modified-percutaneous-intra-articular-transtendon
#20
David E Hartigan, Matthew C Beran, James E Fleischli, Donald F D'Alessandro, Naiquan Nigel Zheng
The percutaneous intra-articular transtendon (PITT) technique has recently been shown to have results comparable to those of more accepted techniques. Its mode of failure was secondary to the suture pulling through the tendon substance. A modification was made whereby the tendon is locked within the suture configuration in an attempt to avoid pullout. We compared this new technique with a well-accepted technique of all-arthroscopic interference screw. In each of 8 pairs of cadaveric shoulders (mean age, 55 years; range, 51-59 years), one shoulder was randomized to be treated with either modified PITT or interference screw (Biceptor; Smith & Nephew) biceps tenodesis, and the other shoulder was treated with the other technique...
July 2016: American Journal of Orthopedics
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