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Biceps tenotomy

Jason R Kang, Aaron T Sin, Emilie V Cheung
Massive irreparable rotator cuff tears cause significant shoulder pain and dysfunction. Physical therapy (PT), arthroscopic debridement with biceps tenotomy (AD-BT), and hemiarthroplasty (HA) are treatments shown to reduce pain and improve quality of life. Reverse total shoulder arthroplasty (RTSA) is a newer surgical treatment option that may offer improved function. A cost-effectiveness analysis of these interventions has never been performed, and no head-to-head comparative effectiveness trials currently exist...
September 29, 2016: Orthopedics
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...
September 6, 2016: Current Reviews in Musculoskeletal Medicine
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...
2016: BMC Musculoskeletal Disorders
Danilo Sobreira, Neydson de Souza, José Inácio de Almeida, Alberto de Castro Pochini, Carlos Vicente Andreoli, Benno Ejnisman
OBJECTIVE: To describe occurrences of septic glenohumeral arthritis among patients with arthropathy of the rotator cuff, and to highlight the importance of correct diagnosis and surgical procedures. METHODOLOGY: Eight surgical drains were installed in seven patients with glenohumeral pyoarthritis. All the patients presented arthropathy of the rotator cuff (four males and three females). Six patients presented pyoarthritis in the dominant shoulder. The age range was from 53 to 93 years (mean: 74 years)...
July 2016: Revista Brasileira de Ortopedia
Roy Gigi, Oleg Dolkart, Zachary T Sharfman, Yariv Goldstein, Tamar Brosh, Ehud Rath, Eran Maman, Ofir Chechik
BACKGROUND: Several techniques and procedures have been described to treat long head of the biceps pathology; however, tenodesis and tenotomy are the 2 most common procedures performed. This study evaluated the initial fixation strength of the biceps tenodesis triple loop suture (TLS) technique and compared it with that of the simple suture technique (SST). METHODS: Twenty fresh frozen cadaveric human shoulders (humeral head and neck with attached biceps tendons) were harvested...
August 5, 2016: Journal of Shoulder and Elbow Surgery
J Pogorzelski, K Beitzel, A B Imhoff, P Millett, S Braun
OBJECTIVE: Therapy of intraarticular lesions and elimination of structural risk factors for those suffering from clinical manifest anterosuperiorer impingement (ASI) of the shoulder. This includes as a maximum version the arthroscopic repair of supraspinatus (SST) and subscapularis tendon (SCT) tears with subsequent subpectoral tenodesis of the long head of the biceps tendon (LBT) and arthroscopic coracoplasty. INDICATIONS: Clinical manifest anterosuperiorer impingement of the shoulder with anterior shoulder pain, failed conservative treatment and clear intraarticular damage in radiological imaging...
August 2, 2016: Operative Orthopädie und Traumatologie
Luca Maria Sconfienza, Giovanni Mauri, Carmelo Messina, Alberto Aliprandi, Francesco Secchi, Francesco Sardanelli, Pietro Simone Randelli
We tested the technical feasibility of ultrasound-guided percutaneous tenotomy of the long head of the biceps tendon (LHBT) in cadavers. Both shoulders of two fresh cadavers were scanned anteriorly to evaluate the extra-articular portion of the LHBT. Under ultrasound monitoring, a scalpel was advanced obliquely up to touch the superficial medial side of the LHBT, cutting it until the tendon was not visible anymore. Ultrasound evaluation was repeated after the procedure, and anatomic dissection was performed...
October 2016: Ultrasound in Medicine & Biology
Micah Lissy, Amanda Esquivel, Allison Cracchiolo, Stephen Lemos
BACKGROUND: Biceps tenotomy and biceps tenodesis are the primary methods of treating biceps pathology. This study describes a new technique of tenotomy with the goal of autotenodesis to give the biceps a higher load to failure and decreased chance of a Popeye deformity. PURPOSE: The purpose of this study was to evaluate the strength of the "biceps knot", which is an outlet tenodesis of the biceps tendon and compare the biomechanical properties of this technique to tenotomy...
September 2016: Journal of Orthopaedics
Balazs Galdi, Daniel L Southren, Eugene W Brabston, Charles A Popkin, Charles M Jobin, William N Levine, Christopher S Ahmad
PURPOSE: To evaluate what factors are important in the patients' preference and their perception of a successful surgical outcome. METHODS: A biceps-specific questionnaire was developed using a series of questions assessing current symptoms, previous knowledge of biceps tendon surgery, surgical outcome priorities, and patient demographics and administered to 100 patients with proximal biceps pathology after approval by the Institutional Review Board. The patients were asked which surgery they would prefer...
June 16, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Hyo-Jin Lee, Jin-Young Jeong, Chul-Kyu Kim, Yang-Soo Kim
BACKGROUND: Tenotomy and tenodesis are common treatments for lesions in the long head of biceps tendon (LHBT); however, which treatment is superior is still controversial. This study compared the outcomes of tenotomy with outcomes of tenodesis for treatment of LHBT lesions with rotator cuff tears. METHODS: The study enrolled 128 patients with LHBT lesions and small- to medium-sized rotator cuff tear. Arthroscopic LHBT tenotomy was done in 56 patients (group I), and LHBT tenodesis was done for 72 patients (group II) with rotator cuff repair...
July 2016: Journal of Shoulder and Elbow Surgery
Derek J Cuff, Derek R Pupello, Brandon G Santoni
BACKGROUND: A subset of patients with massive irreparable rotator cuff tears present with retained overhead elevation and pain as their primary complaint. Our aim was to evaluate the outcomes of partial arthroscopic rotator cuff repair with biceps tenotomy and to report the failure rate of this procedure for patients with >5 years of follow-up. METHODS: Thirty-four patients underwent partial rotator cuff repair and biceps tenotomy for treatment of a massive rotator cuff tear...
June 6, 2016: Journal of Shoulder and Elbow Surgery
Frank Atlan, Jean David Werthel
PURPOSE: Isolated tenotomy of the long head of the biceps (LHB) is known to improve function in patients with massive and non-reparable cuff tears without osteoarthritis. This two step cadaveric study was performed with the purpose to identify the best surgical technique for isolated LHB tenotomy under USG guidance (pilot study) and evaluate its feasibility (subsequent study). METHODS: Pre-operative ultrasonographic evaluation of the rotator cuff was performed and any specimens whose long head of the biceps was not found to be intact during the pre-operative ultrasound evaluation were excluded...
June 4, 2016: International Orthopaedics
Samuel A Taylor, Prem N Ramkumar, Peter D Fabricant, Joshua S Dines, Elizabeth Gausden, Alexander White, John E Conway, Stephen J O'Brien
PURPOSE: (1) To identify existing outcomes studies and (2) to use meta-analysis techniques to summarize pooled clinical outcomes for surgical techniques that decompress the bicipital tunnel and those that do not, to identify important areas for future clinical investigation. METHODS: A systematic review of the PubMed database was performed in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. Patients were categorized into 2 groups for analysis...
April 28, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Brent Mollon, Siddharth A Mahure, Kelsey L Ensor, Joseph D Zuckerman, Young W Kwon, Andrew S Rokito
PURPOSE: To quantify the incidence of and identify the risk factors for subsequent shoulder procedures after isolated SLAP repair. METHODS: New York's Statewide Planning and Research Cooperative System database was searched between 2003 and 2014 to identify individuals with the sole diagnosis of a SLAP lesion who underwent isolated arthroscopic SLAP repair. Patients were longitudinally followed up for a minimum of 3 years to analyze for subsequent ipsilateral shoulder procedures...
April 12, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
(no author information available yet)
[This corrects the article on p. 76 in vol. 8, PMID: 25258498.].
January 2016: International Journal of Shoulder Surgery
Brody A Flanagin, Raffaele Garofalo, Eddie Y Lo, LeeAnne Feher, Alessandro Castagna, Huanying Qin, Sumant G Krishnan
PURPOSE: Arthroscopic transosseous (TO) rotator cuff repair has recently emerged as a new option for surgical treatment of symptomatic rotator cuff tears. Limited data is available regarding outcomes using this technique. This study evaluated midterm clinical outcomes following a novel arthroscopic TO (anchorless) rotator cuff repair technique. MATERIALS AND METHODS: A consecutive series of 107 patients and 109 shoulders underwent arthroscopic TO (anchorless) rotator cuff repair for a symptomatic full-thickness tear...
January 2016: International Journal of Shoulder Surgery
Joo Han Oh, Ye Hyun Lee, Sae Hoon Kim, Ji Soon Park, Hyuk Jun Seo, Woo Kim, Hae Bong Park
PURPOSE: To compare the clinical outcomes in patients with concomitant superior labrum-biceps complex (SLBC) lesions and rotator cuff tears who underwent arthroscopic rotator cuff repair, according to 3 different treatment methods (simple debridement, biceps tenotomy, or biceps tenodesis) for the SLBC lesions. METHODS: One hundred twenty patients who underwent arthroscopic rotator cuff repair with SLBC lesions (biceps partial tears <50%, partial pulley lesions, and type II SLAP lesions) were enrolled in this prospective comparative study and randomly assigned to 1 of 3 treatment groups (simple debridement [Deb], biceps tenotomy only [BTo], or biceps tenodesis with one suture anchor [BTd])...
February 23, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Matthias Brockmeyer, Marc Tompkins, Dieter M Kohn, Olaf Lorbach
Tears of the superior labrum involving the biceps anchor are a common entity, especially in athletes, and may highly impair shoulder function. If conservative treatment fails, successful arthroscopic repair of symptomatic SLAP lesions has been described in the literature particularly for young athletes. However, the results in throwing athletes are less successful with a significant amount of patients who will not regain their pre-injury level of performance. The clinical results of SLAP repairs in middle-aged and older patients are mixed, with worse results and higher revision rates as compared to younger patients...
February 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
M Wellmann
Anterosuperior rotator cuff lesions are defined as combined tears of the subscapularis and the supraspinatus tendon and are usually accompanied by an associated lesion of the rotator interval. There are three different types of lesion: extended lesions of the biceps pulley, transmural tears of the supraspinatus with an associated partial lesion of the subscapularis tendon, and massive anterosuperior rotator cuff tears. None of these lesions responds well to physiotherapy because of biceps tendon instability...
February 2016: Der Orthopäde
M Kerschbaum, L Arndt, M Bartsch, J Chen, C Gerhardt, M Scheibel
INTRODUCTION: The long head of biceps tendon (LHB) score was designed to clinically assess LHB pathologies. Purpose of this study was to prospectively assess patients with LHB pathologies preoperatively and after LHB surgery using the LHB score. MATERIALS AND METHODS: Fifty-seven patients (29 f/28 m, Ø age 61.0 years), showing clinical signs of LHB pathologies, were prospectively included into this study. In 43 patients LHB pathologies could be confirmed intraoperatively...
April 2016: Archives of Orthopaedic and Trauma Surgery
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