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Biceps tenotomy

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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
#1
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
#2
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/27900700/platelet-rich-plasma-supplementation-in-arthroscopic-repair-of-full-thickness-rotator-cuff-tears-a-randomized-clinical-trial
#3
R D'Ambrosi, F Palumbo, A Paronzini, V Ragone, R M Facchini
BACKGROUND: Results on the effectiveness of PRP supplementation in arthroscopic rotator cuff repair are conflicting, making it difficult to draw definitive conclusions. METHODS: This was a prospective, randomized, and double-blind study with two groups of 20 patients each (PRP group and control group). Degenerative supraspinatus full-thickness tears grade C2-C3 were subjected to arthroscopic repair; PRP supplementation was given to patients in the PRP group. The outcomes were assessed by DASH, Constant scales, and ultrasound before and 6 months after surgery...
December 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27885409/-simultaneous-surgical-treatment-of-the-long-head-of-the-biceps-tendon-during-operative-treatment-of-proximal-humeral-fractures
#4
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
#5
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/27684078/treatment-of-massive-irreparable-rotator-cuff-tears-a-cost-effectiveness-analysis
#6
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
https://www.readbyqxmd.com/read/27599831/outcomes-following-long-head-of-biceps-tendon-tenodesis
#7
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/27577549/long-head-biceps-tenodesis-or-tenotomy-in-arthroscopic-rotator-cuff-repair-bite-study-protocol
#8
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
https://www.readbyqxmd.com/read/27517024/septic-arthritis-and-arthropathy-of-the-rotator-cuff-remember-this-association
#9
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
https://www.readbyqxmd.com/read/27499518/biomechanical-evaluation-of-two-arthroscopic-techniques-for-biceps-tenodesis-triple-loop-suture-versus-simple-suture
#10
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
https://www.readbyqxmd.com/read/27484678/-surgical-treatment-of-anterosuperior-impingement-of-the-shoulder
#11
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...
December 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27471117/ultrasound-guided-percutaneous-tenotomy-of-biceps-tendon-technical-feasibility-on-cadavers
#12
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
https://www.readbyqxmd.com/read/27408492/biomechanical-properties-of-tenotomy-versus-biceps-knot-in-a-cadaver-model
#13
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
https://www.readbyqxmd.com/read/27318778/patients-have-strong-preferences-and-perceptions-for-biceps-tenotomy-versus-tenodesis
#14
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
https://www.readbyqxmd.com/read/27283370/surgical-treatment-of-lesions-of-the-long-head-of-the-biceps-brachii-tendon-with-rotator-cuff-tear-a-prospective-randomized-clinical-trial-comparing-the-clinical-results-of-tenotomy-and-tenodesis
#15
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
https://www.readbyqxmd.com/read/27282734/partial-rotator-cuff-repair-and-biceps-tenotomy-for-the-treatment-of-patients-with-massive-cuff-tears-and-retained-overhead-elevation-midterm-outcomes-with-a-minimum-5-years-of-follow-up
#16
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...
November 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27262991/ultrasound-guided-intra-articular-tenotomy-of-the-long-head-of-the-biceps-a-cadaveric-feasibility-study
#17
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
https://www.readbyqxmd.com/read/27132781/the-clinical-impact-of-bicipital-tunnel-decompression-during-long-head-of-the-biceps-tendon-surgery-a-systematic-review-and-meta-analysis
#18
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
https://www.readbyqxmd.com/read/27083535/subsequent-shoulder-surgery-after-isolated-arthroscopic-slap-repair
#19
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
https://www.readbyqxmd.com/read/26980995/erratum-long-term-functional-results-and-isokinetic-strength-evaluation-after-arthroscopic-tenotomy-of-the-long-head-of-biceps-tendon
#20
(no author information available yet)
[This corrects the article on p. 76 in vol. 8, PMID: 25258498.].
January 2016: International Journal of Shoulder Surgery
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