Arthroscopic Suprapectoral Biceps Tenodesis Using Standard Portals

Paik, Ronald S.; Kim, Brian; Kang, Ju‐Hee

doi:10.1016/j.eats.2023.04.002

Cited by 1 publication

(2 citation statements)

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“…Other than one female patient who had hypothyroidism (under treatment), none of the patients had comorbidities. The mean duration of symptoms for the patients before the operative treatment was eight months (SD = 3.5; range, [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. None of the patients reported any trauma before the operation (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…In the literature, many variations have been described for performing biceps tenodesis (open or arthroscopic, supra-or subpectoral, onlay, or inlay techniques) [14]. Currently, some studies indicate that different techniques have similar functional outcomes [15,16]; however, others suggest that tenodesis, and especially the suprapectoral technique, is complicated by residual pain, which may lead to revision surgery [15]. In contrast, an open subpectoral approach is related to musculocutaneous nerve injury and iatrogenic humeral fracture [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Arthroscopic Suprapectoral Biceps Tenodesis for Isolated Biceps Tendinopathy: Results From 23 Patients

Polyzos,

Gantsos,

Soranoglou

et al. 2024

Cureus

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Introduction: Pathology affecting the long head of the biceps tendon (LHB) is a common cause of shoulder pain. When conservative treatment fails to resolve symptoms, surgical treatment is the modality of choice. The literature describes many arthroscopic and open techniques using different implants. However, no consensus exists on which procedure yields the greatest improvement. The purpose of this study was to evaluate the effectiveness and safety of arthroscopic suprapectoral biceps tenodesis for treating isolated LHB pathology.Materials and methods: We present a case series of 23 patients with isolated LHB pathology who were treated with arthroscopic suprapectoral tenodesis between 2016 and 2022. All surgeries were performed by the same senior surgeon, and patients were assessed preoperatively and one year after the procedure, using the simple shoulder test (SST), Constant score (CS), and visual analog scale (VAS) by the senior surgeon. Statistical analysis was performed using the Wilcoxon Signed Rank test, with significance defined as p < 0.05.Results: The CS improved from 68.52 (SD = 1.59) to 98 (SD = 7.1; p < 0.001), the SST improved from 8.78 (SD = 0.998) to 11.21 (SD = 0.42; p < 0.001), and the VAS improved from 8.26 (SD = 0.54) to 0 (SD = 0; p < 0.001) at one-year follow-up. No complications were reported postoperatively or during the follow-up period.Conclusions: Arthroscopic suprapectoral biceps tenodesis significantly improved outcomes at one-year follow-up and can be considered an effective and safe choice when treating LHB pathology.

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