Mini-Open Subpectoral Biceps Tenodesis Using a Suture Anchor with Bone-Bridge Backup

Rueda, Therese Dela; Sol, Shane Rayos Del; Perinovic, Steven; Tse, Whitney; Bryant, Stewart A.; Gardner, Brandon; Chakrabarti, Moyukh O.; McGahan, Patrick J.; Chen, James L.

doi:10.1016/j.eats.2021.08.006

Cited by 1 publication

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References 47 publications

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“…Numerous surgical techniques have been proposed for biceps tenodesis [ 10 – 12 ]. Some surgeons prefer suprapectoral biceps tenodesis as it can be performed arthroscopically [ 6 , 20 ], whereas others prefer open subpectoral tenodesis because the surgical procedure is simple and allows treatment of lesions located in the bicipital groove [ 9 , 19 ]. Among the techniques for arthroscopic suprapectoral tenodesis, some surgeons favor the transtendinous technique for tenodesis as it helps suture the tendon in arthroscopy surgery [ 16 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Modified arthroscopic intra-articular transtendinous looped biceps tenodesis leads to satisfactory functional outcomes and less frequent Popeye deformity compared to biceps tenotomy

Chiang

Lin

et al. 2023

J Orthop Surg Res

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Purpose The present study aimed to propose a modified intra-articular transtendinous looped biceps tenodesis (mTLBT) using a suture anchor and to compare the functional outcomes and incidence of Popeye deformities between biceps tenotomy and mTLBT. Methods Medical records of patients who underwent either tenotomy or mTLBT for the long head of the biceps tendon (LHBT) lesion between January 2016 and April 2021 were retrospectively reviewed. The inclusion criteria were patients aged 40–70 years with LHBT pathologies, such as superior labrum anterior to posterior (SLAP) lesions > type II, LHBT pulley system rupture with bicipital instability, and intra-articular LHBT tear. The exclusion criteria were full-thickness supraspinatus tears, frozen shoulder, shoulder fracture, and postoperative traumatic events that affected the operated shoulder. All patients were followed up for at least 1 year. Popeye deformity, bicipital cramping pain, visual analog scale (VAS) pain score, and functional outcome scores (University of California at Los Angeles [UCLA] and American Shoulder and Elbow Surgeons [ASES] scores) were recorded. Fisher’s exact test and Chi-square test were used for categorical variables, whereas the Mann–Whitney U test was used for nonparametric variables. Results The mTLBT and tenotomy groups included 15 and 40 patients, respectively. The incidence of Popeye deformity and biceps cramping pain in the tenotomy group (52.5% and 50%, respectively) was significantly higher than that in the mTLBT group (13.3% and 20%, respectively) (p = 0.009 and p = 0.045, respectively). The postoperative VAS, UCLA, and ASES scores were not significantly different between the two groups. One patient in the tenodesis group experienced metallic-anchor pullout. Conclusion mTLBT is an arthroscopic intra-articular top of the groove tenodesis that can be performed completely in the intra-articular space and is especially suitable for patients with an intact or partially torn rotator cuff. This technique is reliable for treating biceps pathologies as it results in similar functional outcome scores, lesser biceps cramping pain, and less frequent Popeye deformity compared to biceps tenotomy. Level of Evidence III.

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