Outcomes of tenodesis of the long head of the biceps tendon more than three months after rupture

Abstract

AIM:To demonstrate that long head of the biceps tendon (LHBT) tenodesis is possible more than 3 mo after rupture. METHODS:From September 2009 to January 2012 we performed tenodesis of the LHBT in 11 individuals (average age 56.9 years, range 42 to 73) more than 3 mo after rupture. All patients were evaluated by Disabilites of the Arm Shoulder and Hand (DASH) and Mayo outcome scores at an average follow-up of 19.1 mo. We similarly evaluated 5 patients (average age 58.2 years, range 45 to 64) over the same time treated within 3 mo of rupture with an average follow-up of 22.5 mo. RESULTS:Tenodesis with an interference screw was possible in all patients more than 3 mo after rupture and 90% had good to excellent outcomes but two had recurrent rupture. All of those who had tenodesis less than 3 mo after rupture had good to excellent outcomes and none had recurrent rupture. No statistical difference was found for DASH and Mayo outcome scores between the two groups (P <0.05). CONCLUSION:Tenodesis of LHBT more than 3 mo following rupture had outcomes similar to tenodesis done within 3 mo of rupture but recurrent rupture Core tip: While some think long head of the biceps tendon (LHBT) tenodesis is not possible more than 3 mo after rupture, we have demonstrated that it is and will yeld to outcomes similar to tenodesis done within 3 mo. The LHBT tenodesis was achieved in all patients affected by chronic rupture.McMahon PJ, Speziali A. Outcomes of tenodesis of the long head of the biceps tendon more than three months after rupture. World

Similar clinical outcomes of biceps tenodesis with various kinds of fixation techniques: a systematic review

“…The overall complication rate in the interference screw fixation without tie over screw technique was 6.7% (117 of 1741 patients) while the fixation complication rate was 1.9% (33 of 1741 patients) in 19 studies 9–11 13–28…”

Open Subpectoral Tenodesis for Isolated Traumatic Long Head of Biceps Tendon Rupture Provides Excellent Functional Outcomes in Active Male Patients

“…Arthroscopic biceps tenodesis has become an established treatment option for young, active patients with acute, traumatic LHBT pathology [ 19 , 20 ]. The chosen fixation technique is dependent upon position, mobility, and quality of the LHBT as well as patient and surgeon preference.…”