Rupture of the long head biceps tendon treated with tenodesis to the coracoid process. Results at more than 30 years

Gumina, Stefano; Carbone, Stefano; Perugia, Dario; Perugia, L.; Postacchini, Franco

doi:10.1007/s00264-010-1099-0

Cited by 13 publications

(3 citation statements)

References 19 publications

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“…58 The LHB transfer procedure to the coracoid process was described by Gilcreest in 1926. 59 Gumina et al 60 retrospectively reviewed 28 young, active patients with an acute isolated LHBT ruptures treated at their institution over a period of 12 years with the transfer procedure. Patients were reviewed at a mean of 31 years after the procedure.…”

Section: Soft Tissue Biceps Tenodesis and Transfer Proceduresmentioning

confidence: 99%

Biceps tenodesis versus biceps tenotomy for biceps tendinitis without rotator cuff tears

Hassan

Patel

2019

Journal of Clinical Orthopaedics and Trauma

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Disorders of the long head of the biceps tendon (LHB) are a well-recognised cause of shoulder pain despite the function of the long head of the biceps remaining poorly understood. There has been a dramatic rise in the number of biceps tenodesis procedures being performed in the last decade. This may partly be attributed to concerns regarding residual cosmetic deformity and pain after biceps tenotomy though there is little evidence to suggest that functional outcomes of tenodesis are superior to biceps tenotomy. Current literature focuses on LHB disorders with concomitant rotator cuff tears. The aim of this review is to discuss the anatomy of the LHB, the pathogenesis of tendinopathy of the LHB, indications of biceps tenodesis and tenotomy and compare the current literature on the functional outcomes of these procedures for LHB disorders in the absence of rotator cuff tears.

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Section: Soft Tissue Biceps Tenodesis and Transfer Proceduresmentioning

confidence: 99%

Biceps tenodesis versus biceps tenotomy for biceps tendinitis without rotator cuff tears

Hassan

Patel

2019

Journal of Clinical Orthopaedics and Trauma

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“… 1 , 2 , 3 Among the arthroscopic fixation methods, the most frequently used are bone anchors, interference screw (IS), and soft tissue suture without the need for implants. 1 , 2 , 4 , 5 , 6 , 7 , 8 Early postoperative mobilization of the upper limb is important for recovery, but may endanger tenodesis with possible release of the tendon. To avoid this issue, the system that provides the highest resistance should be used.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical evaluation of the long head of the biceps brachii tendon fixed by three techniques: a sheep model

Ramos

Coelho

2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the biomechanical properties of the fixation of the long head of the biceps brachii into the humeral bone with suture anchors, interference screw, and soft tissue suture, comparing strength, highest traction load, and types of fixation failure.MethodsThirty fresh-frozen sheep shoulders were used, separated into three groups of ten for each technique. After fixation, the tendons were subjected to longitudinal continuous loading, obtaining load-to-failure (N) and displacement (mm).ResultsThe mean load-to-failure for suture anchors was 95 ± 35.3 N, 152.7 ± 52.7 N for interference screw, and 104.7 ± 23.54 N for soft tissue technique. There was a statistically significant difference (p < 0.05), with interference screw demonstrating higher load-to-failure than suture anchor fixation (p = 0.00307) and soft tissue (p = 0.00473). The strength of interference screw was also superior when compared with the other two methods (p = 0.0000127 and p = 0.00000295, respectively). There were no differences between suture anchors and soft tissue technique regarding load-to-failure (p = 0.9420) and strength (p = 0.141).ConclusionTenodesis of the long head of the biceps brachii with interference screw was stronger than the suture anchors and soft tissue techniques. The other two techniques did not differ between themselves.

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“…Mariani et al [10] performed a tenodesis to the proximal humeral shaft within 12 wk of rupture and, after 13 years, only 7.4% of patients reported mild to moderate bicipital pain, 37% reported mild to moderate deformity at the biceps, 14.8% subjective weakness at the elbow and only 11.1% poor clinical outcome and arm disability. Gumina et al [11] performed a tenodesis of the LHBT to the coracoid process less than 10 d after rupture and good to excellent clinical outcomes in 78.6% of patients. Tangari et al [12] performed a tenodesis into the bicipital groove after an average of 3 d following rupture.…”

Section: Introductionmentioning

confidence: 99%

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

McMahon

Speziali

2016

WJO

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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

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Rupture of the long head biceps tendon treated with tenodesis to the coracoid process. Results at more than 30 years

Cited by 13 publications

References 19 publications

Biceps tenodesis versus biceps tenotomy for biceps tendinitis without rotator cuff tears

Biceps tenodesis versus biceps tenotomy for biceps tendinitis without rotator cuff tears

Biomechanical evaluation of the long head of the biceps brachii tendon fixed by three techniques: a sheep model

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

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