Surgical indications for long head biceps tenodesis: a systematic review

Creech, Michael J.; Yeung, Marco; Denkers, Matthew; Simunovic, Nicole; Athwal, George S.; Ayeni, Olufemi R.

doi:10.1007/s00167-014-3383-9

Cited by 55 publications

(44 citation statements)

References 23 publications

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“…A lesão parcial é a indicação mais comum para os procedimentos cirúrgicos: tenotomia e tenodese. 24 Nessa perspectiva, o cirurgião já deve estar preparado para a possibilidade de intervenção no tendão da CLB caso a suspeita no exame físico seja confirmada no intraoperatório.…”

Section: Discussionunclassified

Lesão do tendão do músculo supraespinal e sua relação com a lesão do tendão da cabeça longa do bíceps

Carvalho

Cohen

Belangero

et al. 2020

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Identificar a correlação clínica, radiológica, e artroscópica das lesões do tendão da cabeça longa do bíceps e sua influência na dor do paciente quando associada às lesões do manguito rotador. Métodos Entre abril e dezembro de 2013, foram avaliados 50 pacientes, sendo 38 (76%) do sexo feminino e 12 (24%) do sexo masculino, com idade média de 65,1 anos. Os pacientes foram operados pelo Grupo de Ombro e Cotovelo da Disciplina de Medicina Esportiva do Departamento de Ortopedia e Traumatologia da Universidade Federal de São Paulo. Os indivíduos foram submetidos a reparo da lesão do manguito rotador com evidência clínica, radiológica e/ou artroscópica de acometimento do tendão da cabeça longa do bíceps. Resultados Observou-se associação entre dor à palpação do sulco intertubercular do úmero com lesão parcial de alto grau (ruptura parcial acometendo mais de 50% do tendão) na artroscopia (p = 0,003). Encontramos ainda uma associação entre a lesão de alto grau da cabeça longa do bíceps e a lesão do tendão do músculo supraespinal (p < 0,05), sendo que, para cada centímetro de lesão do tendão do músculo supraespinal, o paciente apresenta probabilidade 1,7 maior de ter uma lesão de alto grau da cabeça longa do bíceps. Conclusão A dor na região anterior do ombro à palpação do sulco intertubercular do úmero pode estar relacionada às lesões de alto grau da cabeça longa do bíceps. A lesão do manguito rotador e o seu tamanho são fatores de risco para lesão de alto grau do tendão da cabeça longa do bíceps.

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Section: Discussionunclassified

Lesão do tendão do músculo supraespinal e sua relação com a lesão do tendão da cabeça longa do bíceps

Carvalho

Cohen

Belangero

et al. 2020

Rev Bras Ortop (Sao Paulo)

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“…Biceps tenodesis is considered a low-risk procedure, with a lower risk of a cosmetic defect such as the Popeye deformity, postoperative To ameliorate pain and instability of the LHBT, biceps tenodesis may be performed, which consists of detaching the LHBT from the biceps-labral anchor at the supraglenoid tubercle and transfixing it to the bicipital groove (intertubercular sulcus) of the humerus or the proximal humeral shaft (64). In younger patients, with higher activity levels and functional demands, tenodesis is superior to tenotomy, a procedure in which the tendon is transected at its proximal attachment and not anchored outside the joint.…”

Section: Part 2: Extra-articular Procedures Biceps Tenodesismentioning

confidence: 99%

“…Although the outcomes of the two procedures are similar with regard to pain relief, tenodesis provides superior functional outcomes, better range of motion, and less cosmetic deformity (65). The three most common indications for biceps tenodesis are partial LHBT tears, LHBT instability, and refractory tenosynovitis (64).…”

Section: Part 2: Extra-articular Procedures Biceps Tenodesismentioning

confidence: 99%

The Radiologist’s Primer to Imaging the Noncuff, Nonlabral Postoperative Shoulder

et al. 2018

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Many radiologists are familiar with the preoperative imaging assessment of patients with labral tears, rotator cuff abnormalities, and end-stage arthritis, as well as the subsequent primary reconstructions and repairs commonly encountered in routine clinical management. However, the second-line surgical procedures and augmentation procedures performed for refractory or recurrent shoulder instability and the extra-articular surgical procedures of the shoulder girdle may challenge even the most experienced musculoskeletal radiologist. Knowledge of the indications, surgical techniques, expected postoperative imaging appearance, and complications of these uncommon shoulder girdle reconstructions and repairs will aid the radiologist in both the pre- and postoperative assessment of the injured shoulder. This article is divided into two parts. In the first part, procedures performed for shoulder instability are addressed, including capsular shift, Bristow-Latarjet coracoid transfer, remplissage, and humeral head allografts. In the second part, the imaging findings of extra-articular procedures of the shoulder girdle are reviewed, including biceps tenodesis, os acromiale fixation, and coracoclavicular ligament reconstruction. RSNA, 2017.

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“…The exceptions for this approach may be those with symptomatic LHB instability or in the presence of a concomitant reparable rotator cuff tear [36], where this approach may be less successful. For patients who fail conservative treatment, operative intervention is indicated.…”

Section: Treatmentmentioning

confidence: 99%

Outcomes following long head of biceps tendon tenodesis

Al-Qahtani

Bicknell

2016

Curr Rev Musculoskelet Med

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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. In this review, a brief discussion on surgical options is provided while focusing on the different options for biceps tenodesis including outcomes and complications.

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Surgical indications for long head biceps tenodesis: a systematic review

Abstract: Systematic review, Level IV.

Cited by 55 publications

References 23 publications

Lesão do tendão do músculo supraespinal e sua relação com a lesão do tendão da cabeça longa do bíceps

Lesão do tendão do músculo supraespinal e sua relação com a lesão do tendão da cabeça longa do bíceps

The Radiologist’s Primer to Imaging the Noncuff, Nonlabral Postoperative Shoulder

Outcomes following long head of biceps tendon tenodesis

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