The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis

Franceschetti, Edoardo; Sanctis, Edoardo Giovannetti de; Palumbo, Alessio; Paciotti, Michele; Verde, Luca La; Maffulli, Nicola; Franceschi, Francesco

doi:10.1016/j.jshs.2020.08.004

Cited by 7 publications

(13 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regardless of whether the biceps tenodesis was done using an onlay or inlay technique, both methods report improved outcomes, with few complications. 2,13,14,25,26 Although this analysis showed no statistical difference in Popeye deformities between the two techniques, a recent study of 37 patients reported an increased number of deformities with the inlay technique (27%) when compared with the onlay technique (9.4%). 2 These findings were greater than the findings within this analysis in which 11.28% of inlay patients and 7.80% of onlay patients reported Popeye deformities, which were not statistically significant.…”

Section: Discussioncontrasting

confidence: 56%

See 1 more Smart Citation

Onlay Versus Inlay Biceps Tenodesis for Long Head of Biceps Tendinopathy: A Systematic Review and Meta-analysis

et al. 2022

View full text Add to dashboard Cite

Introduction:Proximal biceps tenodesis is a common surgical treatment of tendinosis of the long head of the biceps tendon. Two of the most common techniques incorporate onlay and inlay fixation methods, which can be done arthroscopically or open and in a variety of anatomic locations. The purpose of this meta-analysis was to compare the clinical outcomes between onlay versus inlay humeral fixation for biceps tenodesis for long head of the biceps tendon pathology.Methods:A literature search was conducted using PubMed, EMBASE, and Cochrane Library. Only studies reporting outcomes and complications after onlay and inlay biceps tenodeses were included.Results:Six studies with a total of 418 patients (252 onlay, 166 inlay) with a mean age of 56.84 years were included. Visual analog pain scale scores, Constant score, and American Shoulder and Elbow Surgeons shoulder score did not differ. “Popeye” deformity was found in 17 patients (7.80%) in the onlay group and in 15 patients (11.28%) in the inlay group (odds ratio, 0.28; P = 0.07). No difference in postoperative cramping or failure rates was found.Conclusion:Both onlay and inlay biceps tenodeses result in improved clinical outcomes and are at low risk of Popeye deformities, with no statistically significant differences between either method. Additional studies are required to assess the clinical significance of these differences.

show abstract

Section: Discussioncontrasting

confidence: 56%

“…CS was reported in four studies (Figure 4). 13,14,16,25 Inlay biceps tenodesis (122 patients) showed increased postoperative results (79.74 ± 6.39) versus onlay biceps tenodesis (144 patients; 78.95 ± 6.38), which was not statistically significant (mean difference, −0.78; P = 0.64).…”

Section: Resultsmentioning

confidence: 89%

Onlay Versus Inlay Biceps Tenodesis for Long Head of Biceps Tendinopathy: A Systematic Review and Meta-analysis

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Our results, which showed similarity between those from tenodesis performed with an anchor next to the rotator cuff and those performed in the bicipital groove with an anchor, should be viewed with caution, given the small sample of patients in the second group. Franceschetti et al, 28 in a randomized study, observed that the clinical results from subpectoral tenodesis were superior to those from high tenodesis with anchors. However, those authors performed open subpectoral tenodesis using a screw, whereas they performed high tenodesis using anchors and arthroscopically.…”

Section: Discussionmentioning

confidence: 99%

Biceps tenotomy or tenodesis in association with rotator cuff repair: is there an influence on functional results? A retrospective cohort study

et al. 2022

View full text Add to dashboard Cite

BACKGROUND: Instability or tears of the long head of the biceps tendon (LHBT) may be present in more than 35% of rotator cuff repairs (RCR). OBJECTIVE: To compare clinical results from patients undergoing arthroscopic RCR, according to the procedure performed at the LHBT. DESIGN AND SETTING: Retrospective cohort study designed at the shoulder and elbow clinic of Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Brazil. METHODS: Functional results among patients were compared using the American Shoulder and Elbow Surgeons (ASES) and University of California Los Angeles (UCLA) scales, according to the LHBT approach adopted: no procedure, tenotomy or tenodesis. RESULTS: We evaluated 306 shoulders (289 patients): 133 underwent no procedure at the LHBT, 77 tenotomy and 96 tenodesis. The ASES scale at 24 months showed no difference (P = 0.566) between the groups without LHBT procedure (median 90.0; interquartile range, IQR 29), tenotomy (median 90.0; IQR 32.1) or tenodesis (median 94.4; IQR 22.7); nor did the UCLA scale (median 33; IQR 7 versus median 31; IQR 8 versus median 33; IQR 5, respectively, P = 0.054). The groups differed in the preoperative functional assessment according to the ASES and UCLA scale, such that the tenodesis group started from higher values. However, there was no difference in pre and postoperative scores between the groups. CONCLUSION: Tenodesis or tenotomy of the LHBT, in the sample analyzed, did not influence the clinical results from RCR, as assessed using the ASES and UCLA scales.

show abstract

“…Treatments available range from tenotomy to tenodesis, which has been described using different systems and in different positions along the humerus. Our group has recently published a paper comparing high and subpectoral tenodesis during rotator cuff repair [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

New Trends in Shoulder Surgery from Biomechanics to the Operating Room

Franceschetti

Sanctis

Giacomo

et al. 2021

JCM

Self Cite

View full text Add to dashboard Cite

show abstract

The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis

Cited by 7 publications

References 38 publications

Onlay Versus Inlay Biceps Tenodesis for Long Head of Biceps Tendinopathy: A Systematic Review and Meta-analysis

Onlay Versus Inlay Biceps Tenodesis for Long Head of Biceps Tendinopathy: A Systematic Review and Meta-analysis

Biceps tenotomy or tenodesis in association with rotator cuff repair: is there an influence on functional results? A retrospective cohort study

New Trends in Shoulder Surgery from Biomechanics to the Operating Room

Contact Info

Product

Resources

About