[Translated article] Analysis of the results and adverse factors of arthroscopic repair of degenerative subscapular lesions

Editorial Commentary: Shoulder Biceps Tenodesis Versus Tenotomy: Both Show Good Results and Have Different Indications

“…When patients present subscapularis lesions associated with lesion of the LHB in the bicipital groove, we sometimes perform a soft tenodesis with the same anchors of the subscapularis tendon, but in most of them, we choose tenotomy. 16 As it was also pointed by Belay et al, 1 we have found that patients with tenotomy need less rehabilitation, and their pain improves faster, needing less postoperative narcotic medication. Our patients are satisfied with their clinical improvement after biceps tenotomy, despite the aesthetic deformity, as it was also pointed by Meeks et al 17 The debate on which patients need tenodesis is still open.…”

“…15 In 30% of our patients operated for supraspinatus tear associated to LHB lesion, we performed a simple technical gesture of fixation the biceps using the anterior anchors. 16 In our experience, it is also very common to find an LHB lesion in the treatment of shoulder pathology, but in most cases, it is combined with other cuff lesions, and it is less frequent to find isolated injuries of the biceps. We have usually found these cases with isolated injuries of the biceps in young patients, and then we choose to perform suprapectoral arthroscopic tenodesis.…”