Interprofessional analysis of esthetical deformity from long head biceps tenotomy

Abstract

OBJECTIVE: To evaluate the perception of an esthetical deformity resultant from arthroscopic long head biceps (LHB) tenotomy according to the degree of experience of the assisting professional. METHODS: 120 patients submitted to shoulder surgery were photographed and photos were mounted in a PowerPoint presentation. Three shoulder specialist surgeons, three generalist orthopedic surgeons and three graduated residents analyzed the presentation. RESULTS: On all patients we observed most agreement among the shoulder specialists. When just the patients with LHB tenotomy were analyzed, the specialists agreed moderately, the generalists had small agreement and the residents, a poor one. Analyzing patients with BMI < 30, there was major agreement between the specialists, while the generalists and residents had poor agreement. Analyzing patients with BMI ≥ 30, the generalists had small kappa agreement, while the specialists and residents had no agreement. CONCLUSIONS: The perception of an esthetical deformity regarding a LHB tenotomy did not have significant agreement between different level of professionals, even though the specialists showed similar perception on tenotomy patients. The evaluation of obese patients lowered the agreement on the three groups of professionals. Level of Evidence III. Case Control Study.

Tradução e adaptação cultural à língua portuguesa do Long Head Biceps Score

“…Por incluir em seus tópicos desfechos considerados importantes por diversos autores, 8 9 10 21 22 23 24 26 27 28 o LHB torna-se mais específico para este tipo de avaliação. Entretanto, sua precisão é limitada, tendo em vista que pode haver sobreposição com os sintomas apresentados pela lesão do manguito rotador.…”

“…In a systematic review 8 of 699 tenotomies, the authors reported that this deformity occurs in 43% of the cases. According to the Brazilian literature, 9 10 11 12 its incidence ranges from 8.3% to 59.1%. Several factors influence the identification of this sign, including age, the experience of the evaluator, and obesity (especially when the patient has a body mass index [BMI] > 30 kg/m 2 ).…”

“…Several factors influence the identification of this sign, including age, the experience of the evaluator, and obesity (especially when the patient has a body mass index [BMI] > 30 kg/m 2 ). 9 10 13 The Popeye sign is a critical outcome in studies assessing the treatment of biceps injuries.…”

“…Em uma revisão sistemática 8 envolvendo 699 tenotomias, constatou-se que essa deformidade pode ser observada em 43% dos casos. Na literatura nacional, 9 10 11 12 sua presença oscila entre 8,3% e 59,1%. A identificação desse sinal pode ser influenciada por diversos fatores, como idade, nível de experiência do avaliador, e obesidade (especialmente quando o paciente apresenta índice de massa corporal [IMC] > 30 kg/m 2 ).…”

“…A identificação desse sinal pode ser influenciada por diversos fatores, como idade, nível de experiência do avaliador, e obesidade (especialmente quando o paciente apresenta índice de massa corporal [IMC] > 30 kg/m 2 ). 9 10 13 Sua avaliação representa um importante desfecho em estudos que avaliam o tratamento das lesões do bíceps.…”