Avaliação dos resultados da tenodese artroscópica do bíceps, utilizando-se parafuso de interferência bioabsorvível

Checchia, Sérgio Luiz; Santos, Pedro Doneux; Miyazaki, Alberto Naoki; Fregoneze, Marcelo; Silva, Luciana Andrade da; Leite, Flávio Santos Ferreira; Zamboni, Caio

doi:10.1590/s0102-36162007000800002

Cited by 5 publications

(9 citation statements)

References 18 publications

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“…Checchia et al 42 evaluated the results of arthroscopic LHB tenodesis with use of bioabsorbable interference screws in 16 patients. The tenotomy was made at the origin of the glenoid labrum; the tenodesis, in the intertubercular groove.…”

Section: Resultsmentioning

confidence: 99%

Disorders of the long head of the biceps: tenotomy versus tenodesis

Ribeiro

Ursolino

Ramos

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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Disorders of the long head of biceps tendon are common in clinical practice. Their causes could be degenerative, inflammatory, instability (subluxation or luxation) or traumatic. They are generally associated to other diseases of the shoulder, mainly rotator cuff injuries. Currently, there is controversy in the literature regarding the indications for surgical treatment and the choice of the best technique for each case, due to the possibility of esthetic deformity, loss of muscle strength, and residual pain.The objective of this study was to identify the indications for surgical treatment, the best surgical technique, and the advantages and disadvantages of each technique described in the orthopedic literature for the treatment of long head of biceps tendon injuries.A revision of the orthopedic medical literature on the following databases: Biblioteca Regional de Medicina (BIREME), Medline, PubMed, Cochrane Library and Google Scholar, comprising articles published in the period from 1991 to 2015.

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Section: Resultsmentioning

confidence: 99%

Disorders of the long head of the biceps: tenotomy versus tenodesis

Ribeiro

Ursolino

Ramos

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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“…However, patients in the tenotomy with tenodesis group showed an increased UCLA score that was statistically superior to the patients in the tenotomy without tenodesis group. Checchia et al (29) reported good results in their cases according to the UCLA scale with tenotomy followed by tenodesis. In our results, a statistically significant difference was not found with respect to the Popeye sign.…”

Section: Discussionmentioning

confidence: 98%

Tenotomy With or Without Tenodesis of the Long Head of the Biceps Using Repair of the Rotator Cuff

Ikemoto

Pileggi²,

Murachovsky

et al. 2012

Revista Brasileira de Ortopedia (English Edition)

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Objective: To compare the functional results among patients undergoing tenotomy with or without tenodesis of the long head of the biceps associated with arthroscopic repair of rotator cuff injuries, with a minimum two-year follow-up. Method: This was a retrospective non-randomized trial with evidence level III, in which the medical files of 77 patients with lesions of the long head of the biceps were reviewed and clinically reassessed. Among these, 55 patients underwent tenotomy without tenodesis and 22 underwent tenotomy with tenodesis, with outpatient follow-up for at least two years. The age, dominant side, operated side, lesion size using the Gartsman classification, pre and postoperative range of motion, presence or absence of the Popeye sign, pain in the bicipital groove and assessments using the University of California at Los Angeles (UCLA) score and the elbow strength index. Results: The mean UCLA score of the sample went from 16.92 (range: 8 to 25) to 31.45 (range: 13 to 35) (p < 0.001). Comparison of the pre and postoperative UCLA scores in the two groups showed that the difference in the group with tenotomy and tenodesis was 15.95 and in the group with tenotomy alone, 14.62 (p = 0.023). However, there was no statistical significance in comparing the groups regarding pain in the bicipital groove, Popeye sign or elbow strength index. Conclusion: This study showed that the difference in UCLA scores was statistically significant. The group with tenotomy and tenodesis of the long head of the biceps presented better functional results.

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“…Tenodesis of the long head of the biceps has been preferably performed by arthroscopy, and safe fixation must ensure early return to postoperative mobilization without release of the tendon. 2 Among the most commonly used fixation methods (soft tissue suture, bone fixation with bone anchors, and IS) there is no consensus on which offers greater resistance. Most studies have compared the resistance between bone anchors and IS; there is less information regarding soft tissue suture.…”

Section: Discussionmentioning

confidence: 99%

“…Recent advances have allowed tenodesis to be preferably performed arthroscopically, which, despite promoting results similar to open surgery, offers advantages such as smaller surgical wound, lower post-operative pain, preservation of the deltoid muscle, and earlier return to activities, especially when associated with simultaneous repair of the rotator cuff. 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.…”

Section: Introductionmentioning

confidence: 99%

“… 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%

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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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Avaliação dos resultados da tenodese artroscópica do bíceps, utilizando-se parafuso de interferência bioabsorvível

Abstract: RESUMO Objetivo: Avaliar os resultados obtidos com a realização da tenodese da cabeça longa do bíceps (CLB) pela

Cited by 5 publications

References 18 publications

Disorders of the long head of the biceps: tenotomy versus tenodesis

Disorders of the long head of the biceps: tenotomy versus tenodesis

Tenotomy With or Without Tenodesis of the Long Head of the Biceps Using Repair of the Rotator Cuff

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

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