Subpectoral versus suprapectoral biceps tenodesis yields similar clinical outcomes: a systematic review

Subpectoral, Suprapectoral, and Top-of-Groove Biceps Tenodesis Procedures Lead to Similar Good Clinical Outcomes: Comparison of Biceps Tenodesis Procedures

“… 15 However, there was no statistically significant difference in PROMs that met the MCID among the 3 groups at any time point postoperatively. Although it has been reported in the literature that arthroscopic techniques in the early postoperative period (<3 months) are associated with increased pain, stiffness, and bicipital groove tenderness, 17 , 18 we were unable to find any difference in VAS scores at 2 and 6 weeks among the groups. Additionally, there was no difference in VAS, ASES, and SANE scores during the early postoperative period at 3 months.…”

“… 4 , 8 , 10 , 11 , 12 Advocates of arthroscopic techniques suggest high patient satisfaction, lower wound-healing complication rates especially owing to Propionibacterium acnes infection, and avoidance of iatrogenic injuries attendant to open surgery including rare nerve injuries to the musculocutaneous nerve. 12 , 18 , 19 , 21 , 26 , 27 , 28 , 29 , 30 Because the fixation is in cancellous metaphyseal bone, there are fewer intraoperative and postoperative fractures by avoiding placing a hole in the diaphyseal bone, creating a potential stress riser. 31 …”

Mild Biceps Tendonitis May Be Managed Nonoperatively During Shoulder Arthroscopy

“…However, there is also increased awareness that biceps tenodesis, even when performed in the subpectoral region, does not always successfully resolve anterior shoulder pain that is often described as bicipital groove pain. 10 , 15 Recent systematic reviews have shown that patients undergoing arthroscopic biceps tenodesis (ABT) compared with open subpectoral biceps tenodesis (OBT) show no significant differences in postoperative “bicipital groove pain” between these 2 techniques. 15 Thus, persistent anterior shoulder pain, which we felt to be groove pain, is often more complex and multifactorial than just residual biceps tendon pathology within the groove.…”

“… 10 , 15 Recent systematic reviews have shown that patients undergoing arthroscopic biceps tenodesis (ABT) compared with open subpectoral biceps tenodesis (OBT) show no significant differences in postoperative “bicipital groove pain” between these 2 techniques. 15 Thus, persistent anterior shoulder pain, which we felt to be groove pain, is often more complex and multifactorial than just residual biceps tendon pathology within the groove.…”

Verletzungen der proximalen und distalen Bizepssehne

“…Sowohl die sub-pektorale als auch die suprapektorale LBS-Tenodese liefern exzellente klinische Ergebnisse ohne signifikante Überlegenheit der klinischen Ergebnisse eines der Verfahren[23,24]. Für Ellenbogenflexion sowie Supination zeigte sich betreffend des Kraftgrades kein signifikanter Unterschied[23,24].…”