Biceps Tenotomy Versus Tenodesis

Patel, Kushal V.; Bravman, Jonathan T.; Vidal, Armando F.; Chrisman, Ashley N.; McCarty, Eric C.

doi:10.1016/j.csm.2015.08.008

Cited by 77 publications

(58 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[4][5][6] However, in the event of nonoperative treatment failure, several effective surgical options exist to treat LHBT disease. 7 Surgeons commonly perform biceps tenodesis in young, active patients and those concerned about cosmetic deformity and muscle cramping 8,9 ; a tenodesis also has the advantage of maintaining the length-tension relation of the biceps muscle, which may reduce spasms. 10,11 Indications for tenodesis include biceps instability, tendinopathy, partial biceps tears, SLAP lesions, bicipital tunnel release, and biceps pulley lesions.…”

Section: See Commentary On Page 33mentioning

confidence: 99%

“…Methods of fixation include interference screw, suture anchor, and keyhole techniques, 14 as well as other bone tunnel techniques. 7 Arthroscopic suprapectoral biceps tenodesis (ASPBT) and open subpectoral biceps tenodesis (OSPBT) are 2 procedures commonly used to address LHBT disease. 3,12,15 A small number of cadaveric and biomechanical studies have compared these 2 techniques.…”

Section: See Commentary On Page 33mentioning

confidence: 99%

See 1 more Smart Citation

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodeses Produce Similar Outcomes: A Randomized Prospective Analysis

Forsythe

Zuke

Agarwalla

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

Section: See Commentary On Page 33mentioning

confidence: 99%

Section: See Commentary On Page 33mentioning

confidence: 99%

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodeses Produce Similar Outcomes: A Randomized Prospective Analysis

Forsythe

Zuke

Agarwalla

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

“…Nevertheless, some authors recommend biceps tenodesis for decreasing the risk of Popeye deformity and for maintaining length-tension relationships [ 22 , 30 ]. Several different tenodesis techniques related to fixation method (interference screw, suture anchor, or sutureless ancho), position of tenodesis (suprapectoral and subpectoral), and open versus arthroscopic tenodesis have been described [ 31 ]. Recently, subpectoral tenodesis was reported to produce good results and recommended for the treatment of “hidden” and extra-articular lesions [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Distal Pullout Strengths of the Biceps Long Head Tendon for Different Adjacent Tissue and Tendon Pathologies during Rotator Cuff Repair

Kim

Kwon

Lee

et al. 2018

BioMed Research International

View full text Add to dashboard Cite

Purpose. Pathologies of the long head of the biceps tendon (LHBT) are frequently recognized in cases of rotator cuff tear. Recommendations for managing such pathologies remain debatable, and distal migration of tenotomized biceps is always a concern when only tenotomy is performed. Methods. Seventy patients of mean age 60.4 ± 6.9 years (range: 44 to 82 years) were included in this retrospective study. During subpectoral tenodesis in rotator cuff repair, pullout tensions were measured using a digital tensiometer. Measured tensions obtained were analyzed with respect to sex, tear involvement of the subscapularis, and the presence of a partial tear of LHBT, type II SLAP lesion, subluxation/dislocation of the biceps, or a pulley lesion. Results. Mean LHBT pullout tension for the 70 study subjects was 86.5 ± 42.1 N (26.7-240.5 N). Distal LHBT pullout tension was significantly greater for men than women (93.2 ± 42.7 N versus 73.7 ± 38.7 N, P = 0.041). However, LHBT pullout tensions were not significantly associated with different pathologies of surrounding tissues or of LHBTs (all Ps > 0.05). Conclusion. The study failed to show pullout tension differences associated with pathologies affect distal migration of a tenotomized LHBT. Gender was the only factor found to affect LHBT pullout strength. Risk of distal migration of tenotomized LHBT could not be predicted with intraoperative arthroscopic pathologic findings.

show abstract

“…Many studies comparing tenotomy and tenodesis have failed to show any difference between the 2 in terms of subjective or objective outcomes. 11 , 12 , 13 , 14 A recent review by Patel et al. 14 concluded that both tenotomy and tenodesis are reliable surgical options with good outcomes; however, further high-powered studies with high levels of evidence need to be conducted.…”

Section: Discussionmentioning

confidence: 99%

Subpectoral Biceps Tenodesis: Interference Screw and Cortical Button Fixation

Kennedy

Godin

Ferrari

et al. 2017

Arthroscopy Techniques

View full text Add to dashboard Cite

Bicep tendon pathology often arises from chronic overuse injuries, acute trauma, or degenerative changes in the glenohumeral joint. These injuries can cause significant shoulder pain, and can greatly limit range of motion and, in turn, activities of daily living. The diagnosis of biceps pathologies can be challenging, because patients often present with nonspecific symptoms. Some bicep tendon pathologies may be treated nonoperatively; however, biceps tendon subluxation and the presence of rotator cuff or SLAP lesions require surgical management. One of the options for the treatment of bicep tendon pathology includes miniopen subpectoral biceps tenodesis. The purpose of this Technical Note is to describe in detail our preferred operative technique for miniopen subpectoral biceps tenodesis with 2 different fixation methods.

show abstract

Biceps Tenotomy Versus Tenodesis

Cited by 77 publications

References 46 publications

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodeses Produce Similar Outcomes: A Randomized Prospective Analysis

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodeses Produce Similar Outcomes: A Randomized Prospective Analysis

Distal Pullout Strengths of the Biceps Long Head Tendon for Different Adjacent Tissue and Tendon Pathologies during Rotator Cuff Repair

Subpectoral Biceps Tenodesis: Interference Screw and Cortical Button Fixation

Contact Info

Product

Resources

About