Is augmentation with the long head of the biceps tendon helpful in arthroscopic treatment of irreparable rotator cuff tears?

Park, Sung-Ryeoll; Sun, Doo Hoon; Kim, Jin Hong; Kim, Jongbin; Kim, Yang-Soo

doi:10.1016/j.jse.2018.04.022

Cited by 32 publications

(36 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3,11,22 The LHBT can be used easily during arthroscopic shoulder surgery because of the proximity of this tendon, and donor site morbidity can be avoided. 18,20,25 The most important complaint in those patients was postoperative pain, which could be seen 6 to 8 weeks after surgery. The study by El-Shaar et al 4 revealed that both the LHBT and TFL are equal when it comes to the biomechanical aspect of the SCR procedure.…”

Section: Discussionmentioning

confidence: 99%

Partial Rotator Cuff Repair With Superior Capsular Reconstruction Using the Biceps Tendon Is as Effective as Superior Capsular Reconstruction Using a Tensor Fasciae Latae Autograft in the Treatment of Irreparable Massive Rotator Cuff Tears

Kocaoğlu

Fıratlı

Ülkü

2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Several treatment options are available for stable massive rotator cuff tears, including partial repair with or without tissue augmentation, tendon transfer, superior capsular reconstruction (SCR), and reverse shoulder arthroplasty. Purpose/Hypothesis: The purpose of this study was to compare the outcomes and effectiveness of partial rotator cuff repair with SCR using the long head of the biceps tendon (PRCR-SCRB) and SCR with a tensor fasciae latae autograft (SCRTF) for the treatment of rotator cuff tears with severe fatty degeneration. The hypothesis of this study was that SCRTF would be superior to PRCR-SCRB in functional and anatomic outcomes. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 26 consecutive patients with massive and fatty degenerative rotator cuff tears were treated surgically. Patients were divided into either the PRCR-SCRB group (n = 14) or SCRTF group (n = 12). Functional outcomes were assessed at final follow-up, and the acromiohumeral distance (AHD) was measured. Results: All functional scores significantly improved in both groups at final follow-up. The PRCR-SCRB group showed better overall outcomes in terms of the visual analog scale for pain; American Shoulder and Elbow Surgeons score; and Quick Disabilities of the Arm, Shoulder and Hand, but these differences were not statistically significant. Better outcomes were found for only the AHD for the PRCR-SCRB group without statistical significance ( P = .4). No statistical difference was found in terms of retear rate. Conclusion: PRCR-SCRB had comparable outcomes and improvement in AHD compared with SCRTF without the need for additional graft harvesting.

show abstract

Section: Discussionmentioning

confidence: 99%

Partial Rotator Cuff Repair With Superior Capsular Reconstruction Using the Biceps Tendon Is as Effective as Superior Capsular Reconstruction Using a Tensor Fasciae Latae Autograft in the Treatment of Irreparable Massive Rotator Cuff Tears

Kocaoğlu

Fıratlı

Ülkü

2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…A method of repairing the rotator cuff by interpositioning the LHBT between the RCT and the humeral head bone bed has also been described. 8 This method uses tenotomized LHBT to repair massive RCTs to prevent undue tension on the biceps tendon. However, there is a disadvantage in that the strength of the superior capsule region cannot be reinforced owing to the tenotomized LHBT.…”

Section: Discussionmentioning

confidence: 99%

L-Shape Superior Capsular Augmentation Technique Using Biceps Tendon: The Biceps L-Shape Shifting Technique

Kim

Yeom

Park

et al. 2020

Arthroscopy Techniques

View full text Add to dashboard Cite

Many therapies have been developed for patients with mass rotator cuff tears. Partial repair is often performed in patients with partially repairable massive rotator cuff tears because it is simpler to perform than superior capsule reconstruction. It may, however, result in rotator cuff retears frequently. This article presents our modified technique of arthroscopic partial reconstruction of the superior capsule using the long head of the biceps tendon with a biceps interposition.

show abstract

“…Prior clinical studies have described using the LHB tendon to augment rotator cuff repair. 6,7 However, previous techniques used the LHB as an interposition graft with transection of the tendon on the humeral and glenoid side, interposing/augmenting the rotator cuff with the transected tendon. Our proposed anterior cable reconstruction technique is distinct from these prior descriptions, as we use the LHB tendon to reconstruct and augment the anterior rotator cable, leaving the tendon in continuity on the humeral side, rather than using the tendon as a bridge to connect Figure 5.…”

Section: Discussionmentioning

confidence: 99%

Rotator Cuff Anterior Cable Reconstruction With Long Head of Biceps Tendon Autograft

Chen

Bakhsh

Lipof

et al. 2020

Arthroscopy Techniques

View full text Add to dashboard Cite

Rotator cuff tears with anterior cable disruption show a more detrimental natural history than tears with an intact cable. Anterior cable reconstruction in the setting of such tears provides a potential avenue to improve tissue quality of the repaired construct and enhance repair longevity. Cadaveric studies investigating anterior cable reconstruction have shown biomechanical advantages. We present an arthroscopic surgical technique for rotator cuff anterior cable reconstruction using long head of the biceps tendon autograft in the setting of repairable large-to-massive rotator cuff tears with poor anterior cable tissue quality.

show abstract

Is augmentation with the long head of the biceps tendon helpful in arthroscopic treatment of irreparable rotator cuff tears?

Cited by 32 publications

References 36 publications

Partial Rotator Cuff Repair With Superior Capsular Reconstruction Using the Biceps Tendon Is as Effective as Superior Capsular Reconstruction Using a Tensor Fasciae Latae Autograft in the Treatment of Irreparable Massive Rotator Cuff Tears

Partial Rotator Cuff Repair With Superior Capsular Reconstruction Using the Biceps Tendon Is as Effective as Superior Capsular Reconstruction Using a Tensor Fasciae Latae Autograft in the Treatment of Irreparable Massive Rotator Cuff Tears

L-Shape Superior Capsular Augmentation Technique Using Biceps Tendon: The Biceps L-Shape Shifting Technique

Rotator Cuff Anterior Cable Reconstruction With Long Head of Biceps Tendon Autograft

Contact Info

Product

Resources

About