Surgical treatment for long head of the biceps tendinopathy: a network meta-analysis

Anil, Utkarsh; Hurley, Eoghan T.; Kingery, Matthew T.; Pauzenberger, Leo; Mullett, Hannan; Strauss, Eric J.

doi:10.1016/j.jse.2019.10.021

Cited by 30 publications

(45 citation statements)

References 29 publications

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“…Meta-analyses on biceps tenodesis generally show that arthroscopic intra-articular tenodesis results in a high incidence of bicipital groove pain. 12 This may be explained by the inflammation and biceps degeneration associated with intra-articular tenodesis, which can extend extra-articular to the bicipital groove and below. Therefore, if tenodesis is performed proximal to the inflammation site, the inflammation can spread to the bicipital groove, resulting in bicipital groove pain.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Proximal Subpectoral Tenodesis of the Long Head of the Biceps

Milenin

Sergienko²,

Разумов

2021

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Proximal Subpectoral Tenodesis of the Long Head of the Biceps

Milenin

Sergienko²,

Разумов

2021

Arthroscopy Techniques

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“…Cutting the LHBT as medial as possible allowed us to keep at minimum the length of the proximal tendon stump, which may potentially impinge inside the joint. In addition, we avoided the distal approach tested by Greditzer et al [ 20 ] to decrease the risk of damage to the crossing fibers of the subscapularis tendon and to the recurrent branch of the circumflex artery of the humerus.…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, arthroscopically guided LHBT tenotomy or tenodesis are commonly practiced in cases where spontaneous rupture does not occur, besides often being part of arthroscopic repair of RC tendons [ 15 , 16 ]. These two surgical options for LHBT pathology have shown similar clinical outcomes [ 2 , 17 ], although tenotomy seems to provide earlier pain relief, despite at higher risk of cosmetic deformity due to prominent bump of the muscle belly (Popeye sign), while tenodesis tends to result in superior functional outcomes [ 18 , 19 , 20 ]. The tenotomy is indicated in painful shoulders with ruptured RC tendons in which conservative treatments (rest, rehabilitation, oral anti-inflammatory drugs, steroid injections) have failed, in patients with irreparable injuries and in those not willing to undergo surgery, since a non-negligible number of patients do not wish to undergo shoulder arthroscopic surgery due to their concern for negative outcomes [ 1 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-Guided Percutaneous Tenotomy of the Long Head of Biceps Tendon in Patients with Symptomatic Complete Rotator Cuff Tear: In Vivo Non-contRolled Prospective Study

Sconfienza

Albano

Messina

et al. 2020

JCM

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Background: We prospectively tested technical feasibility and clinical outcome of percutaneous ultrasound-guided tenotomy of long head of biceps tendon (LHBT). Methods: We included 11 patients (6 women; age: 73 ± 8.6 years) with symptomatic full-thickness rotator cuff tear and intact LHBT, in whom surgical repair was not possible/refused. After ultrasound-guided injection of local anesthetic, the LHBT was cut with a scalpel under continuous ultrasound monitoring until it became no longer visible. Pain was recorded before and at least six months after procedure. An eight-item questionnaire was administered to patients at follow-up. Results: A median of 4 tendon cuts were needed to ensure complete tenotomy. Mean procedure duration was 65 ± 5.7 s. Mean length of skin incision was 5.8 ± 0.6 mm. Pre-tenotomy VAS score was 8.2 ± 0.7, post-tenotomy VAS was 2.8 ± 0.6 (p < 0.001). At follow-up, 5/11 patients were very satisfied, 5/11 satisfied and 1/11 neutral. One patient experienced cramping and very minimal pain in the biceps. Six patients had still moderate shoulder pain, 1/11 minimal pain, 2/11 very minimal pain, while 2/11 had no pain. No patients had weakness in elbow flexion nor limits of daily activities due to LHBT. One patient showed Popeye deformity. All patients would undergo ultrasound-guided tenotomy again. Conclusion: ultrasound-guided percutaneous LHBT tenotomy is technically feasible and effective.

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“…Hence, the range of motion of the shoulder joint was limited and subsequently affected the quality of people's daily life [2]. Conventional treatment of western medicine and surgical intervention on tenosynovitis of LHB brachii significantly relieved the symptoms and improved the people's life quality [28][29][30]. However, adverse events and side effects caused by the abovementioned treatments may affect the therapeutic effects.…”

Section: Discussionmentioning

confidence: 99%

“…It may be caused by overuse from athletics requiring the overhead motion or degeneration from the normal aging process [ 1 , 2 ]. However, tendinopathy of the LHB brachii encompasses a broad spectrum of pathology ranging from mild tendinopathy to rupture, which includes the inflammatory, degenerative, overuse-related, and traumatic causes [ 3 , 4 ]. Similar to other types of biceps tendinopathy, patients with tenosynovitis of LHB brachii have a deep, throbbing ache in the anterior shoulder.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and safety of tenosynovitis of the long head of the biceps brachii with acupuncture: a protocol for a systematic review and meta-analysis

Jiang

et al. 2020

Trials

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Background Tenosynovitis of the long head of the biceps (LHB) brachii is a common disease in patients over 40 years old. It can always result in chronic anterior shoulder pain and limited function. Acupuncture is one of most popular conservative treatment methods, and increasing studies indicate that it has remarkable therapeutic effects on the tenosynovitis of LHB brachii. However, the effectiveness and safety of acupuncture for treating tenosynovitis of LHB brachii remain largely uncertain. In our study, we will perform the first systematic review and meta-analysis to explore the effectiveness and safety of acupuncture on the tenosynovitis of LHB brachii. Methods We will search the randomized controlled trial (RCT) literatures involving acupuncture for treating tenosynovitis of LHB brachii in eight electric databases, including PubMed, Web of Science, EMBASE, the Cochrane Library, Chinese National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), Wanfang Database, and Technology Periodical Database (VIP). We will define the visual analog scale (VAS), the Melle score of shoulder joint functional activity, and the ability assessment of daily living activities (ADL) as the primary outcomes. Besides quality of life, adverse events caused by acupuncture will be regarded as the secondary outcomes. Quality assessment of the included studies will be independently performed according to the Cochrane Risk of Bias tool. Meanwhile, the level of evidence for results will be assessed by using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method. All analyses will be conducted by using the RevMan software V5.3. Results From the study, we will ascertain the effectiveness and safety of acupuncture treatment on tenosynovitis of LHB brachii. Conclusion The conclusion of this study will confirm the effectiveness and safety of acupuncture in the treatment of tenosynovitis of LHB brachii, which can provide new evidence to guide appropriate interventions on tenosynovitis of LHB brachii with acupuncture in the future. Ethics and dissemination Ethical approval is not required because no individual patient data are collected. This review will be published in a peer-reviewed journal and presented at an international academic conference for dissemination. Trial registration PROSPERO registration number CRD42020167434. Registered on April 28, 2020.

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Surgical treatment for long head of the biceps tendinopathy: a network meta-analysis

Cited by 30 publications

References 29 publications

Arthroscopic Proximal Subpectoral Tenodesis of the Long Head of the Biceps

Arthroscopic Proximal Subpectoral Tenodesis of the Long Head of the Biceps

Ultrasound-Guided Percutaneous Tenotomy of the Long Head of Biceps Tendon in Patients with Symptomatic Complete Rotator Cuff Tear: In Vivo Non-contRolled Prospective Study

Effectiveness and safety of tenosynovitis of the long head of the biceps brachii with acupuncture: a protocol for a systematic review and meta-analysis

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