Treatment of Long Head of Biceps Tendon Lesions Together With Rotator Cuff Tears: Which Method is Preferred? Tenotomy or Tenodesis

Mehrara, Mohsen; Mobarakeh, Mahmoud Karimi; Keyhani, Sohrab; Ebrahim-Zadeh, Mohammad-Hossein; Ghadim-Limudahi, Zahra Haghparast

doi:10.1097/bte.0000000000000142

Cited by 14 publications

(82 citation statements)

References 20 publications

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“…Up to December 2015, the SST had been used in 17 randomized controlled trials (2). Examples of trials that have used the SST to measure outcomes in the last 5 years include double‐row versus single‐row rotator cuff repair (84), arthroscopic versus open stabilization for anterior shoulder subluxations (100), multimodal analgesia injection combined with corticosteroids after arthroscopic rotator cuff repair (96), pulley exercises versus rehabilitation without pulleys after rotator cuff repair (104), precut kinesiology tape versus oral NSAIDs for impingement syndrome (178), arthroscopic release versus manipulation under anesthesia for frozen shoulder (179), Interference screw versus suture anchor fixation for biceps tenodesis (97), arthroscopic Bankart repair with and without arthroscopic infraspinatus remplissage for anterior shoulder instability (119), tenotomy versus tenodesis for long head of biceps tendon lesions (180), and arthroscopic rotator cuff with or without acromioplasty (87).…”

Section: Simple Shoulder Testmentioning

confidence: 99%

Measures of Adult Shoulder Function

Buchbinder

Smolen

Huang

et al. 2020

Arthritis Care & Research

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Section: Simple Shoulder Testmentioning

confidence: 99%

Measures of Adult Shoulder Function

Buchbinder

Smolen

Huang

et al. 2020

Arthritis Care & Research

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“…All the six studies reporting preoperative and postoperative CM Scores reported significant improvement in postoperative CM Scores 9 13 17 18 24 25. Additionally, with two studies reporting only postoperative CM Scores,19 22 the overall CM Score using this technique ranged from 50.0 to 94.9 and the score improvement range was 11.0 to 42.8.…”

Section: Resultsmentioning

confidence: 92%

“…The overall complication rate in the interference screw fixation without tie over screw technique was 6.7% (117 of 1741 patients) while the fixation complication rate was 1.9% (33 of 1741 patients) in 19 studies 9–11 13–28…”

Section: Resultsmentioning

confidence: 98%

Similar clinical outcomes of biceps tenodesis with various kinds of fixation techniques: a systematic review

et al. 2019

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“…This allowed an analysis of 448 participants (n = 221 tenotomy; n = 227 tenodesis) from the data. Group 2 included 7 publications 3 , 10 , 19 , 24 , 25 , 28 , 31 of level 2 evidence, with 184 patients undergoing biceps tenotomy and 189 patients undergoing biceps tenodesis; 3 studies were low-quality RCTs, and 4 were prospective cohort studies. Group 3 included a further 10 retrospective cohort studies †† with a total of 932 patients (n = 553 tenotomy; n = 379 tenodesis).…”

Section: Resultsmentioning

confidence: 99%

“…Although observational data provide some support for a comparison of 2 procedures, good-quality randomized controlled trials (RCTs) are limited. However, several RCTs 3 , 6 , 19 , 27 , 28 and cohort studies 20 , 29 not included in previous meta-analyses have recently been published. Including these studies may change the interpretation of existing data.…”

mentioning

confidence: 99%

Clinical Outcomes of Arthroscopic Tenodesis Versus Tenotomy for Long Head of the Biceps Tendon Lesions: A Systematic Review and Meta-analysis of Randomized Clinical Trials and Cohort Studies

Liu

Song

Liu

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Controversy exists concerning whether tenotomy or tenodesis is the optimal surgical treatment option for proximal biceps tendon lesions. Purpose: To evaluate the clinical outcomes after arthroscopic tenodesis and tenotomy in the treatment of long head of the biceps tendon (LHBT) lesions. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed by searching PubMed, the Cochrane Library, Web of Science, and Embase to identify randomized controlled trials (RCTs) and cohort studies that compared the clinical efficacy of tenotomy with that of tenodesis for LHBT lesions. A standardized data extraction form was predesigned to obtain bibliographic information of the study as well as patient, intervention, comparison, and outcome data. A random-effects model was used to pool quantitative data from the primary outcomes. Results: A total of 21 eligible studies were separated into 3 methodological groups: (1) 4 RCTs with level 1 evidence, (2) 3 RCTs and 4 prospective cohort studies with level 2 evidence, and (3) 10 retrospective cohort studies with level 3 to 4 evidence. Analysis of the 3 groups demonstrated a significantly higher risk of the Popeye sign after tenotomy versus tenodesis (group 1: risk ratio [RR], 3.29 [95% CI, 1.92-5.49]; group 2: RR, 2.35 [95% CI, 1.43-3.85]; and group 3: RR, 2.57 [95% CI, 1.33-4.98]). Arm cramping pain remained significantly higher after tenotomy only in the retrospective cohort group (RR, 2.17 [95% CI, 1.20-3.95]). The Constant score for tenotomy was significantly worse than that for tenodesis in the prospective cohort group (standardized mean difference [SMD], –0.47 [95% CI, –0.73 to –0.21]), as were the forearm supination strength index (SMD, –0.75 [95% CI, –1.28 to –0.21]) and the Simple Shoulder Test (SST) score (SMD, –0.60 [95% CI, –0.94 to –0.27]). Conclusion: The results demonstrated that compared with tenodesis, tenotomy had a higher risk of a Popeye deformity in all 3 study groups; worse functional outcomes in terms of the Constant score, forearm supination strength index, and SST score according to prospective cohort studies; and a higher incidence of arm cramping pain according to retrospective cohort studies.

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Treatment of Long Head of Biceps Tendon Lesions Together With Rotator Cuff Tears: Which Method is Preferred? Tenotomy or Tenodesis

Cited by 14 publications

References 20 publications

Measures of Adult Shoulder Function

Measures of Adult Shoulder Function

Similar clinical outcomes of biceps tenodesis with various kinds of fixation techniques: a systematic review

Clinical Outcomes of Arthroscopic Tenodesis Versus Tenotomy for Long Head of the Biceps Tendon Lesions: A Systematic Review and Meta-analysis of Randomized Clinical Trials and Cohort Studies

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