Where to Tenodese the Biceps: Proximal or Distal?

Lutton, David M.; Gruson, Konrad I.; Harrison, Alicia K.; Gladstone, James N.; Flatow, Evan L.

doi:10.1007/s11999-010-1691-z

Cited by 119 publications

(98 citation statements)

References 25 publications

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“…2 Numerous options for surgical approach, location, and method of fixation have been investigated for biceps tenodesis in both cadaveric and clinical studies. Long head biceps tenodesis can be performed with an open [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] or arthroscopic technique 9,18-33 and can be positioned high at the entrance of the bicipital groove, in the suprapectoral location just proximal to the pectoralis major tendon, 9,16,22,30,31,34 in a subpectoral location at or distal to the pectoralis major tendon, 6,10,12,15,16,34 or in other positions, including the conjoint tendon or soft tissue tenodesis sites. 27,32,33,35 Arthroscopic suprapectoral and open subpectoral techniques are 2 common distal techniques for biceps tenodesis.…”

mentioning

confidence: 99%

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis: A Comparison of Restoration of Length-Tension and Mechanical Strength Between Techniques

Werner

Lyons

Evans

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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mentioning

confidence: 99%

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis: A Comparison of Restoration of Length-Tension and Mechanical Strength Between Techniques

Werner

Lyons

Evans

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Conversely, tenodesis has been generally performed in younger and more active subjects. Subpectoral fixation has been initially described [33] to reduce the rate of postoperative pain traditionally associated with arthroscopic techniques [34]. This seems related to the more distal tenodesis site achievable with subpectoral tenodesis [35].…”

Section: Discussionmentioning

confidence: 99%

Open subpectoral biceps tenodesis in patients over 65 does not result in an increased rate of complications

Voß¹,

Cerciello

Dyrna³

et al. 2017

Revue de Chirurgie Orthopédique et Traumatologique

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Background: Long head biceps tendon pathology is a common cause of anterior shoulder pain and is often associated with other shoulder conditions, such as rotator cuff tears and osteoarthritis. It is well accepted that older patients are at increased risk for major and minor peri-and postoperative complications. The purpose of this study is to investigate patients over 65 years old who underwent subpectoral biceps tenodesis and compare the complication rates of this group to those of patients younger than 65 years old. The hypothesis is, that there would be no difference in complication rates and that clinical outcome scores for patients over 65 were satisfying and showed improvements over time. Methods: There were 337 patients who underwent open subpectoral biceps tenodesis, between January 2005 and June 2015, 23 were identified as being over the age of 65 with a minimum follow up of 12 months. All patients over the age of 65 were evaluated pre-and postoperatively using Simple Shoulder Test (SST), American Shoulder and Elbow Surgeons (ASES), Constant-Murley (CM) and Single Assessment Numeric Evaluation (SANE). Intraoperative and postoperative adverse events (fracture, infection, wound opening, rupture/failure and neurovascular injuries) related to the tenodesis procedure and to the surgery itself were collected from all 337 patients in a routine postoperative follow-up. Results: The under 65 group (range 27-64 years) at an average follow up (FU) of 30 months (range 12-91 months) showed a 5.4% (17 out of 314) post-operative complication rate related to the subpectoral tenodesis, whereas the group over 65 (range 65-77 years) at an average follow up of 33 months (range 12-79 months) showed an 8.7% (2 out of 23) complication rate. Conclusion: This study demonstrates that in patients over the age of 65, biceps tenodesis is a successful procedure when performed for biceps tendinopathy and concomitantly with other surgical procedures of the shoulder, and does not result in an increased rate of complications when compared to a group of patients under the age of 65.

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“…Lutton et al, in a retrospective study of 17 patients who underwent arthroscopic suprapectoral LHB tenodesis with an interference screw, compared the clinical outcomes for tenodesis location, either within the upper half of the groove (five patients) or in the lower half of the groove or shaft (12 patients) [99]. Two patients with tenodesis in the upper half of the groove had persistent groove pain while all patients in the other group were asymptomatic at the 12-month follow-up.…”

Section: Clinical Outcomes After Arthroscopic Lhb Tenodesismentioning

confidence: 99%

Outcomes following long head of biceps tendon tenodesis

Al-Qahtani

Bicknell

2016

Curr Rev Musculoskelet Med

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Lesions of the proximal long head of the biceps tendon (LHB) have been considered as a major cause of shoulder pain and dysfunction. The role of the LHB in causing pain has been a source of controversy for many years, and extensive literature is available discussing anatomy, function, pathology, and most importantly appropriate treatment. Despite this, there is a lack of consensus in the literature regarding the management of biceps-related pathology. Biceps tenotomy and tenodesis are common surgical treatment options when dealing with LHB-related pathology. In this review, a brief discussion on surgical options is provided while focusing on the different options for biceps tenodesis including outcomes and complications.

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Where to Tenodese the Biceps: Proximal or Distal?

Cited by 119 publications

References 25 publications

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis: A Comparison of Restoration of Length-Tension and Mechanical Strength Between Techniques

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis: A Comparison of Restoration of Length-Tension and Mechanical Strength Between Techniques

Open subpectoral biceps tenodesis in patients over 65 does not result in an increased rate of complications

Outcomes following long head of biceps tendon tenodesis

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