882 results match your criteria biceps tenodesis

Treatment options for massive rotator cuff tears: a narrative review.

Acta Biomed 2021 Jul 26;92(S3):e2021026. Epub 2021 Jul 26.

Clinica Ortopedica - ASUFC - Udine, Italy DAME - University of Udine, Italy.

The treatment of massive rotator cuff tears poses a challenge to orthopedic surgeons. The prevalence of massive rotator cuff tears is 40% of all rotator cuff tears. Compared with smaller tears, massive rotator cuff tears are often complicated by structural failure and poor outcomes and present a higher rate of recurrent tearing after surgical repair. Read More

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SLAP tears and return to sport and work: current concepts.

J ISAKOS 2021 Jul 11;6(4):204-211. Epub 2021 Mar 11.

Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut, USA.

Superior labrum, anterior and posterior (SLAP) lesions are common and identified in up to 26% of shoulder arthroscopies, with the greatest risk factor appearing to be overhead sporting activities. Symptomatic patients are treated with physical therapy and activity modification. However, after the failure of non-operative measures or when activity modification is precluded by athletic demands, SLAP tears have been managed with debridement, repair, biceps tenodesis or biceps tenotomy. Read More

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Soft Arthroscopic Latarjet Procedure: Technical Note on Biceps Tendon as a Modified Sling for Restoration of Glenohumeral Stability.

Arthrosc Tech 2021 Jun 17;10(6):e1531-e1537. Epub 2021 May 17.

Department of Orthopedics & Traumatology, Faculty of Medicine, Menoufia University, Egypt, Shebien El-kom, Menoufia Governorate, Egypt.

As an alternate to sling glenohumeral restabilization mechanism of Latarjet procedure, recent different arthroscopic soft-tissue reconstructive techniques have been described for the management of glenohumeral instability. One of these techniques is trans-subscapularis bony tenodesis of long head of biceps (instead of coracoid graft transfer) to the anteroinferior glenoid. For simplification of the latter technique, the current article reports an alternative arthroscopic technique for management of glenohumeral instability in patients with type V SLAP lesion or poor soft-tissue quality of the anterior capsulolabral complex. Read More

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All-Arthroscopic Anatomic Length-Tension Biceps Tenodesis With Unicortical Button.

Arthrosc Tech 2021 Jun 15;10(6):e1505-e1510. Epub 2021 May 15.

Cedars-Sinai Kerlan-Jobe Institute, Los Angeles, California, U.S.A.

The long head of the biceps tendon is a frequent cause of persistent anterior shoulder pain. Biceps tenodesis is a popular choice for surgical management of this pathology, with myriad approach and fixation variations described. We describe an all-arthroscopic suprapectoral biceps tenodesis in the anatomic length-tension relation using a unicortical button. Read More

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Progression of long head of the biceps brachii tendon abnormality on magnetic resonance imaging after rotator cuff repair.

Br J Radiol 2021 Aug 8;94(1124):20210366. Epub 2021 Jul 8.

Department of Radiology, Soonchunhyang University Cheonan Hospital, Cheonan-si, Republic of Korea.

Objectives: To correlate the deterioration of preserved long head of biceps tendon (LHB) after rotator cuff repair with preoperative and postoperative MRI factors.

Methods: Total of 209 shoulder joints (F: = 145:64; mean age 57.4 years) which underwent rotator cuff repair and at least two postoperative MRI scans over 10 months after surgery were included. Read More

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Speed of recovery of the most commonly performed shoulder surgeries.

JSES Int 2021 Jul 21;5(4):776-781. Epub 2021 Apr 21.

Massachusetts General Hospital, Department of Orthopedic Surgery, Harvard Medical School, Boston, MA, USA.

Background: Shoulder surgery results in several months of rehabilitation, which is often underestimated by patients preoperatively. Currently, there is little written about this process of recovery. Information on this would help patients to anticipate the trajectory of their recovery. Read More

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Failure rates and clinical outcomes after treatment for long-head biceps brachii tendon pathology: a comparison of three treatment types.

JSES Int 2021 Jul 10;5(4):630-635. Epub 2021 May 10.

Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pittsburgh, PA, USA.

Hypothesis/background: Treatment options for the biceps brachii tendon include tenotomy, arthroscopic tenodesis, and open tenodesis. Few studies to date have compared all treatment options in the context of a rotator cuff repair.

Methods: A retrospective review of 100 patients who underwent arthroscopic supraspinatus repair between 2013 and 2018 with a minimum of one-year follow-up was performed. Read More

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The humeral head: A review of the blood supply and possible link to osteonecrosis following rotator cuff repair.

J Anat 2021 Jun 23. Epub 2021 Jun 23.

Department of Anatomy and Cellular Biology, College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, United Arab Emirates.

Trauma, corticosteroid therapy and metabolic diseases are well established aetiologies of humeral head osteonecrosis; however, there is increasing evidence that arthroscopic rotator cuff surgery may be another possible cause. One of the reasons is that there may be inadvertent damage to the arterial blood supply to the humeral head during surgical intervention. The blood supply to the humeral head displays large amounts of variation with regard to origin, course and distribution. Read More

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Humeral shaft fracture after open biceps tenodesis following use of continuous passive motion machine: a case report.

JSES Int 2021 May 18;5(3):546-548. Epub 2021 Feb 18.

Staff Physician, The Hughston Clinic, The Hughston Foundation, Inc., Columbus, GA, USA.

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Acute massive rotator cuff rupture with posterior shoulder dislocation: arthroscopic novel repair of a rare injury. A case report.

J ISAKOS 2021 Jun 16. Epub 2021 Jun 16.

Radiology, Universidad de Antioquia, Medellin, Colombia.

Acute massive rotator cuff tears and posterior shoulder dislocations are an extremely rare association, and a vast majority are treated by open surgery. We present a case of a man in his 20s who suffered closed left shoulder trauma after a road traffic accident. He was initially diagnosed with posterior shoulder dislocation and a reduction was successfully performed. Read More

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Impact of shoulder, elbow and forearm position on biceps tendon excursion: A cadaveric study.

J Orthop Surg (Hong Kong) 2021 May-Aug;29(2):23094990211022675

Department of Orthopedics, Faculty of Medicine, Chiangmai University, Chiangmai, Thailand.

Purpose: This experimental study investigated the long head biceps tendon (LHBT) excursion that occurs at various positions of the upper limb during tendon stabilizing procedures. We hypothesized that shoulder abduction, elbow extension and forearm pronation would maximize the excursion of the LHBT and potential impacts on tendon stabilization.

Materials & Methods: Forequarter specimens from 12 fresh frozen cadavers were used in this study. Read More

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Editorial Commentary: Shoulder Biceps Tenotomy Versus Tenodesis Surgical Decision Making Must be Individualized for Each Patient.

Arthroscopy 2021 06;37(6):1777-1778

Tulane University School of Medicine.

The optimal treatment for proximal biceps tendon lesions identified at the time of arthroscopic rotator cuff repair remains a topic for debate. The decision between biceps tenotomy and tenodesis is one in which we will likely never have a clear-cut answer. Proponents of biceps tenotomy and biceps tenodesis will cite the pros and cons of each surgical option to support their treatment of choice. Read More

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Biceps tenotomy versus soft-tissue tenodesis in females aged 60 years and older with rotator cuff tears.

J Orthop Sci 2021 May 31. Epub 2021 May 31.

Tokyo Sports & Orthopaedic Clinic, 4-29-9 Kami-ikebukuro, Toshima, Tokyo, 170-0012, Japan.

Background: Recently, to treat the long head of the biceps tendon lesions in addition to rotator cuff repair has been recommended. However, the differences in clinical outcomes between biceps tenotomy and tenodesis for middle-aged and elderly females remains unclear. The purpose of this study was to compare the outcomes of biceps tenotomy and soft-tissue tenodesis that were performed concurrently with arthroscopic rotator cuff repair in ≥60-year-old females. Read More

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CORR Insights®: Does Biceps Tenotomy or Tenodesis Have Better Results After Surgery? A Systematic Review and Meta-analysis.

Thomas J Gill

Clin Orthop Relat Res 2021 07;479(7):1574-1576

Chairman, Department of Orthopedic Surgery, St. Elizabeth's Medical Center, Boston, MA, USA.

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Predicting Patient Satisfaction With Maximal Outcome Improvement After Biceps Tenodesis.

Orthopedics 2021 May-Jun;44(3):e359-e366. Epub 2021 May 1.

The goal of this study was to determine the threshold for achieving maximal outcome improvement (MOI) on the American Shoulder and Elbow Surgeons (ASES), Single Assessment Numeric Evaluation (SANE), and Constant-Murley (CM) questionnaires that predict satisfaction after isolated biceps tenodesis without concomitant rotator cuff repair. A retrospective analysis of prospectively collected data was performed for patients undergoing isolated biceps tenodesis from 2014 to 2017 at a single institution with minimum 6-month follow-up. Receiver operating characteristic curve analysis was used to determine thresholds for MOI for the ASES, SANE, and CM questionnaires. Read More

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Biceps Box Configuration for Superior Capsule Reconstruction of the Glenohumeral Joint Decreases Superior Translation but Not to Native Levels in a Biomechanical Study.

Arthrosc Sports Med Rehabil 2021 Apr 30;3(2):e343-e350. Epub 2021 Jan 30.

Orthopaedic Biomechanics Laboratory, Congress Medical Foundation, Pasadena, California, U.S.A.

Purpose: To quantitatively biomechanically assess superior stability, subacromial contact pressures, and glenohumeral kinematics of an in situ biceps tenodesis and a box-shaped long head of the biceps tendon (LHBT) superior capsule reconstruction (SCR) in a superior massive rotator cuff tear (MCT) model.

Methods: Eight cadaveric shoulders (mean age, 62 years; range, 46-70 years) were tested with a custom testing system used to evaluate range of motion, superior translation, and subacromial contact pressure at 0°, 20°, and 40° of abduction. Conditions tested included native state, MCT (complete supraspinatus and one-half of the infraspinatus), a box-shaped LHBT SCR, and an in situ biceps tenodesis. Read More

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Cost Comparison of Open and Arthroscopic Treatment Options for SLAP Tears.

Arthrosc Sports Med Rehabil 2021 Apr 30;3(2):e315-e322. Epub 2021 Jan 30.

Department of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine, Providence, RI.

Purpose: To identify cost drivers of open biceps tenodesis, arthroscopic biceps tenodesis, and arthroscopic SLAP repair in the setting of isolated SLAP tears and to perform a direct cost comparison between the procedures.

Methods: The 2014 State Ambulatory Surgery and Services Databases from 6 US states were used. Cases with Current Procedural Terminology codes 23430 (tenodesis of long tendon of biceps), 29807 (shoulder arthroscopy, repair of SLAP lesion), and 29828 (shoulder arthroscopy, biceps tenodesis) were selected, excluding patients who were >50 years old or had a concomitant rotator cuff repair. Read More

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Patient Reported Outcomes of Long Head Biceps Tenodesis after Spontaneous Rupture.

Arch Bone Jt Surg 2021 Mar;9(2):195-202

Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, MA, USA.

Background: The aim of this study was to evaluate the factors influencing patient reported outcome measures (PROM) of biceps tenodesis after the rupture of proximal long head of the biceps tendon.

Methods: Retrospective chart review was conducted to identify patients with complete proximal rupture of the long head of the biceps that underwent biceps tenodesis between 2002-2017. This yielded 42 patients, of which 23 (55%) completed the PROMIS Pain Interference, PROMIS Upper Extremity, Quick DASH, and a custom biceps tear questionnaire, at a median of 8. Read More

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Clinical Outcomes of Revision Biceps Tenodesis for Failed Long Head of Biceps Surgery: A Systematic Review.

Arthroscopy 2021 May 21. Epub 2021 May 21.

Massachusetts General Hospital, Department of Sports Medicine and Shoulder Surgery, Boston, Massachusetts, U.S.A.

Purpose: We summarize the indications, assess the modes of failure, and analyze the clinical and functional outcomes of revision biceps tenodesis after failed primary surgical treatment of long head of biceps (LHB) pathology.

Methods: A computerized search of PubMed, EMBASE, and CINAHL databases and manual screening of selected article reference lists was performed in September 2020. Randomized controlled trial, cohort, case-control, and case series studies reporting clinical outcomes of revision biceps tenodesis following failed LHB surgery were eligible. Read More

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Effect of age, gender, and body mass index on incidence and satisfaction of a Popeye deformity following biceps tenotomy or tenodesis: secondary analysis of a randomized clinical trial.

J Shoulder Elbow Surg 2021 Aug 19;30(8):1733-1740. Epub 2021 May 19.

Pan Am Clinic, University of Manitoba, Winnipeg, MB, Canada.

Background: The purpose of this study was to determine the incidence of Popeye deformity following biceps tenotomy vs. tenodesis and evaluate risk factors and subjective and objective outcomes.

Methods: Data for this study were collected as part of a randomized clinical trial in which patients aged ≥18 years undergoing arthroscopic shoulder surgery for a long head of the biceps tendon lesion were allocated to undergo tenotomy or tenodesis. Read More

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Subpectoral versus suprapectoral biceps tenodesis yields similar clinical outcomes: a systematic review.

J ISAKOS 2021 May 20. Epub 2021 May 20.

Department of Orthopaedics, University of Colorado at Boulder, Boulder, Colorado, USA

Importance: Arthroscopic suprapectoral biceps tenodesis (ABT) and open subpectoral biceps tenodesis (OBT) are two surgical treatment options for relief of long head of the biceps tendon (LHBT) pathology and superior labrum anterior to posterior (SLAP) tears. There is insufficient knowledge regarding the clinical superiority of one technique over the other.

Objective: To systematically review the literature in order to compare the clinical outcomes and safety of ABT and OBT for treatment of LHBT or SLAP pathology. Read More

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Clinical Effectiveness of Various Surgical Procedures Addressing Long Head of Biceps Pathology: Protocol for a Systematic Review and Meta-Analysis.

Int J Surg Protoc 2021 Apr 13;25(1):21-25. Epub 2021 Apr 13.

Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Windmill Road, Oxford, OX3 7LD, UK.

Introduction: The long head of biceps tendon is a common source of anterior shoulder pain and impaired function. Multiple surgical procedures are available as treatment options, but the optimal procedure is not known. The aim of this systematic review and meta-analysis is to review the literature to assess the clinical effectiveness of various surgical procedures to treat pain arising from the long head of biceps. Read More

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Pigmented Villonodular Synovitis of the Glenohumeral Joint and Biceps Tendon Sheath.

Cureus 2021 Apr 17;13(4):e14529. Epub 2021 Apr 17.

Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.

A 34-year-old woman presented with paroxysmal, insidious shoulder pain with effusion. MRI demonstrated a permeative, intermediate-signal lesion on T1 and T2 sequences involving the glenohumeral joint and biceps tendon sheath. The patient was treated with arthroscopic synovectomy, debridement, and subpectoral biceps tenodesis, with histopathology demonstrating pigmented villonodular synovitis (PVNS). Read More

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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.

Orthop J Sports Med 2021 Apr 23;9(4):2325967121993805. Epub 2021 Apr 23.

Department of Orthopaedic Surgery, China-Japan Friendship Hospital, Beijing, China.

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. Read More

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Technique of Arthroscopic Suprapectoral Tenodesis of the Long Head of the Biceps With Interference Screw.

Arthrosc Tech 2021 Apr 22;10(4):e1137-e1141. Epub 2021 Mar 22.

Traumatology and Orthopedics Department, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia.

Tenodesis and tenotomy are the main surgical options to treat different pathologies of the long head of the biceps tendon. Maintaining the functionality of the tendon during tenodesis makes it more preferable surgical option. The consensus on the most advanced tenodesis technique has not been reached. Read More

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Shoulder Arthroscopic Rotator Cuff Repair With Biceps Tenodesis and Acromioplasty Using a Single Working Portal.

Arthrosc Tech 2021 Apr 22;10(4):e1125-e1129. Epub 2021 Mar 22.

Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, Beirut, Lebanon.

Rotator cuff repair, acromioplasty, and biceps tenodesis operations have become some of the most common shoulder surgical procedures, evolving from open techniques to minimally invasive arthroscopic techniques. The use of many arthroscopic portals has been associated with surgical risks to many surrounding anatomic structures. We present an arthroscopic technique using a single anterolateral working portal for rotator cuff repair, acromioplasty, distal clavicle excision, and long head of the biceps tenodesis; this technique decreases the risk of injury to the surrounding neurovascular and musculotendinous structures, enables a faster recovery, and is minimally invasive. Read More

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Arthroscopic Single Portal, Single Anchor Knotless Subscapularis Repair with Concomitant Tenodesis of the Long Head of the Biceps Tendon.

Arthrosc Tech 2021 Apr 22;10(4):e1117-e1123. Epub 2021 Mar 22.

Advanced Orthopaedics and Sports Medicine, San Francisco, California, U.S.A.

Anterior shoulder pathology involving the subscapularis is often associated with the biceps tendon because both anatomic structures intersect the lesser tuberosity. Standard procedures for such pathology often involve simultaneous subscapularis repairs and biceps tenodesis. Single anterior portal subscapularis repairs have been emerging in the past 5 years because of cost-effectiveness and efficiency. Read More

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Arthroscopic Biceps Tenodesis by Bicortical Drilling Technique.

Arthrosc Tech 2021 Apr 2;10(4):e941-e948. Epub 2021 Mar 2.

Department of Orthopaedics, Faculty of Medicine, Thammasat University Hospital, Pathumthani, Thailand.

Pain arising from the long head of biceps tendon can cause significant disability of the shoulder. In young and physically demanding patients, biceps tenodesis is advised, in which the biceps tendon is cut from the native origin and fixed distally. Many methods have been proposed for this. Read More

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Surgical Management of Superior Labral Tears in Athletes: Focus on Biceps Tenodesis.

Open Access J Sports Med 2021 5;12:61-71. Epub 2021 May 5.

Department of Orthopaedic Surgery, University of Utah Health, Salt Lake City, UT, USA.

Superior labrum anterior-posterior (SLAP) lesions are common in overhead athletes. Though some patients have asymptomatic lesions, many tears cause pain and diminished athletic performance. Accurate diagnosis of SLAP lesions can be challenging as the sensitivity and specificity of both the physical exam and advanced imaging is questionable. Read More

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Outcomes of posterior labral repair with or without concomitant high-grade glenohumeral chondral pathology: a retrospective cohort with minimum 2-year follow-up.

J Shoulder Elbow Surg 2021 May 5. Epub 2021 May 5.

OrthoCarolina Sports Medicine Center, Charlotte, NC, USA.

Background: The purpose of this study was to compare outcomes of patients who underwent posterior labral repair with and without concomitant glenohumeral chondral pathology.

Methods: A retrospective review was performed on patients aged ≥18 years who underwent primary posterior labral repair over 5 years. Charts were reviewed to determine the presence and location of high-grade (Outerbridge grade III or IV) pathology. Read More

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