Prospective Study of Three Surgical Procedures for Long Head Biceps Tendinopathy Associated with Rotator Cuff Tears

Overview

Journal Muscles Ligaments Tendons J

Date 2013 Jun 6

PMID 23738287

Citations 16

Authors

Carlo Biz

Giovanni Battista Vinanti

Alberto Rossato

Enrico Arnaldi

Roberto Aldegheri

Affiliations

Soon will be listed here.

Abstract

Purpose: simple tenotomy in the treatment of long head biceps (LHB) lesion offers good results, as well as tenotomy/tenodesis.

Materials And Methods: we prospectively evaluated 252 patients, divided into 3 groups, treated with rotator cuff repair associated with LHB tenotomy or 2 different types of tenodesis in cases where there had been a partial lesion of the LHB or instability of the bicipital groove. We ascertained whether there was residual pain and the presence of the "Popeye sign" in the post-operative stage.

Results: patients who underwent tenotomy alone achieved an improvement on the Visual Analogue Scale (VAS), Simple Shoulder Test (SST) and modified UCLA shoulder rating compared to patients who underwent LHB tenodesis. A positive Popeye sign is poorly perceived by patients.

Conclusion: we considered the LHB tenotomy as treatment of choice for the rotator cuff surgical repair when there was an evident LHB lesion.

Citing Articles

Both Isolated Long Head of the Biceps Tenotomy and Tenodesis Are Effective for Symptomatic Rotator Cuff Repair Revision.

DAscoli A, Giovannetti de Sanctis E, Bronsard N, Gauci M, Gonzalez J J Clin Med. 2025; 14(3).

PMID: 39941523 PMC: 11818303. DOI: 10.3390/jcm14030852.

Return to Sports and Clinical Results After All-Arthroscopic Biceps Tenodesis Using a 2.7-mm Knotless PEEK Suture Anchor.

Bischofreiter M, Gattringer M, Gruber M, Kindermann H, Himmelstoss P, Ortmaier R Orthop J Sports Med. 2024; 12(4):23259671241237798.

PMID: 38576874 PMC: 10993671. DOI: 10.1177/23259671241237798.

The effect of arthroscopic coracoplasty on subscapularis strength in cases of subcoracoid impingement in the absence of subscapularis tear.

Acan A, Hapa O, Gursan O, Turemis C, Kursat Simsek M, Dilek B Medicine (Baltimore). 2024; 103(3):e36947.

PMID: 38241576 PMC: 10798749. DOI: 10.1097/MD.0000000000036947.

Outcomes of Biceps Tenotomy Versus Tenodesis During Arthroscopic Rotator Cuff Repair: An Analysis of Patients From a Large Multicenter Database.

Srinivasan R, Hao K, Wright T, Farmer K, Wright J, Roach R Orthop J Sports Med. 2022; 10(7):23259671221110851.

PMID: 35859647 PMC: 9290127. DOI: 10.1177/23259671221110851.

Biceps tenotomy or tenodesis in association with rotator cuff repair: is there an influence on functional results? A retrospective cohort study.

Malavolta E, Sousa A, Conforto Gracitelli M, Assuncao J, Brandao de Andrade E Silva F, Amado Ferreira Neto A Sao Paulo Med J. 2022; 140(2):237-243.

PMID: 35293936 PMC: 9610255. DOI: 10.1590/1516-3180.2021.0219.R1.28062021.

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