scholarly journals Long head of biceps tenotomy and tenodesis don’t affect elbow flexion and forearm supination strength

2016 ◽  
Vol 6 ◽  
pp. 61-62
Author(s):  
Hiroshi Negi ◽  
Shin Yokoya ◽  
Yohei Harada ◽  
Katsunori Shiraishi ◽  
Ryo Matsushita ◽  
...  
Keyword(s):  
Elbow Flexion ◽  
Long Head Of Biceps ◽  
Biceps Tenotomy ◽  
Long Head ◽  
Supination Strength

scholarly journals Measurements of Tendon Movement Within the Bicipital Groove After Suprapectoral Intra-articular Biceps Tenodesis in a Cadaveric Model

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097753
Author(s):  
Brian J. Kelly ◽  
Alan W. Reynolds ◽  
Patrick J. Schimoler ◽  
Alexander Kharlamov ◽  
Mark Carl Miller ◽  
...  
Keyword(s):  
Biceps Tendon ◽  
Full Range ◽  
Elbow Flexion ◽  
Biceps Tenodesis ◽  
Bicipital Groove ◽  
Biceps Tenotomy ◽  
Flexion Extension ◽  
Before And After ◽  
Long Head ◽  
Scapular Motion

Background: Lesions of the long head of the biceps can be successfully treated with biceps tenotomy or tenodesis when surgical management is elected. The advantage of a tenodesis is that it prevents the potential development of a cosmetic deformity or cramping muscle pain. Proponents of a subpectoral tenodesis believe that “groove pain” may remain a problem after suprapectoral tenodesis as a result of persistent motion of the tendon within the bicipital groove. Purpose/Hypothesis: To evaluate the motion of the biceps tendon within the bicipital groove before and after a suprapectoral intra-articular tenodesis. The hypothesis was that there would be minimal to no motion of the biceps tendon within the bicipital groove after tenodesis. Study Design: Controlled laboratory study. Methods: Six fresh-frozen cadaveric arms were dissected to expose the long head of the biceps tendon as well as the bicipital groove. Inclinometers and fiducials (optical markers) were used to measure the motions of the scapula, forearm, and biceps tendon through a full range of shoulder and elbow motions. A suprapectoral biceps tenodesis was then performed, and the motions were repeated. The motion of the biceps tendon was quantified as a function of scapular or forearm motion in each plane, both before and after the tenodesis. Results: There was minimal motion of the native biceps tendon during elbow flexion and extension but significant motion during all planes of scapular motion before tenodesis, with the most motion occurring during shoulder flexion-extension (20.73 ± 8.21 mm). The motion of the biceps tendon after tenodesis was significantly reduced during every plane of scapular motion compared with the native state ( P < .01 in all planes of motion), with a maximum motion of only 1.57 mm. Conclusion: There was a statistically significant reduction in motion of the biceps tendon in all planes of scapular motion after the intra-articular biceps tenodesis. The motion of the biceps tendon within the bicipital groove was essentially eliminated after the suprapectoral biceps tenodesis. Clinical Relevance: This arthroscopic suprapectoral tenodesis technique can significantly reduce motion of the biceps tendon within the groove in this cadaveric study, possibly reducing the likelihood of groove pain in the clinical setting.

scholarly journals Wide-Awake Shoulder Nanoscopic Long Head of Biceps Tenotomy

2021 ◽  
Vol 10 (3) ◽  
pp. e909-e912
Author(s):  
Chris Peach ◽  
Ronnie Davies ◽  
Nick Phillips
Keyword(s):  
Long Head Of Biceps ◽  
Biceps Tenotomy ◽  
Long Head ◽  
Wide Awake

Impact of experimental long head of biceps tendon pain on shoulder abduction and elbow flexion strength

2018 ◽  
Vol 27 (8) ◽  
pp. 1535-1536
Author(s):  
Masashi Izumi ◽  
Yutaka Morisawa ◽  
Yoshitaka Muramatsu ◽  
Yukihiro Kajita ◽  
Yusuke Iwahori ◽  
...  
Keyword(s):  
Biceps Tendon ◽  
Elbow Flexion ◽  
Shoulder Abduction ◽  
Long Head Of Biceps ◽  
Long Head ◽  
Flexion Strength

A Comparison of Forearm Supination and Elbow Flexion Strength in Patients With Long Head of the Biceps Tenotomy or Tenodesis

2011 ◽  
Vol 27 (1) ◽  
pp. 9-16 ◽  
Author(s):  
John R. Shank ◽  
Steven B. Singleton ◽  
Sepp Braun ◽  
Michael J. Kissenberth ◽  
Arun Ramappa ◽  
...  
Keyword(s):  
Elbow Flexion ◽  
Biceps Tenotomy ◽  
Long Head ◽  
Flexion Strength

scholarly journals Loop Biceps Tenotomy: An Arthroscopic Technique for Long Head of Biceps Tenotomy

2014 ◽  
Vol 3 (4) ◽  
pp. e427-e430 ◽  
Author(s):  
Jean-Noel Goubier ◽  
Thomas Bihel ◽  
Elodie Dubois ◽  
Frédéric Teboul
Keyword(s):  
Arthroscopic Technique ◽  
Long Head Of Biceps ◽  
Biceps Tenotomy ◽  
Long Head

scholarly journals A meta-analysis comparing tenotomy or tenodesis for lesions of the long head of the biceps tendon with concomitant reparable rotator cuff tears

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Yuyan Na ◽  
Yong Zhu ◽  
Yuting Shi ◽  
Yizhong Ren ◽  
Ting Zhang ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Constant Score ◽  
Biceps Tendon ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Rotator Cuff Tears ◽  
Biceps Tenodesis ◽  
Biceps Tenotomy ◽  
Long Head ◽  
Supination Strength

Abstract Background The best treatment for lesions of the long head of the biceps tendon (LHBT) with concomitant reparable rotator cuff tears is still controversial. The purpose of the meta-analysis was to compare clinical outcomes of biceps tenotomy and tenodesis for LHBT lesions. Methods A literature retrieval was conducted in MEDLINE, Embase, and Cochrane Library from 1979 to March 2018. Comparative studies (level of evidence I or II) comparing tenotomy and tenodesis for LHBT lesions with concomitant reparable rotator cuff tears were included. Risk of bias for all included studies was assessed using the Cochrane Collaboration’s risk of bias tool. Clinical outcomes compared were Popeye sign, Constant score, VAS pain score, cramping pain, elbow flexion and forearm supination strength, and re-tear of the rotator cuff. Results Two randomized controlled trials (RCTs) and five prospective cohort studies (PCS) with 288 biceps tenotomy patients and 303 biceps tenodesis patients were included in this review. Tenotomy resulted in significantly greater rates of Popeye sign (RR, 2.70 [95% CI, 1.80 to 4.04]; P < 0.01) and a less favorable Constant score (MD, − 1.09 [95% CI, − 1.90 to − 0.28]; P < 0.01) compared to tenodesis. No significant heterogeneity was found between the two groups across all parameters except forearm supination strength. Conclusions The current evidence indicates that biceps tenodesis for LHBT lesions with concomitant reparable rotator cuff tears results in decreased rate of Popeye sign and improved Constant score compared to biceps tenotomy. Trial registration PROSPERO, CRD42018105504. Registered on 13 August 2018.

scholarly journals Arthroscopic isolated long head of biceps tenotomy in patients with degenerative rotator cuff tears: mid-term clinical results and prognostic factors

2020 ◽  
Author(s):  
Egbert J. D. Veen ◽  
Ashvin V. Boeddha ◽  
Ronald L. Diercks ◽  
Ydo V. Kleinlugtenbelt ◽  
Ellie B. M. Landman ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Rotator Cuff ◽  
Clinical Results ◽  
Rotator Cuff Tears ◽  
Long Head Of Biceps ◽  
Biceps Tenotomy ◽  
Long Head ◽  
Acromiohumeral Distance ◽  
And Function

Abstract Introduction The long head of biceps tendon is frequently involved in degenerative rotator cuff tears. Therefore, this study explored the clinical results of an isolated biceps tenotomy and identified prognostic factors for improvement in pain and function. Materials and methods Between 2008 and 2017, an arthroscopic isolated biceps tenotomy was performed on 64 patients with a degenerative rotator cuff tear (> 65 years). Primary outcome was patient-perceived improvement in pain and function. Potential prognostic factors for improvement in pain and function were identified. Results A perceived improvement in pain was reported in 78% of the patients at three months after surgery and in 75% at a mean follow-up of 4.2 years (1–7 years; n = 55). A perceived improvement in function was observed in 49% of patients at three months and in 76% of patients at follow-up. Patients with a preoperatively normal acromiohumeral distance (> 10 mm) reported an improvement in pain and function significantly more often. Retraction of the supraspinatus tendon Patte 3 was significantly associated with worse functional outcome. Conclusions A biceps tenotomy can be a reliable treatment option for patients with symptomatic degenerative cuff tears who fail conservative treatment and have a normal acromiohumeral distance (> 10 mm).

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