Cic edizioni internazionali
Muscle, Ligaments and Tendons Journal

No-holes transpectoral tenodesis technique vs tenotomy of the long head of the biceps brachii

Original Article, 427 - 432
doi: 10.11138/mltj/2016.6.4.427
Tag this article
Abstract
Enhanced HTML Full text PDF
Background: There is no univocal consensus regarding Long Head of the Biceps (LHB) best treatment between tenotomy and tenodesis. There is no consensus regarding the best location to perform the tenodesis. The LHB tenodesis performed by the proximal tendon excision as first step can miss the proper tension to the muscle belly. Fixations proximal to the pectoralis major can lead to groove pain. This study aims to test the efficacy of a new LHB tenodesis technique by comparing its results with the tenotomy.
Methods: We retrospectively evaluated patients who underwent surgery between May 2014 and May 2015. The mean follow up was 14.7 months. Sixteen patients underwent mini-open tenodesis to the Pectoralis Major tendon by the use of a resorbable suture (TD group); sixteen underwent tenotomy (TT group). The mean age of the TD group was 54 years; the mean age of the TT group was 56 years. We evaluated pain, subjective perception of the patient of possible aesthetic and strength differences between the two biceps,
“Popeye sign”, and tests to stimulate the LHB.
We administered three evaluation questionnaires: the ASES score, the SPADI score, and the SST.
Results: 32 consecutive patients were evaluated. The clinical scores did not record statistically significant differences: the mean ASES score was 92.9 (TD) and 90.8 (TT); the mean SPADI score was 92.5 (TD), and 89.7 (TT); the mean SST was 8.9 (TD), and 8.4 (TT). Compared to the TD group, in the TT group we registered with greater frequency the “Popeye sign” with a P value < 0.05 (9 cases vs 1), and spasms in the biceps muscle belly (5 cases vs 1). All other signs or symptoms evaluated were more frequent in the TT group, except the strength difference perceived by the patient (3 patients in the TT group, and 2 in the TD group). No complications were recorded.
Conclusions: This new Long Head of the Biceps (LHB) tenodesis technique is valuable and reliable, and provided better results than tenotomy. Level of evidence: IV.

Vol. 6 (No. 4) 2016 October - December

  1. No-holes transpectoral tenodesis technique vs tenotomy of the long head of the biceps brachii
    Gervasi E., Sebastiani E., Cautero E.
    doi: 10.11138/mltj/2016.6.4.427
  2. Arthroscopic treatment of the atraumatic shoulder instability: a case series with two-year follow-up evaluation
    Gervasi E., Sebastiani E., Cautero E., Spicuzza A.
    doi: 10.11138/mltj/2016.6.4.433
  3. Arthroscopic treatment of shoulder instability in professional athletes
    Pantalone A., Vanni D., Guelfi M., Di Mauro M., Abete M., Salini V.
    doi: 10.11138/mltj/2016.6.4.440
  4. Therapeutic use of hormones on tendinopathies: a narrative review
    Abete M., Guelfi M., Pantalone A., Vanni D., Schiavone C., Andia I., Salini V.
    doi: 10.11138/mltj/2016.6.4.445
  5. Single and dual incision technique for acute distal biceps rupture: clinical and functional outcomes
    Guglielmino C., Massimino P., Ioppolo F., Castorina S., Musumeci G., Di Giunta A.
    doi: 10.11138/mltj/2016.6.4.453
  6. Painful knee prosthesis: CT scan to assess patellar angle and implant malrotation
    Spinarelli A., Pesce V., Campagna C., Maccagnano G., Moretti B.
    doi: 10.11138/mltj/2016.6.4.461
  7. Correlation between fixation systems elasticity and bone tunnel widening after ACL reconstruction
    Giorgio N., Moretti L., Pignataro P., Carrozzo M., Vicenti G., Moretti B.
    doi: 10.11138/mltj/2016.6.4.467
  8. ACL injury in football: a literature overview of the prevention program
    Bisciotti G.N., Chamari K., Cena E., Carimati G., Volpi P.
    doi: 10.11138/mltj/2016.6.4.473
  9. Risk factors of anterior cruciate ligament injury in football players: a systematic review of the literature
    Volpi P., Bisciotti G.N., Chamari K., Cena E., Carimati G., Bragazzi N.L.
    doi: 10.11138/mltj/2016.6.4.480
  10. Returning to sport after anterior cruciate ligament reconstruction in amateur sports men: a retrospective study
    Notarnicola A., Maccagnano G., Barletta F., Ascatigno L., Astatuto L., Panella A., Tafuri S., Moretti B.
    doi: 10.11138/mltj/2016.6.4.486
  11. Arthroscopic patterns of the poster-medial aspect of the knee joint: classification of the gastrocnemiussemimembranosus gateway and its relationship with Baker’s cyst
    Calvisi V., Zoccali C.
    doi: 10.11138/mltj/2016.6.4.492
  12. Return to sports after ACL reconstruction: a new functional test protocol
    Bisciotti G.N., Quaglia A., Belli A., Carimati G., Volpi P.
    doi: 10.11138/mltj/2016.6.4.499
Last Viewed articles: la lista degli ultimi x visitati.
  1. No-holes transpectoral tenodesis technique vs tenotomy of the long head of the biceps brachii
    Gervasi E., Sebastiani E., Cautero E.
    doi: 10.11138/mltj/2016.6.4.427
credits