The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis
Background: Tenodesis of the long head of the biceps (LHB) is commonly undertaken during arthroscopic rotator cuff repair. We assessed the clinical and structural outcomes after high arthroscopic tenodesis (HAT) or mini-open subpectoral tenodesis (ST). We hypothesized that the clinical and structura...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Journal of Sport and Health Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2095254620301022 |
| _version_ | 1797739036632154112 |
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| author | Edoardo Franceschetti Edoardo Giovannetti de Sanctis Alessio Palumbo Michele Paciotti Luca La Verde Nicola Maffulli Francesco Franceschi |
| author_facet | Edoardo Franceschetti Edoardo Giovannetti de Sanctis Alessio Palumbo Michele Paciotti Luca La Verde Nicola Maffulli Francesco Franceschi |
| author_sort | Edoardo Franceschetti |
| collection | DOAJ |
| description | Background: Tenodesis of the long head of the biceps (LHB) is commonly undertaken during arthroscopic rotator cuff repair. We assessed the clinical and structural outcomes after high arthroscopic tenodesis (HAT) or mini-open subpectoral tenodesis (ST). We hypothesized that the clinical and structural results after HAT and ST are similar. Methods: We included 40 patients with rotator cuff tear and LHB tendinopathy. Twenty patients (7 women and 13 men; mean age: 57.9 years; range: 56–63 years) were treated using HAT, and 20 patients (8 women and 12 men; mean age: 58.5 years; range: 55–64 years) were treated using ST. Functional evaluation was performed preoperatively and at 6 weeks, 6 months, and 1 year after surgery, using the Constant Murley Score and Simple Shoulder Test scores; the LHB was evaluated using the LHB score. A Visual Analogue Scale was administered to all patients preoperatively and 2 days after surgery. Results: The postoperative total and pain subscale's Constant scores were significantly higher in the ST group. Moreover, 2 LHB score values were significantly different between the groups. The postoperative LHB total score in the ST and HAT groups averaged 86.9 ± 4.1 (mean ± SD) points and 73.3 ± 6.4 points, respectively. The Pain/Cramps subscale in the ST and HAT groups averaged 47.1 ± 5.9 and 33.2 ± 4.6 points, respectively. The 2 groups showed no difference in Visual Analogue Scale values (5.5 in the HAT group; 5.8 in the ST group) postoperatively. One patient in the HAT group reported a secondary onset of Popeye deformity. Conclusion: Both high arthroscopic and mini-open ST of the LHB tendon produced reliably good functional results, but the ST group was associated with better postoperative clinical outcomes. |
| first_indexed | 2024-03-12T13:51:30Z |
| format | Article |
| id | doaj.art-f5bff5634b034907b758f10e2a5c8068 |
| institution | Directory Open Access Journal |
| issn | 2095-2546 |
| language | English |
| last_indexed | 2024-03-12T13:51:30Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Sport and Health Science |
| spelling | doaj.art-f5bff5634b034907b758f10e2a5c80682023-08-23T04:32:57ZengElsevierJournal of Sport and Health Science2095-25462023-09-01125613618The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesisEdoardo Franceschetti0Edoardo Giovannetti de Sanctis1Alessio Palumbo2Michele Paciotti3Luca La Verde4Nicola Maffulli5Francesco Franceschi6Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, 00100 Rome, ItalyDepartment of Orthopaedics and Traumatology, Catholic University, Agostino Gemelli Hospital, 00100 Rome, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, 00100 Rome, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, 00100 Rome, ItalyAnca Surgical Center, Via Francesco Maidalchini 20, Roma, 00152, Rome, ItalyDepartment of Musculoskeletal Disorders, Via Salvador Allende, 43, 84081 Baronissi, Salerno, Italy; Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London E1 4DG, England, UK; School of Pharmacy and Bioengineering, Keele University School of Medicine, Thornburrow Drive, Stoke on Trent ST4, England, UK; Corresponding author.Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, 00100 Rome, ItalyBackground: Tenodesis of the long head of the biceps (LHB) is commonly undertaken during arthroscopic rotator cuff repair. We assessed the clinical and structural outcomes after high arthroscopic tenodesis (HAT) or mini-open subpectoral tenodesis (ST). We hypothesized that the clinical and structural results after HAT and ST are similar. Methods: We included 40 patients with rotator cuff tear and LHB tendinopathy. Twenty patients (7 women and 13 men; mean age: 57.9 years; range: 56–63 years) were treated using HAT, and 20 patients (8 women and 12 men; mean age: 58.5 years; range: 55–64 years) were treated using ST. Functional evaluation was performed preoperatively and at 6 weeks, 6 months, and 1 year after surgery, using the Constant Murley Score and Simple Shoulder Test scores; the LHB was evaluated using the LHB score. A Visual Analogue Scale was administered to all patients preoperatively and 2 days after surgery. Results: The postoperative total and pain subscale's Constant scores were significantly higher in the ST group. Moreover, 2 LHB score values were significantly different between the groups. The postoperative LHB total score in the ST and HAT groups averaged 86.9 ± 4.1 (mean ± SD) points and 73.3 ± 6.4 points, respectively. The Pain/Cramps subscale in the ST and HAT groups averaged 47.1 ± 5.9 and 33.2 ± 4.6 points, respectively. The 2 groups showed no difference in Visual Analogue Scale values (5.5 in the HAT group; 5.8 in the ST group) postoperatively. One patient in the HAT group reported a secondary onset of Popeye deformity. Conclusion: Both high arthroscopic and mini-open ST of the LHB tendon produced reliably good functional results, but the ST group was associated with better postoperative clinical outcomes.http://www.sciencedirect.com/science/article/pii/S2095254620301022Long head of the bicepsShoulderShoulder arthroscopySubpectoralTenodesis |
| spellingShingle | Edoardo Franceschetti Edoardo Giovannetti de Sanctis Alessio Palumbo Michele Paciotti Luca La Verde Nicola Maffulli Francesco Franceschi The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis Journal of Sport and Health Science Long head of the biceps Shoulder Shoulder arthroscopy Subpectoral Tenodesis |
| title | The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis |
| title_full | The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis |
| title_fullStr | The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis |
| title_full_unstemmed | The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis |
| title_short | The management of the long head of the biceps in rotator cuff repair: A comparative study of high vs. subpectoral tenodesis |
| title_sort | management of the long head of the biceps in rotator cuff repair a comparative study of high vs subpectoral tenodesis |
| topic | Long head of the biceps Shoulder Shoulder arthroscopy Subpectoral Tenodesis |
| url | http://www.sciencedirect.com/science/article/pii/S2095254620301022 |
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