Evaluation of the Clinical-functional Results from Repairing Extensive Rotator Cuff Injury with Inclusion of the Tendon of the Long Head of the Biceps.

Objectives: To assess the outcomes of the arthroscopic margin convergence of the posterior cuff to the biceps tendon.

Methods: From October 2003 to December 2007, 20 patients with massive rotator cuff tear which include the rotator interval were treated with arthroscopic margin convergence of the posterior cuff to biceps tendon. Sixteen patients were female and four were male. The mean age was 58.95 years old. The dominant side was affected in 16 cases (80%). The outcomes were analysed according to the UCLA Score with a minimum follow-up period of two years.

Results: The UCLA score improved, on average, 14 points (p < 0.001). Six patients had excellent results; nine good; three fair and two poor results. The mean improvement of forward flexion was 33o (p < 0.001), 3o of external rotation (p < 0.396) and two vertebral levels for internal rotation (p < 0.025).

Conclusion: The arthroscopic margin convergence of the posterior cuff to the biceps tendon leads to satisfactory results.