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Outcomes of shoulder biceps tenotomy versus tenodesis are difficult to determine from non-randomized studies due to selection bias: Tenodesis is more commonly performed on younger males.
Arthroscopy
January 2025
Assistant Professor, Division of Shoulder and Elbow Surgery, Department of Orthopaedic Surgery, University of Missouri School of Medicine, Columbia, Missouri, United Stated.
The long head of the biceps tendon (LHBT) is a common source of anterior shoulder pain, frequently addressed during rotator cuff repairs. Surgical management typically involves either tenotomy or tenodesis, each offering distinct advantages and disadvantages. Tenotomy, a straightforward procedure with a short rehabilitation period, is well-suited for low-demand patients but carries a higher risk of Popeye deformity and cramping pain.
View Article and Find Full Text PDFThe Incidence of Popeye Deformity After Soft-Tissue Biceps Tenodesis Is Comparable to Biceps Anchor Tenodesis and Lower Than Biceps Tenotomy During Arthroscopic Rotator Cuff Repair.
Arthroscopy
November 2024
Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. Electronic address:
Purpose: To compare clinical and radiologic outcomes between biceps anchor tenodesis (AT), biceps soft-tissue tenodesis (ST), and biceps tenotomy (TT) for patients with concomitant rotator cuff repair (RCR).
Methods: This retrospective study reviewed patients who underwent arthroscopic RCR for full-thickness rotator cuff tears with AT, ST, or TT with minimum 2-year follow-up. All biceps procedures were performed arthroscopically, and ST consisted of fixation to the transverse humeral ligament.
Clinical Outcome of an All Arthroscopic 'Whole Layer' Rotator Cuff Repair Technique with Simultaneous Biceps Tenodesis.
Orthop Surg
November 2024
Department of Orthopedic Surgery, Changhua Christian Hospital, Changhua, Taiwan.
Objective: To retrospectively evaluate clinical outcomes, including function and pain, of patients after our all arthroscopic "whole layer" rotator cuff repair technique with simultaneous biceps tenodesis procedure; factors influencing results were also evaluated. Given the frequent association of rotator cuff tear with long head of biceps lesion and the need for effective combined treatment strategies, this study aims to evaluate the efficacy of our technique and compare it with established methods. We hypothesized that our technique would significantly improve function and reduce pain in patients with rotator cuff tears and biceps pathology.
View Article and Find Full Text PDFRaised body mass index and reduced muscle bulk reduces the incidence of Popeye's deformity post tenotomy of long head of biceps brachii.
J ISAKOS
October 2024
Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia Building Level 4, 169856, Singapore.
Article Synopsis
- The study investigates factors leading to the development of Popeye's deformity, a common complication (13%-70% incidence) after long head of the biceps tendon (LHBT) tenotomy, to improve patient selection for surgery.
- 91 patients undergoing rotator cuff repairs and LHBT tenotomy were analyzed based on demographics, physical attributes, and postoperative satisfaction through various pain and shoulder function scores at 6 and 24 months post-operation.
- Results showed a 58.9% incidence of Popeye's sign, with lower body mass index (BMI) and higher biceps to wrist circumference ratios linked to deformity, but it did not impact overall clinical outcomes or patient satisfaction after 24 months.
Novel all-arthroscopic biceps tenodesis technique incorporated into rotator cuff repair-two hundred cases with minimum 2-year follow-up.
JSES Int
May 2024
Knoxville Orthopedic Clinic, Shoulder and Elbow Division, Knoxville, TN, USA.
Background: Biceps tendon pathology is a common source of pain in the shoulder. It is frequently seen in conjunction with symptomatic rotator cuff tears. Biceps tendon management during arthroscopic rotator cuff repairs can be achieved via tenodesis with various techniques or tenotomy.
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